Average Medicaid Pulmonary Function Test Payments in Birmingham, AL: $13.22
Avg. Paid
$13.22
Range
$0.00 – $40.72
Total Claims
44,697
Providers
123
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 Birmingham, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Teresa G Magruder
1600 7Th Ave S |
$12.66 | 5,452 | 4,738 |
|
Joseph Giannobile
619 19Th St S |
$24.15 | 2,556 | 2,476 |
|
Isabel Lopes Virella-Lowell
1600 7Th Ave S |
$13.15 | 2,248 | 1,971 |
|
Jane Condrey
1601 4Th Ave S |
$10.29 | 2,158 | 1,704 |
|
Wynton C Hoover
1600 7Th Ave S |
$13.21 | 1,594 | 1,353 |
|
University Of Alabama Health Services Foundation, Pc
1600 7Th Ave S |
$14.37 | 1,480 | 1,407 |
|
Suthida Kankirawatana
1600 7Th Ave S |
$10.04 | 1,470 | 1,040 |
|
Tracy Luckhardt
1717 6Th Ave S |
$12.13 | 1,413 | 1,380 |
|
John Allen Meadows
1600 7Th Ave S |
$19.05 | 1,184 | 1,049 |
|
Tilottama Majumdar
619 19Th St S |
$8.37 | 1,165 | 1,146 |
|
Rebecca Wells Lee
1600 7Th Ave S # 620 |
$11.20 | 1,078 | 857 |
|
Amy Myers Cajacob
619 19Th St S |
$12.44 | 1,066 | 887 |
|
Virginia Thomas
2010 Avenue F |
$11.25 | 1,045 | 906 |
|
Dhaval Raval
1717 6Th Ave S |
$13.71 | 982 | 937 |
|
Allervie Health Professional Corporation
504 Brookwood Blvd |
$40.72 | 979 | 958 |
|
Robert Bradley Troxler
1600 7Th Ave S |
$10.97 | 948 | 865 |
|
Joseph Barney
1717 6Th Ave S |
$12.31 | 817 | 758 |
|
Mallory Mathis Carroll
1600 7Th Ave S # Cppnm20 |
$16.12 | 726 | 673 |
|
James Langston Lee
1600 5Th Ave S |
$13.79 | 720 | 651 |
|
Children'S Urgent Care, Llc
500 Cahaba Park Cir |
$17.47 | 687 | 650 |
|
Katie Covington Smith
1600 7Th Ave S |
$10.29 | 671 | 629 |
|
Rosalyn L Morgan
2010-Avenue F |
$7.57 | 609 | 527 |
|
Gerald Belopolsky
619 19Th St S |
$9.89 | 587 | 504 |
|
American Family Care, Llc
1680 Montgomery Hwy |
$0.04 | 577 | 458 |
|
John Cooper
1717 6Th Ave S |
$8.46 | 537 | 475 |
|
Sheetal Gandotra
1717 6Th Ave S |
$10.30 | 470 | 404 |
|
Derrol Dawkins
401 Valley Ave |
$14.62 | 459 | 374 |
|
Tejaswini Kulkarni
1717 6Th Ave S |
$8.80 | 442 | 414 |
|
Brian Kulbersh
1940 Elmer J Bissell Rd |
$0.04 | 416 | 397 |
|
Bryan Garcia
1717 6Th Ave S |
$10.28 | 405 | 381 |
|
George Solomon
1717 6Th Ave S |
$12.25 | 369 | 358 |
|
Kathleen Hummel Grisanti
1600 7Th Ave S |
$12.50 | 354 | 258 |
|
Hector Hernan Gutierrez
1600 7Th Ave S |
$11.46 | 351 | 268 |
|
John I Kennedy
619 19Th Street South |
$10.48 | 337 | 321 |
|
Kenneth Brett Turner
1600 7Th Ave S # 620 |
$11.73 | 329 | 252 |
|
Alan Frederick Kitchens
50 Medical Park Dr E |
$7.32 | 326 | 164 |
|
Ishan Lalani
1717 6Th Ave S |
$13.51 | 326 | 290 |
|
Rebecca Ann Watkins
504 Brookwood Blvd |
$17.58 | 320 | 299 |
|
Carla Rutherford Copeland
625 19Th Street South |
$15.22 | 295 | 270 |
|
Ravi Paul Singh Virdi
619 19Th St S |
$11.83 | 276 | 249 |
|
Jennifer Trevor
1717 6Th Ave S |
$10.77 | 257 | 249 |
|
Jerry Matthew Digman
1600 7Th Ave S Ste 110 |
$13.84 | 244 | 225 |
|
Philip O'Reilly
1717 6Th Ave S |
$8.42 | 236 | 229 |
|
Jack Hasson
1717 6Th Ave S |
$7.30 | 220 | 212 |
|
David Lafon
1717 6Th Ave S |
$14.73 | 219 | 208 |
|
Brian Jeffery Wiatrak
1940 Elmer J. Bissell Road |
$0.08 | 215 | 211 |
|
Chao He
1717 6Th Ave S |
$16.53 | 213 | 186 |
|
Nicholas James Smith
1940 Elmer J. Bissell Road |
$0.09 | 207 | 189 |
|
Edward J Lose
1600 7Th Ave S |
$14.60 | 205 | 201 |
|
Anand S Iyer
1800 7Th Ave S |
$10.93 | 202 | 184 |
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 Birmingham, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Birmingham, AL is $13.22 per claim, based on 44,697 claims from 123 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 Birmingham, AL?
There are 123 Medicaid providers offering Pulmonary Function Test related services in Birmingham, AL according to public payment data.
What is the price range for Pulmonary Function Test in Birmingham, AL?
Medicaid reimbursement for Pulmonary Function Test in Birmingham, AL ranges from $0.00 to $40.72 per claim, with an average of $13.22. 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 Birmingham, AL
Blood Work & Lab Tests
Avg $7.02
11,525,259 claims
Office Visit
Avg $74.46
1,976,328 claims
Urinalysis & Urine Tests
Avg $3.70
1,952,357 claims
Behavioral & Mental Health Therapy
Avg $60.93
1,487,720 claims
Emergency Room Visit
Avg $80.96
1,417,392 claims
Culture & Microbiology Tests
Avg $6.38
1,389,745 claims
X-Ray
Avg $7.59
810,731 claims
Pathology & Lab Services
Avg $26.99
763,384 claims