Average Medicaid Pulmonary Function Test Payments in Cedar Rapids, IA: $12.69
Avg. Paid
$12.69
Range
$0.00 – $204.96
Total Claims
3,363
Providers
18
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 Cedar Rapids, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Hamad Azam
115 8Th St Ne |
$13.83 | 943 | 919 |
|
Amal Sadeg El-Bakush
Mercy Pulmonology Clinic |
$7.89 | 584 | 554 |
|
Brian D. Lindsay
855 A Ave Ne |
$10.55 | 545 | 533 |
|
Eastern Iowa Health Center
1201 3Rd Ave Se |
$0.00 | 315 | 302 |
|
Hafiz Rizwan Talib Hashmi
855 A Ave Ne Ste 400 |
$33.04 | 237 | 226 |
|
Angelique A Andrews
1225 3Rd Ave Se |
$22.96 | 231 | 208 |
|
Ali Saeed
Mercy Pulmonology Clinic |
$8.20 | 214 | 203 |
|
Joshua Eastvold
701 10Th St Se |
$0.00 | 68 | 52 |
|
Vijaya Kumar Gogineni
855 A Ave Ne Ste 400 |
$10.33 | 53 | 53 |
|
Kathryn K Dierks
1026 A Ave Ne |
$0.00 | 44 | 41 |
|
Holly Conway Brown
3500 Mount Vernon Rd Se |
$22.40 | 27 | 26 |
|
Karl Anderson
701 10Th St Se |
$0.00 | 18 | 12 |
|
Mary Jo Henry
115 8Th St Ne |
$23.86 | 16 | 15 |
|
Katie Christine Wilcox
5264 Council St Ne |
$12.75 | 15 | 15 |
|
Brian K Shedek
1026 A Ave Ne |
$0.00 | 14 | 13 |
|
Christin L Aucutt
1855 1St Ave Se Ste 201 |
$0.00 | 13 | 13 |
|
Kelli Marie Cameron Udelhofen
1026 A Ave Ne |
$204.96 | 13 | 12 |
|
Daniel Stanton Kinker
1026 A Ave Ne |
$0.00 | 13 | 13 |
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 Cedar Rapids, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Cedar Rapids, IA is $12.69 per claim, based on 3,363 claims from 18 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 Cedar Rapids, IA?
There are 18 Medicaid providers offering Pulmonary Function Test related services in Cedar Rapids, IA according to public payment data.
What is the price range for Pulmonary Function Test in Cedar Rapids, IA?
Medicaid reimbursement for Pulmonary Function Test in Cedar Rapids, IA ranges from $0.00 to $204.96 per claim, with an average of $12.69. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
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