Average Medicaid Pulmonary Function Test Payments in Cambridge, OH: $50.20
Avg. Paid
$50.20
Range
$3.03 – $156.45
Total Claims
2,738
Providers
6
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 Cambridge, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Southeastern Ohio Regional Medical Center Inc
1341 Clark St |
$86.10 | 1,422 | 864 |
|
Eyad Mahayri
1335 Clark St |
$9.19 | 1,171 | 1,058 |
|
Amjad A Rass
1730 Southgate Pkwy |
$5.38 | 86 | 66 |
|
Halina Jandura-Cessna
1341 Clark St |
$29.20 | 21 | 13 |
|
Jason John Brown
1341 Clark St |
$156.45 | 20 | 16 |
|
Amjad Rass Inc
1730 Southgate Pkwy |
$3.03 | 18 | 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 Cambridge, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Cambridge, OH is $50.20 per claim, based on 2,738 claims from 6 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 Cambridge, OH?
There are 6 Medicaid providers offering Pulmonary Function Test related services in Cambridge, OH according to public payment data.
What is the price range for Pulmonary Function Test in Cambridge, OH?
Medicaid reimbursement for Pulmonary Function Test in Cambridge, OH ranges from $3.03 to $156.45 per claim, with an average of $50.20. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Cambridge, OH
Office Visit
Avg $32.40
351,500 claims
Blood Work & Lab Tests
Avg $9.59
193,121 claims
Behavioral & Mental Health Therapy
Avg $91.37
155,089 claims
Substance Abuse Treatment
Avg $105.81
110,015 claims
Psychiatric Evaluation
Avg $70.42
109,569 claims
Home Health Visit
Avg $46.24
62,833 claims
Emergency Room Visit
Avg $90.64
57,365 claims
Vaccines & Immunizations
Avg $12.02
51,785 claims