Average Medicaid Pulmonary Function Test Payments in Brawley, CA: $14.55
Avg. Paid
$14.55
Range
$0.00 – $25.36
Total Claims
6,023
Providers
8
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 Brawley, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael Krutzik
528 G St |
$4.87 | 2,536 | 2,445 |
|
Pioneers Memorial Healthcare District
207 W Legion Rd |
$25.36 | 2,462 | 2,114 |
|
William Dodson Creighton
197 W Legion Rd |
$16.18 | 688 | 676 |
|
Pioneers Memorial Healthcare District
565 Main St |
$12.54 | 123 | 113 |
|
Saima Khan
1166 K St |
$1.70 | 105 | 104 |
|
Alba Gutierrez
183 S 5Th St |
$0.00 | 79 | 78 |
|
Danela Sedantes Escueta
565 Main St |
$0.00 | 17 | 17 |
|
Rosanna Salgado Pritting
751 W Legion Rd Ste 103 |
$0.00 | 13 | 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 Brawley, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Brawley, CA is $14.55 per claim, based on 6,023 claims from 8 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 Brawley, CA?
There are 8 Medicaid providers offering Pulmonary Function Test related services in Brawley, CA according to public payment data.
What is the price range for Pulmonary Function Test in Brawley, CA?
Medicaid reimbursement for Pulmonary Function Test in Brawley, CA ranges from $0.00 to $25.36 per claim, with an average of $14.55. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Brawley, CA
Office Visit
Avg $23.29
467,188 claims
Blood Work & Lab Tests
Avg $9.14
356,350 claims
Urinalysis & Urine Tests
Avg $3.99
148,944 claims
Emergency Room Visit
Avg $84.34
118,158 claims
X-Ray
Avg $17.52
99,496 claims
Vaccines & Immunizations
Avg $2.63
72,899 claims
EKG / ECG (Electrocardiogram)
Avg $23.68
59,921 claims
Ambulance Transport
Avg $1,386
56,565 claims