Average Medicaid Pulmonary Function Test Payments in Baltimore, MD: $17.38
Avg. Paid
$17.38
Range
$0.00 – $246.88
Total Claims
42,923
Providers
103
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 Baltimore, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Robert Wise
601 N Caroline St |
$8.58 | 3,564 | 3,429 |
|
Johns Hopkins University
600 N Wolfe St |
$5.37 | 3,498 | 3,328 |
|
Saint Paul Place Specialists, Inc.
301 Saint Paul Pl |
$3.84 | 3,409 | 3,182 |
|
Katarzyna Marcia Smith
1800 Orleans St # 5 |
$26.57 | 3,319 | 3,196 |
|
Jacqueline Ebony Ambush
4367 Hollins Ferry Rd |
$9.70 | 2,193 | 1,624 |
|
University Of Maryland Community Medical Group, Inc.
821 N Eutaw St |
$2.58 | 2,015 | 1,708 |
|
University Of Maryland Physicians Pa
22 S Greene St |
$7.21 | 1,939 | 1,883 |
|
Matthew Lammi
600 N Wolfe St |
$9.26 | 1,544 | 1,443 |
|
Patient First Maryland Medical Group Pllc
5100 Eastern Avenue |
$0.38 | 1,323 | 1,208 |
|
Peter Joseph Mogayzel
601 N Caroline St |
$8.64 | 1,276 | 1,138 |
|
George M Boyer
301 Saint Paul Pl |
$4.95 | 1,208 | 852 |
|
Shruti M Paranjape
200 N Wolfe St |
$8.41 | 1,149 | 1,047 |
|
Johns Hopkins Bayview Medical Center Inc
4940 Eastern Ave |
$59.32 | 1,112 | 859 |
|
Shawn Dhillon
2 Hamill Rd Ste 272 |
$23.57 | 1,072 | 989 |
|
St. Agnes Healthcare, Inc.
900 Caton Ave |
$47.11 | 915 | 720 |
|
Franklin Square Hospital Center, Inc
9000 Franklin Square Dr |
$1.08 | 776 | 589 |
|
Anil Kumar Nadipelli
900 Caton Ave |
$156.32 | 699 | 562 |
|
Medstar Medical Group Ii Llc
5601 Loch Raven Blvd |
$8.94 | 685 | 635 |
|
Gitika Dhillon
3333 N Calvert St |
$22.85 | 591 | 484 |
|
Medstar Urgent Care Llc
6317 York Rd |
$0.05 | 586 | 289 |
|
The Johns Hopkins Hospital
600 N Wolfe St |
$82.78 | 522 | 393 |
|
Daniel Lawrence Shinners
9103 Franklin Square Dr |
$32.79 | 515 | 480 |
|
Mercy Medical Center Inc
301 Saint Paul Pl |
$14.27 | 510 | 505 |
|
Corey Martin
2411 W Belvedere Ave Ste 504 |
$8.06 | 444 | 439 |
|
Dennis Michael Smith
3407 Wilkens Ave Ste 440 |
$21.24 | 369 | 231 |
|
Bryan S. Nolan
5601 Loch Raven Blvd |
$11.81 | 333 | 317 |
|
The Good Samaritan Hospital Of Maryland, Inc
5601 Loch Raven Blvd |
$1.85 | 320 | 267 |
|
Clarence Andrew Cole
5601 Loch Raven Blvd |
$4.20 | 319 | 110 |
|
Patient First Maryland Medical Group Pllc
4924 Campbell Blvd |
$0.20 | 285 | 261 |
|
Nathan Mckoy
401 E Eager St |
$13.24 | 276 | 233 |
|
Juan Alejandro Morales-Torres
4940 Eastern Ave |
$189.24 | 261 | 171 |
|
Surjit Singh Julka
821N Eutaw St 407 |
$39.54 | 257 | 235 |
|
Anupama Kewalramani
22 S Greene St |
$20.21 | 233 | 225 |
|
Henry Eric Fessler
600 N Wolfe St |
$10.89 | 211 | 205 |
|
Roman Mark Culjat
301 Saint Paul St Rm 409 |
$30.06 | 206 | 206 |
|
Nidhi Kotwal Shukla
22 S Greene St # N5W40 |
$10.15 | 167 | 157 |
|
Chukwuka Henry Bosah
22 S Greene St |
$12.99 | 162 | 96 |
|
Audrey Hanyi Liu
4940 Eastern Ave |
$12.93 | 162 | 162 |
|
William R Grier
22 S Greene St |
$38.33 | 159 | 153 |
|
Madalina Ursuleac
301 St. Paul Place |
$10.97 | 158 | 94 |
|
Diana Scumpieru
5204 Catalpha Rd |
$4.94 | 156 | 68 |
|
Leonard John Giuffreda
900 S Caton Ave |
$33.73 | 149 | 131 |
|
Anayansi Lasso-Pirot
22 S Greene St |
$9.11 | 146 | 140 |
|
Chelsea Lynn Hamershock
1800 Orleans St |
$2.74 | 146 | 75 |
|
The Union Memorial Hospital
201 E University Pkwy |
$2.03 | 137 | 131 |
|
Jean Elizabeth Prevas
111 Park Ave |
$5.65 | 130 | 58 |
|
Grace Medical Center, Inc.
2000 W Baltimore St |
$3.28 | 130 | 81 |
|
Shawn Dhillon, M.D., P.C.
3333 N Calvert St |
$17.40 | 130 | 129 |
|
Sarah Ray Williams
22 S Greene St |
$23.95 | 128 | 121 |
|
Daniel John
6701 N Charles St |
$11.59 | 128 | 115 |
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 Baltimore, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Baltimore, MD is $17.38 per claim, based on 42,923 claims from 103 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 Baltimore, MD?
There are 103 Medicaid providers offering Pulmonary Function Test related services in Baltimore, MD according to public payment data.
What is the price range for Pulmonary Function Test in Baltimore, MD?
Medicaid reimbursement for Pulmonary Function Test in Baltimore, MD ranges from $0.00 to $246.88 per claim, with an average of $17.38. 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 Baltimore, MD
Substance Abuse Treatment
Avg $107.97
7,464,932 claims
Office Visit
Avg $85.10
6,638,810 claims
Psychiatric Evaluation
Avg $100.67
6,065,385 claims
Blood Work & Lab Tests
Avg $9.87
4,046,251 claims
Emergency Room Visit
Avg $96.82
1,908,492 claims
Dental Cleaning & Exam
Avg $39.08
1,772,038 claims
X-Ray
Avg $6.77
1,399,097 claims
EKG / ECG (Electrocardiogram)
Avg $6.98
1,098,202 claims