Average Medicaid Pulmonary Function Test Payments in Billings, MT: $19.72
Avg. Paid
$19.72
Range
$1.55 – $46.44
Total Claims
17,509
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 Billings, MT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Steven E. Williamson
801 N 29Th St |
$20.13 | 12 | 12 |
|
Katelyn Dawn Gaskin
1233 N 30Th St |
$21.59 | 15 | 13 |
|
Kevin J Koch
1041 N 29Th St |
$10.64 | 16 | 12 |
|
Jonathan Binger
1233 N 30Th St |
$13.79 | 18 | 14 |
|
Megan Michelle Poser
2800 10Th Ave N |
$19.35 | 25 | 25 |
|
Robert J. Pueringer
801 N 29Th St |
$46.44 | 28 | 27 |
|
Fernando Caceres Lopez
801 N 29Th St |
$31.55 | 41 | 37 |
|
Juan Armando Adams
801 N 29Th St |
$36.80 | 150 | 144 |
|
George Lanske
801 N 29Th St |
$32.80 | 357 | 347 |
|
Frederick William Kahn
2900 12Th Ave N |
$12.41 | 533 | 511 |
|
Thomas E. Scarborough
3860 Avenue B Ste C |
$33.75 | 560 | 497 |
|
Jamie Cristin Riha
801 N 29Th St |
$41.71 | 944 | 917 |
|
Scl Health Montana
1233 N 30Th St |
$6.68 | 4,343 | 3,306 |
|
Jerimiah Lysinger
2800 10Th Ave N |
$46.20 | 4,789 | 4,634 |
|
Billings Clinic
2800 10Th Ave N |
$1.55 | 5,678 | 4,217 |
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 Billings, MT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Billings, MT is $19.72 per claim, based on 17,509 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 Billings, MT?
There are 15 Medicaid providers offering Pulmonary Function Test related services in Billings, MT according to public payment data.
What is the price range for Pulmonary Function Test in Billings, MT?
Medicaid reimbursement for Pulmonary Function Test in Billings, MT ranges from $1.55 to $46.44 per claim, with an average of $19.72. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
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