Average Medicaid Pulmonary Function Test Payments in Brockton, MA: $43.57
Avg. Paid
$43.57
Range
$0.20 – $83.93
Total Claims
26,123
Providers
13
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 Brockton, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Brockton Hospital, Inc.
680 Centre St |
$83.93 | 10,140 | 9,042 |
|
Devi Vedula
680 Centre St |
$6.08 | 4,425 | 4,396 |
|
Faisal S Hamada
1 Pearl St |
$5.03 | 3,313 | 3,269 |
|
Mark T Claus
35 Pearl St |
$17.14 | 2,115 | 1,506 |
|
Steward Good Samaritan Medical Center, Inc.
235 N Pearl St |
$75.36 | 1,778 | 1,664 |
|
Michael Lawrence
35 Pearl St |
$24.58 | 1,648 | 1,353 |
|
Deborah Faith Cohan
35 Pearl St Ste 200 |
$22.36 | 1,227 | 1,194 |
|
Brockton Neighborhood Health Center
63 Main St |
$0.20 | 1,048 | 966 |
|
Darlene Madore
35 Pearl St |
$14.94 | 263 | 166 |
|
Thomas Alpheus Morris
51 Libby St |
$5.32 | 113 | 113 |
|
David M Howell
One Pearl Street |
$15.26 | 28 | 28 |
|
Melissa L Clifford
179 Quincy St |
$13.66 | 13 | 13 |
|
Omorovbiye T Odigie
680 Centre St |
$5.71 | 12 | 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 Brockton, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Brockton, MA is $43.57 per claim, based on 26,123 claims from 13 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 Brockton, MA?
There are 13 Medicaid providers offering Pulmonary Function Test related services in Brockton, MA according to public payment data.
What is the price range for Pulmonary Function Test in Brockton, MA?
Medicaid reimbursement for Pulmonary Function Test in Brockton, MA ranges from $0.20 to $83.93 per claim, with an average of $43.57. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
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