Average Medicaid Pulmonary Function Test Payments in Appleton, WI: $26.39
Avg. Paid
$26.39
Range
$7.10 – $41.56
Total Claims
12,979
Providers
10
Typical Payment Range
Typical Medicaid Pulmonary Function Test payments fall between $7.79 and $27.18 per claim (median: $14.27). The top 10% of payments exceed $63.77.
Based on per-provider averages across all Medicaid claims in this category.
Pulmonary function tests (PFTs) measure how well the lungs work. Used to diagnose and monitor lung diseases like asthma, COPD, and pulmonary fibrosis.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Pulmonary Function Test in Appleton, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Maria T Aristigueta
2500 E Capitol Dr |
$8.57 | 44 | 42 |
|
Andrea J Hilgenberg
2575 E Evergreen Drive |
$9.68 | 136 | 112 |
|
Laura Ann Mccauley
2575 E Evergreen Drive |
$7.10 | 234 | 143 |
|
Michael F Maguire
2500 E Capitol Drive |
$10.51 | 268 | 216 |
|
Daniel Leonard
1506 S Oneida St |
$11.91 | 317 | 287 |
|
Bryan A Avery
1506 S Oneida St |
$15.04 | 736 | 685 |
|
Scott Charles Parrish
2500 E Capitol Dr |
$13.01 | 1,808 | 1,628 |
|
Sanjeevkumar Ashok Patel
2500 E Capitol Dr Ste 1700 |
$12.67 | 1,966 | 1,728 |
|
Ascension Ne Wisconsin, Inc
1506 S Oneida St |
$41.56 | 3,402 | 2,537 |
|
Thedacare Regional Medical Center - Appleton, Inc.
1818 N Meade St |
$32.36 | 4,068 | 3,266 |
What to Expect: Pulmonary Function Test
Pulmonary function tests take 30-90 minutes. You'll breathe into a mouthpiece connected to a machine (spirometer) while following specific instructions — breathing in deeply, blowing out forcefully, etc. The tests measure lung capacity, airflow, and how well oxygen crosses into the blood. You should avoid smoking, heavy meals, and bronchodilators before testing as instructed.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 94640 | Airway inhalation treatment | $30.37 | 8,609,434 | 12,427 |
| 94010 | Spirometry | $25.10 | 3,948,184 | 7,404 |
| 94060 | Spirometry pre & post bronch | $45.36 | 2,638,065 | 6,502 |
| 94729 | Diffusing capacity (DLCO) | $21.36 | 2,183,703 | 5,880 |
| 94726 | Plethysmography lung volumes | $26.97 | 1,341,614 | 4,152 |
| 94375 | Respiratory flow volume loop | $31.08 | 795,469 | 1,665 |
| 94727 | Gas dilution lung volume | $21.85 | 595,656 | 1,579 |
| 94200 | Max breathing capacity test | $12.33 | 463,986 | 451 |
| 94150 | Vital capacity test | $9.49 | 274,717 | 389 |
| 94660 | CPAP initiation/management | $42.51 | 104,298 | 247 |
| 94728 | Airway resistance oscillometry | $26.43 | 61,324 | 92 |
| 94621 | Pulmonary stress test complex | $95.35 | 35,949 | 133 |
| 94070 | Bronchospasm provocation eval | $88.04 | 17,656 | 86 |
| 94620 | Pulmonary stress test simple | $7.99 | 35 | 1 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Pulmonary Function Test cost in Appleton, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Appleton, WI is $26.39 per claim, based on 12,979 claims from 10 providers. Typical payments fall between $7.79 and $27.18. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Pulmonary Function Test in Appleton, WI?
There are 10 Medicaid providers offering Pulmonary Function Test related services in Appleton, WI according to public payment data.
What is the price range for Pulmonary Function Test in Appleton, WI?
Medicaid reimbursement for Pulmonary Function Test in Appleton, WI ranges from $7.10 to $41.56 per claim, with an average of $26.39. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
Brooklyn, NY
Avg $23.88
467,812 claims · 307 providers
Fresno, CA
Avg $9.79
368,205 claims · 95 providers
New York, NY
Avg $26.86
328,938 claims · 255 providers
Milwaukee, WI
Avg $31.74
271,694 claims · 80 providers
Bronx, NY
Avg $23.40
241,250 claims · 156 providers
Phoenix, AZ
Avg $43.01
234,885 claims · 209 providers
Los Angeles, CA
Avg $28.44
186,761 claims · 157 providers
Detroit, MI
Avg $11.67
181,938 claims · 75 providers
Other Procedures in Appleton, WI
Blood Work & Lab Tests
Avg $16.55
608,141 claims
Substance Abuse Treatment
Avg $11.15
589,242 claims
Office Visit
Avg $33.88
465,504 claims
Behavioral & Mental Health Therapy
Avg $78.04
417,838 claims
Personal Care Services
Avg $10.20
379,580 claims
Emergency Room Visit
Avg $51.76
230,945 claims
Speech Therapy
Avg $12.24
206,735 claims
Non-Emergency Medical Transportation
Avg $10.28
167,243 claims