Average Medicaid Pulmonary Function Test Payments in Boston, MA: $45.29
Avg. Paid
$45.29
Range
$1.50 – $132.48
Total Claims
121,877
Providers
190
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 Boston, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Boston Medical Center Corporation
1 Boston Medical Ctr Pl |
$73.43 | 26,471 | 23,823 |
|
Children'S Hospital Corporation
300 Longwood Ave |
$95.20 | 22,094 | 18,387 |
|
Beth Israel Deaconess Medical Center, Inc.
330 Brookline Ave |
$49.71 | 7,498 | 7,218 |
|
Tufts Medical Center, Inc.
800 Washington St |
$83.61 | 6,231 | 5,859 |
|
Praveen Govender
725 Albany Street |
$5.65 | 3,259 | 3,246 |
|
Robert Brown
55 Fruit St |
$5.15 | 2,735 | 2,706 |
|
The General Hospital Corporation
55 Fruit St |
$43.40 | 2,586 | 2,332 |
|
John Bernardo
725 Albany St |
$5.73 | 2,277 | 2,272 |
|
Brigham & Womens Hospital, Inc.
75 Francis St |
$44.79 | 1,972 | 1,675 |
|
George T. O'Connor
725 Albany St |
$5.75 | 1,675 | 1,667 |
|
Felicia Chen
725 Albany Street |
$5.93 | 1,198 | 1,196 |
|
Christina Vestergaard Scirica
275 Cambridge St., Ste 530 |
$10.56 | 1,185 | 1,161 |
|
David M. Center
725 Albany Street |
$5.29 | 1,086 | 1,083 |
|
Charles C Hardin
Massachusetts General Hospital |
$4.82 | 1,022 | 1,012 |
|
Carrie L Pistenmaa
75 Francis St |
$3.57 | 973 | 916 |
|
John L Berk
725 Albany St |
$6.24 | 915 | 907 |
|
Maureen Ryan Dziura
800 Washington St |
$4.86 | 890 | 890 |
|
Mark Anthony Perrella
75 Francis St |
$3.99 | 854 | 819 |
|
Sean Dunham Levy
55 Fruit St |
$2.54 | 831 | 820 |
|
Khalid H Ismail
800 Washington St |
$4.55 | 753 | 703 |
|
Robyn Cohen
850 Harrison Avenue |
$6.41 | 753 | 750 |
|
Brigham And Women'S Faulkner Hospital, Inc
1153 Centre St |
$35.78 | 752 | 513 |
|
Darrell Kotton
725 Albany St, Suite 9B |
$5.49 | 695 | 694 |
|
Noah Schoenberg
330 Brookline Ave |
$2.64 | 677 | 669 |
|
Emily E Barsky
300 Longwood Ave |
$7.19 | 655 | 586 |
|
Thomas R Martin
300 Longwood Ave |
$6.90 | 642 | 622 |
|
Asma Tariq
800 Washington St |
$7.15 | 639 | 632 |
|
Hilary J Goldberg
75 Francis St |
$4.66 | 631 | 599 |
|
Craig P Hersh
75 Francis St |
$4.16 | 620 | 602 |
|
Miguel Jose Divo
75 Francis St |
$4.93 | 592 | 566 |
|
Hector A. Marquez
72 East Concord St |
$5.96 | 591 | 589 |
|
Christopher M. Kearney
725 Albany Street, Suite 9B |
$5.77 | 582 | 576 |
|
Robert William Hallowell
55 Fruit St |
$2.25 | 569 | 565 |
|
Kevin C. Wilson
725 Albany St |
$6.13 | 564 | 564 |
|
Dennis Rosen
300 Longwood Ave |
$6.57 | 554 | 532 |
|
Eric Schmidt
55 Fruit St |
$12.72 | 520 | 452 |
|
Catherine A Sheils
300 Longwood Ave |
$6.53 | 485 | 479 |
|
Valentin Prieto Centurion
72 E Concord St |
$13.11 | 465 | 423 |
|
Frederic F. Little
725 Albany St |
$5.79 | 462 | 461 |
|
Asha Anandaiah
330 Brookline Avenue |
$2.77 | 459 | 459 |
|
Ruobing Wang
300 Longwood Ave |
$6.28 | 459 | 449 |
|
Scott Lewis Schissel
133 Brookline Ave Fl 5 |
$4.15 | 437 | 421 |
|
Kenan Edward Haver
300 Longwood Ave |
$6.69 | 436 | 419 |
|
Dawn A Ericson
300 Longwood Ave |
$6.14 | 428 | 426 |
|
Douglas M Beach
330 Brookline Ave |
$2.61 | 424 | 424 |
|
James E Mojica
55 Fruit St |
$4.79 | 412 | 392 |
|
Alicia M.H. Casey
300 Longwood Ave |
$6.39 | 411 | 391 |
|
Kara Elizabeth May
300 Longwood Ave |
$6.36 | 399 | 390 |
|
Leo Charles Ginns
55 Fruit St |
$4.92 | 398 | 395 |
|
Manuela Cernadas
75 Francis St |
$4.00 | 397 | 384 |
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 Boston, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Boston, MA is $45.29 per claim, based on 121,877 claims from 190 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 Boston, MA?
There are 190 Medicaid providers offering Pulmonary Function Test related services in Boston, MA according to public payment data.
What is the price range for Pulmonary Function Test in Boston, MA?
Medicaid reimbursement for Pulmonary Function Test in Boston, MA ranges from $1.50 to $132.48 per claim, with an average of $45.29. 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 Boston, MA
Office Visit
Avg $84.37
5,683,879 claims
Blood Work & Lab Tests
Avg $10.29
4,390,978 claims
Emergency Room Visit
Avg $120.95
2,297,423 claims
X-Ray
Avg $10.07
2,027,847 claims
Dental Cleaning & Exam
Avg $34.73
1,751,075 claims
EKG / ECG (Electrocardiogram)
Avg $6.21
1,505,496 claims
Psychiatric Evaluation
Avg $73.99
945,332 claims
Vaccines & Immunizations
Avg $10.76
827,098 claims