Average Medicaid Pulmonary Function Test Payments in Beachwood, OH: $74.02
Avg. Paid
$74.02
Range
$4.21 – $208.35
Total Claims
5,257
Providers
15
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 Beachwood, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
University Hospitals Ahuja Medical Center, Inc
3999 Richmond Rd |
$73.08 | 3,420 | 1,796 |
|
Lauren O Portman
3999 Richmond Rd |
$162.27 | 423 | 397 |
|
Tarek Rashad Gharibeh
3999 Richmond Rd |
$10.65 | 415 | 400 |
|
David M Rosenberg
1000 Auburn Dr # 200 |
$4.21 | 362 | 345 |
|
Miodrag Zivic
25200 Chagrin Blvd Ste 300 |
$79.16 | 159 | 68 |
|
Elizabeth S Ranasinghe
23250 Mercantile Rd Ste 130 |
$20.39 | 121 | 110 |
|
Nicholas Randolph Erdman
4110 Warrensville Center Rd |
$169.25 | 81 | 70 |
|
Louis Albert Horwitz
3909 Orange Pl |
$208.35 | 74 | 69 |
|
Shannon Barry
3909 Orange Pl Ste 2100 |
$22.82 | 60 | 58 |
|
Aaron Daniel Lareau
3999 Richmond Rd |
$196.45 | 55 | 49 |
|
Teresa Kammerman
2142 Cedarview Dr |
$11.43 | 23 | 18 |
|
Barry A Lampl
24400 Highpoint Rd Ste 1 |
$20.16 | 19 | 18 |
|
Amy Marie Pound
3999 Richmond Rd |
$186.07 | 16 | 14 |
|
Pantelhs Pete Varlas
3909 Orange Pl Ste 2100 |
$147.31 | 15 | 14 |
|
Edward Cornett
3690 Orange Pl Ste 150 |
$172.90 | 14 | 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 Beachwood, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Beachwood, OH is $74.02 per claim, based on 5,257 claims from 15 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 Beachwood, OH?
There are 15 Medicaid providers offering Pulmonary Function Test related services in Beachwood, OH according to public payment data.
What is the price range for Pulmonary Function Test in Beachwood, OH?
Medicaid reimbursement for Pulmonary Function Test in Beachwood, OH ranges from $4.21 to $208.35 per claim, with an average of $74.02. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
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Other Procedures in Beachwood, OH
Home Health Visit
Avg $42.01
2,221,190 claims
Office Visit
Avg $51.17
376,825 claims
Behavioral & Mental Health Therapy
Avg $93.65
340,401 claims
Emergency Room Visit
Avg $90.69
241,687 claims
Psychiatric Evaluation
Avg $56.59
218,246 claims
Blood Work & Lab Tests
Avg $3.10
201,393 claims
X-Ray
Avg $8.99
128,797 claims
Physical Therapy
Avg $21.03
109,312 claims