Average Medicaid Pulmonary Function Test Payments in Ashland, KY: $42.54
Avg. Paid
$42.54
Range
$0.72 – $166.00
Total Claims
35,501
Providers
20
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 Ashland, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ashland Hospital Corporation
2201 Lexington Ave |
$55.88 | 23,888 | 16,648 |
|
Scott R Nelson
613 23Rd St Ste G30 |
$6.88 | 4,390 | 4,242 |
|
Our Lady Of Bellefonte Hospital Inc
1000 St. Christopher Dr |
$41.87 | 2,221 | 1,716 |
|
Kenneth Leung
613 23Rd St Ste G10 |
$7.39 | 1,981 | 1,841 |
|
Sabrina Francisca Roberts
613 23Rd St Ste G10 |
$6.67 | 1,018 | 964 |
|
Katherine D. Carias
2501 Lexington Ave |
$19.16 | 562 | 543 |
|
Chelsey Nicole White
613 23Rd St Ste G10 |
$5.36 | 289 | 283 |
|
Tyrone Coyle
336 29Th St Ste 201 |
$18.87 | 258 | 228 |
|
Gregory P Stark
613 23Rd St Ste G10 |
$6.07 | 225 | 214 |
|
Mena Shehata
613 23Rd St Ste G10 |
$5.28 | 201 | 192 |
|
Jason Ford
2910 Carter Ave |
$10.23 | 196 | 185 |
|
Dalkeith Fitzlawson Tucker
2201 Lexington Ave |
$166.00 | 45 | 41 |
|
Cheryl Lynn Cook
900 Saint Christopher Drive |
$10.61 | 43 | 40 |
|
Donald Morris Ramey
2245 Winchester Ave |
$0.72 | 39 | 39 |
|
Traci Annette Sanchez-Vanhoose
613 23Rd St Ste G10 |
$8.11 | 37 | 37 |
|
Bjorn Thorarinsson
613 23Rd St Ste G10 |
$3.86 | 30 | 24 |
|
Sana Ghalib
613 23Rd St Ste G10 |
$5.82 | 27 | 27 |
|
Jeffrey Thomas Jenkins
613 23Rd St |
$7.91 | 26 | 26 |
|
Barbara Collier Hale
2245 Winchester Ave |
$4.99 | 13 | 13 |
|
Muhammad Musa Salick
613 23Rd St Ste G10 |
$5.30 | 12 | 12 |
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 Ashland, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Ashland, KY is $42.54 per claim, based on 35,501 claims from 20 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 Ashland, KY?
There are 20 Medicaid providers offering Pulmonary Function Test related services in Ashland, KY according to public payment data.
What is the price range for Pulmonary Function Test in Ashland, KY?
Medicaid reimbursement for Pulmonary Function Test in Ashland, KY ranges from $0.72 to $166.00 per claim, with an average of $42.54. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
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Avg $34.13
1,844,265 claims
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Avg $11.81
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Avg $82.82
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Avg $95.73
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Avg $111.02
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Avg $98.99
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