Average Medicaid Pulmonary Function Test Payments in Buffalo, NY: $16.03
Avg. Paid
$16.03
Range
$1.81 – $195.66
Total Claims
35,865
Providers
43
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 Buffalo, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kaleida Health
818 Ellicott St |
$9.49 | 6,401 | 5,771 |
|
Erie County Medical Center Corporation
462 Grider St |
$29.25 | 3,452 | 3,083 |
|
Nathan Dossey
2157 Main St |
$21.27 | 3,042 | 2,965 |
|
Kaleida Health
100 High St |
$9.63 | 2,903 | 2,506 |
|
Sisters Of Charity Hospital Of Buffalo New York
2157 Main St |
$1.81 | 2,797 | 2,385 |
|
Mercy Hospital Of Buffalo
565 Abbott Rd |
$4.62 | 2,589 | 2,348 |
|
Nashat H Rabadi
85 High St |
$28.53 | 1,623 | 1,606 |
|
Dessialis Cruz
184 Barton St |
$21.91 | 1,478 | 1,428 |
|
Kaleida Health
100 High St |
$4.27 | 1,434 | 1,259 |
|
Jeffrey Bruce Rockoff
219 Bryant Street |
$43.52 | 1,311 | 1,306 |
|
Daniel Anthony Fells
564 Niagara St |
$18.98 | 1,122 | 1,108 |
|
Alberto F. Monegro
1001 Main St Fl 4 |
$6.20 | 883 | 882 |
|
Kenneth L Gayles
840 Humboldt Pkwy |
$28.17 | 843 | 837 |
|
Heather A Kim
184 Barton St |
$2.11 | 775 | 760 |
|
Carla Anne Frederick
100 High St |
$6.85 | 753 | 751 |
|
Roswell Park Cancer Institute
Elm And Carlton St |
$29.64 | 654 | 621 |
|
Danielle Marie Goetz
1001 Main St Fl 4 |
$10.91 | 645 | 640 |
|
Geovanny Francisco Perez Estrella
1001 Main St Fl 4 |
$9.06 | 572 | 556 |
|
John Marshall Tyo
219 Bryant Street |
$51.60 | 376 | 363 |
|
Jamie L Wooldridge
1001 Main St Fl 4 |
$9.47 | 375 | 372 |
|
Brendan Farnand
564 Niagara St |
$41.20 | 370 | 369 |
|
Francois Fadell
1616 Kensington Ave |
$33.20 | 258 | 175 |
|
Daniel William Sheehan
1001 Main St Fl 4 |
$11.27 | 144 | 144 |
|
Mary T Sheppard
1001 Main St Fl 4 |
$6.68 | 139 | 139 |
|
Iqbal Abdus Samad
2148 Main St |
$18.58 | 129 | 129 |
|
Jennifer E H Attea
184 Barton St |
$7.84 | 90 | 87 |
|
Tabrina Schreier
1001 Main St Fl 5 |
$39.46 | 85 | 84 |
|
Emily Elizabeth Mckeen
Elm And Carlton St. |
$33.28 | 84 | 84 |
|
Xilei Xu Chen
1001 Main St Fl 4 |
$8.00 | 81 | 81 |
|
Anthony J Buscaglia
515 Abbott Rd |
$6.18 | 79 | 79 |
|
Rosanne Serra
219 Bryant St |
$6.83 | 51 | 51 |
|
Chester Fox
1315 Jefferson Ave |
$26.95 | 48 | 48 |
|
Heather K Lehman
1001 Main St |
$55.21 | 46 | 46 |
|
Carrie Saleh Feroleto
729 Tacoma Ave |
$41.54 | 43 | 43 |
|
Michael R Brynildsen
899 Main St |
$3.00 | 42 | 42 |
|
Jesslyn Perry
191 North Street |
$26.57 | 32 | 32 |
|
Maritza Yvette Baez
1091 Main St Ste 301 |
$39.93 | 26 | 26 |
|
Aaron K Mruk
564 Niagara St Bldg 2 |
$36.77 | 25 | 25 |
|
Latasha Gardener
564 Niagara St Bldg 2 |
$35.73 | 14 | 14 |
|
Holly Marie Anderson
1001 Main St Fl 5 |
$48.63 | 14 | 14 |
|
Kelly Mclean
564 Niagara St |
$42.57 | 13 | 13 |
|
Kirsten Ann Thibodeau Nutty
1001 Main St Fl 4 |
$15.26 | 12 | 12 |
|
Tom Huu Le
565 Abbott Rd |
$195.66 | 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 Buffalo, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Buffalo, NY is $16.03 per claim, based on 35,865 claims from 43 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 Buffalo, NY?
There are 43 Medicaid providers offering Pulmonary Function Test related services in Buffalo, NY according to public payment data.
What is the price range for Pulmonary Function Test in Buffalo, NY?
Medicaid reimbursement for Pulmonary Function Test in Buffalo, NY ranges from $1.81 to $195.66 per claim, with an average of $16.03. 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 Buffalo, NY
Home Health Visit
Avg $138.93
2,641,639 claims
Office Visit
Avg $60.22
2,438,221 claims
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Avg $8.36
2,385,372 claims
Substance Abuse Treatment
Avg $44.27
1,684,325 claims
Emergency Room Visit
Avg $120.86
1,082,052 claims
Dental Cleaning & Exam
Avg $30.59
790,427 claims
Case Management Services
Avg $250.24
760,219 claims
Psychiatric Evaluation
Avg $135.39
730,584 claims