Average Medicaid Pulmonary Function Test Payments in Cincinnati, OH: $66.96
Avg. Paid
$66.96
Range
$0.00 – $282.52
Total Claims
89,207
Providers
115
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 Cincinnati, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Children'S Hospital Medical Center
3333 Burnet Ave |
$114.21 | 22,702 | 18,110 |
|
University Of Cincinnati Medical Center, Llc
3188 Bellevue Avenue |
$84.89 | 9,119 | 6,139 |
|
The Good Samaritan Hospital Of Cincinnati, Ohio
375 Dixmyth Ave |
$92.90 | 6,339 | 4,475 |
|
Karen M. Mcdowell
3333 Burnet Ave |
$15.06 | 6,336 | 5,935 |
|
Mitchell Carl Rashkin
200 Eden Ave |
$6.07 | 5,231 | 4,950 |
|
Bethesda Hospital Inc
10500 Montgomery Rd |
$97.78 | 5,035 | 3,444 |
|
Theresa W. Guilbert
3333 Burnet Ave |
$8.86 | 4,975 | 4,674 |
|
Mercy Health - West Hospital Llc
3300 Mercy Health Blvd |
$80.95 | 3,865 | 2,548 |
|
Christ Hospital
2139 Auburn Ave |
$92.53 | 3,036 | 2,306 |
|
Cassie Louise Shipp
3333 Burnet Ave |
$9.51 | 2,397 | 2,289 |
|
Jewish Hospital Llc
4777 E Galbraith Rd |
$97.85 | 1,951 | 1,351 |
|
Mercy Health - Anderson Hospital Llc
7500 State Rd |
$67.38 | 1,948 | 1,364 |
|
Cg Medical Associates Inc
7300 Beechmont Ave |
$9.60 | 1,667 | 1,488 |
|
Michael J Halvonik
10496 Montgomery Road |
$15.43 | 1,153 | 1,096 |
|
Ronald E Bokulic
3333 Burnet Ave |
$21.20 | 1,037 | 994 |
|
Richard Stuart Goodstein
6949 Good Samaritan Dr |
$5.20 | 990 | 824 |
|
Terri M Mcmillan
3333 Burnet Ave |
$9.36 | 813 | 794 |
|
John Robert Seyerle
422 Ray Norrish Dr # 2 |
$22.31 | 722 | 663 |
|
Sadia Benzaquen
200 Eden Ave |
$8.10 | 527 | 525 |
|
Elsira Marina Pina
200 Eden Ave |
$6.11 | 492 | 466 |
|
Adam Gerard Cole
200 Eden Ave |
$7.69 | 479 | 401 |
|
Ashish Kumar Mathur
422 Ray Norrish Dr # 2 |
$23.36 | 434 | 411 |
|
Charles Walter Debrosse
3333 Burnet Ave |
$8.60 | 375 | 354 |
|
Luis Carlos Watanabe Tejada
4760 E Galbraith Rd Ste 206 |
$7.85 | 356 | 342 |
|
Patricia Ann Maxwell Joseph
200 Eden Ave |
$8.01 | 322 | 314 |
|
Christopher Michael Siracusa
3333 Burnet Ave |
$7.83 | 321 | 309 |
|
Shafee Salloum
3333 Burnet Ave |
$181.48 | 278 | 116 |
|
Jane Parker Smith
3333 Burnet Ave., Ml 4000 |
$14.43 | 270 | 242 |
|
Peter H Lenz
200 Eden Ave |
$4.92 | 267 | 252 |
|
Sheema Farooqui
1413 Linn St |
$10.51 | 251 | 236 |
|
Craig A Eisentrout
10496 Montgomery Road |
$5.32 | 195 | 180 |
|
Rachel Ann Foot
234 Goodman St |
$4.69 | 195 | 176 |
|
William D Hardie
3333 Burnet Ave Ml 2021 |
$10.37 | 192 | 180 |
|
Dennis Wilentz Mcgraw
3130 Highland Ave |
$6.20 | 185 | 182 |
|
Kasey Rohling
3131 Queen City Ave |
$163.04 | 182 | 149 |
|
Bruce Tyler Spears
3131 Queen City Ave |
$122.16 | 181 | 139 |
|
Karen Ann Bauer
379 Dixmyth Ave |
$13.18 | 181 | 160 |
|
Adam William Powell
3333 Burnet Ave |
$46.93 | 172 | 168 |
|
Stephen Major
6624 Pleasant St |
$3.42 | 170 | 161 |
|
Sara M. Zak
3333 Burnet Ave |
$9.49 | 164 | 137 |
|
Nishant Gupta
200 Eden Ave |
$6.47 | 162 | 154 |
|
Maria V. Indihar
200 Eden Ave |
$4.35 | 143 | 120 |
|
Christopher Hayner
379 Dixmyth Ave |
$5.99 | 139 | 139 |
|
Kenneth Aaron Berg
7500 State Rd |
$121.37 | 135 | 98 |
|
Christopher B Schmitt
2123 Auburn Ave |
$11.49 | 133 | 127 |
|
David Wiltse
2001 Anderson Ferry Rd |
$7.56 | 126 | 118 |
|
Chadwick David Lampl
234 Goodman St |
$5.24 | 126 | 113 |
|
Dilruba Rahman
3101 Burnet Ave |
$10.85 | 114 | 60 |
|
Kyle Darnell
3301 Mercy Health Blvd Ste 300 |
$5.07 | 105 | 86 |
|
Michael James Hellmann
3130 Highland Ave |
$8.91 | 99 | 94 |
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 Cincinnati, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Cincinnati, OH is $66.96 per claim, based on 89,207 claims from 115 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 Cincinnati, OH?
There are 115 Medicaid providers offering Pulmonary Function Test related services in Cincinnati, OH according to public payment data.
What is the price range for Pulmonary Function Test in Cincinnati, OH?
Medicaid reimbursement for Pulmonary Function Test in Cincinnati, OH ranges from $0.00 to $282.52 per claim, with an average of $66.96. 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 Cincinnati, OH
Blood Work & Lab Tests
Avg $7.16
12,933,390 claims
Office Visit
Avg $57.26
6,244,164 claims
Emergency Room Visit
Avg $94.36
2,312,527 claims
Home Health Visit
Avg $67.23
2,297,701 claims
Behavioral & Mental Health Therapy
Avg $87.07
2,275,452 claims
Substance Abuse Treatment
Avg $55.29
2,244,339 claims
Psychiatric Evaluation
Avg $79.56
1,780,978 claims
Urinalysis & Urine Tests
Avg $2.81
1,707,210 claims