Average Medicaid Pulmonary Function Test Payments in Bloomington, IN: $13.12
Avg. Paid
$13.12
Range
$0.20 – $23.62
Total Claims
3,540
Providers
16
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 Bloomington, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bradley W Erickson
550 S Landmark Ave |
$12.24 | 1,023 | 884 |
|
Wesley W Ratliff
550 S Landmark Ave |
$14.30 | 539 | 488 |
|
David A Dwyer
601 W 2Nd St |
$8.08 | 399 | 314 |
|
Derrick T Ferguson
2651 E Discovery Pkwy |
$9.01 | 305 | 279 |
|
Daniel R Mccormack
485 S Landmark Ave |
$23.62 | 296 | 261 |
|
Karen Sayad
2651 E Discovery Pkwy |
$10.31 | 253 | 225 |
|
Emma L Mccormack
485 S Landmark Ave |
$19.39 | 223 | 194 |
|
Stacey Elizabeth Hughes
500 S Liberty Dr |
$23.54 | 158 | 152 |
|
Richard J Eisenhut
482 S Liberty Dr |
$11.58 | 114 | 79 |
|
Kriti Lonial
550 S Landmark Ave |
$6.85 | 66 | 54 |
|
Eric Trueblood
550 S Landmark Ave |
$5.82 | 58 | 27 |
|
Debbie J Hall
2651 E Discovery Pkwy |
$0.20 | 33 | 12 |
|
Christina M Cabott
601 W 2Nd St |
$2.06 | 25 | 13 |
|
Dan Liviu Dusleag
3209 W Reddy Way |
$10.02 | 18 | 13 |
|
Mohamed O Heikal
2920 S Mcintire Dr Ste 150-A |
$14.44 | 16 | 15 |
|
Judith A Wright
601 W 2Nd St |
$1.38 | 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 Bloomington, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Bloomington, IN is $13.12 per claim, based on 3,540 claims from 16 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 Bloomington, IN?
There are 16 Medicaid providers offering Pulmonary Function Test related services in Bloomington, IN according to public payment data.
What is the price range for Pulmonary Function Test in Bloomington, IN?
Medicaid reimbursement for Pulmonary Function Test in Bloomington, IN ranges from $0.20 to $23.62 per claim, with an average of $13.12. 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 Bloomington, IN
Office Visit
Avg $60.78
683,299 claims
Blood Work & Lab Tests
Avg $7.61
379,488 claims
Emergency Room Visit
Avg $110.18
347,588 claims
Psychiatric Evaluation
Avg $57.97
205,962 claims
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Avg $10.73
164,676 claims
Durable Medical Equipment (DME)
Avg $22.32
130,220 claims
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Avg $20.80
119,589 claims
Physical Therapy
Avg $33.46
119,387 claims