Average Medicaid Pulmonary Function Test Payments in Caguas, PR: $35.97
Avg. Paid
$35.97
Range
$25.74 – $58.79
Total Claims
25,536
Providers
10
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 Caguas, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Luis Alfredo De Jesus Vargas
64 Goyco Street |
$25.74 | 14 | 13 |
|
Centro Medico Del Turabo Inc
Hima San Pablo Caguas |
$44.92 | 42 | 42 |
|
Elsie M Diaz - Schroeder
Calle Santa Maria M2 |
$58.79 | 56 | 37 |
|
Jose A Valles
Ave. Degetau 500 Tovre Hima Plaza |
$32.85 | 661 | 623 |
|
Rosangela L Fernandez Medero
100 Ave Luis Munoz Marin |
$44.18 | 781 | 728 |
|
Centro De Especialistas Pediatricos
D3 Ave Degetau |
$37.98 | 814 | 792 |
|
Adriana Candelario-Gonzalez
Hima Plaza 1 |
$50.55 | 991 | 674 |
|
Oscar Rivera
Ave Gautier Benitez #202 |
$30.44 | 1,047 | 958 |
|
Juan J Candelario Lanza
Hima Plaza I |
$38.46 | 2,651 | 2,279 |
|
Renato Rivera
Ave Degetau |
$34.74 | 18,479 | 15,559 |
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 Caguas, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Caguas, PR is $35.97 per claim, based on 25,536 claims from 10 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 Caguas, PR?
There are 10 Medicaid providers offering Pulmonary Function Test related services in Caguas, PR according to public payment data.
What is the price range for Pulmonary Function Test in Caguas, PR?
Medicaid reimbursement for Pulmonary Function Test in Caguas, PR ranges from $25.74 to $58.79 per claim, with an average of $35.97. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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