Average Medicaid Pulmonary Function Test Payments in Bay City, MI: $10.62
Avg. Paid
$10.62
Range
$5.30 – $50.65
Total Claims
10,175
Providers
11
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 Bay City, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mclaren Bay Region
1900 Columbus Ave |
$5.94 | 4,502 | 3,659 |
|
Medical Practice Partners, Llc
712 S Trumbull St |
$10.69 | 2,730 | 2,579 |
|
Euclid Medical Group Pc
4175 N Euclid Ave |
$7.24 | 585 | 566 |
|
Mclaren Bay Region
640 S Trumbull St |
$12.99 | 500 | 478 |
|
Ali Soueidan
640 S Trumbull St |
$12.19 | 453 | 449 |
|
Saad Ahmad
3720 Katalin Ct Ste 100 |
$8.28 | 400 | 400 |
|
Richard J Horbal Md Pc
414 N Tuscola Rd |
$34.88 | 375 | 373 |
|
Paul Neal
3906 N Euclid Ave |
$50.65 | 337 | 290 |
|
Shahzad Manawar
2973 Pepperberry Dr |
$8.44 | 212 | 210 |
|
Bay Pediatric Clinic
2110 16Th St |
$10.57 | 43 | 40 |
|
Mclaren Bay Region
1900 Columbus Ave |
$5.30 | 38 | 37 |
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 Bay City, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Bay City, MI is $10.62 per claim, based on 10,175 claims from 11 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 Bay City, MI?
There are 11 Medicaid providers offering Pulmonary Function Test related services in Bay City, MI according to public payment data.
What is the price range for Pulmonary Function Test in Bay City, MI?
Medicaid reimbursement for Pulmonary Function Test in Bay City, MI ranges from $5.30 to $50.65 per claim, with an average of $10.62. 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 Bay City, MI
Office Visit
Avg $71.05
425,745 claims
Blood Work & Lab Tests
Avg $2.35
333,235 claims
Psychiatric Evaluation
Avg $99.21
240,929 claims
Physical Therapy
Avg $39.81
167,923 claims
Case Management Services
Avg $175.52
139,357 claims
Emergency Room Visit
Avg $153.28
121,432 claims
Vaccines & Immunizations
Avg $9.02
98,699 claims
Behavioral & Mental Health Therapy
Avg $169.32
75,780 claims