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 |
|---|---|---|---|
|
Mark J Scott
2123 Auburn Ave |
$8.88 | 12 | 12 |
|
Charles Chungson Kim
200 Eden Ave |
$4.05 | 12 | 12 |
|
Hazem Al Hnawi
3333 Burnet Ave # Ml5021 |
$6.62 | 12 | 12 |
|
Brian Mcdonnell
10500 Montgomery Rd |
$269.56 | 12 | 12 |
|
Gregory A Szumlas
3430 Burnet Ave., Medical Office Bldg., 2Nd Floor |
$4.46 | 12 | 12 |
|
Ramakanth Goel Pata
234 Goodman St |
$5.92 | 13 | 12 |
|
Laurae Dawn Rettig
234 Goodman St |
$41.04 | 13 | 12 |
|
Timothy Burger
4777 E Galbraith Rd |
$12.64 | 13 | 12 |
|
Rashid M Khan
1380 Compton Rd |
$26.03 | 13 | 12 |
|
Kurt Knochel
3131 Queen City Ave |
$258.77 | 13 | 12 |
|
Arash Babaoff
3333 Burnet Ave Ml 2008 |
$204.31 | 13 | 12 |
|
Nevine Mahmoud
7991 Beechmont Ave |
$0.00 | 14 | 12 |
|
Samuel J Delaune
3333 Burnet Ave |
$5.44 | 14 | 13 |
|
Dominick J Deblasio
3333 Burnet Ave., Ml 5026 |
$3.83 | 14 | 14 |
|
Cody Smith
3300 Mercy Health Blvd |
$131.62 | 14 | 13 |
|
James Daniel Schrichten
3131 Queen City Ave |
$199.58 | 14 | 14 |
|
Michelle Lynn Smith
3333 Burnet Ave |
$206.49 | 15 | 13 |
|
David Henkel
2139 Auburn Ave |
$173.83 | 15 | 14 |
|
Amanda Schab
3333 Burnet Ave |
$268.52 | 16 | 16 |
|
Angelique Gloster Waller
8250 Kenwood Crossing Way |
$10.72 | 16 | 14 |
|
John Clifton Stadnik
4440 Red Bank Rd |
$149.58 | 17 | 14 |
|
Ian Christopher Brett
3333 Burnet Ave |
$257.12 | 17 | 12 |
|
Brandon Michael Price
7500 State Rd |
$114.36 | 17 | 13 |
|
Ruth Retzinger
3333 Burnet Ave # 2008 |
$282.52 | 17 | 17 |
|
Steven Jacob Rose
3333 Burnet Ave |
$31.27 | 18 | 18 |
|
Roderick Matthew Huff
8833 Chapelsquare Dr Ste C |
$128.98 | 18 | 15 |
|
Edward Wyman Morriss
3131 Queen City Ave |
$92.25 | 18 | 12 |
|
Eileen Murtagh Kurowski
3333 Burnet Ave |
$189.95 | 18 | 14 |
|
James Robert Devries
234 Goodman St |
$143.42 | 22 | 15 |
|
City Of Cincinnati
1702 Grand Ave |
$9.95 | 22 | 12 |
|
Timothy W Drury
3131 Queen City Ave |
$143.18 | 26 | 24 |
|
Alexander Reuben Opotowsky
3333 Burnet Ave |
$41.31 | 26 | 24 |
|
Jarrad N Lifshitz
3131 Queen City Ave |
$188.70 | 26 | 24 |
|
City Of Cincinnati
5641 Belmont Ave |
$7.30 | 27 | 15 |
|
Elizabeth Anne Doriott
11465 Springfield Pike |
$9.38 | 28 | 24 |
|
Starla Michelle Sparks
6165 Glenway Ave |
$7.19 | 28 | 26 |
|
Joshua Stephen Adamow
10500 Montgomery Rd |
$163.64 | 31 | 27 |
|
Esra Salah Shermadou
7991 Beechmont Ave |
$16.75 | 33 | 24 |
|
Shannon R. Myatt
3333 Burnet Ave. |
$12.30 | 34 | 18 |
|
Christopher C Orabella
2123 Auburn Ave |
$16.22 | 37 | 36 |
|
Timothy Fitzpatrick
3131 Queen City Ave |
$121.88 | 37 | 29 |
|
Nenuka Dargani Reddy
151 W Galbraith Rd |
$111.19 | 39 | 35 |
|
Virginia Culyer Bell
231 Albert Sabin Way |
$180.16 | 42 | 38 |
|
Eric Jason Weinstein
2123 Auburn Avenue |
$14.17 | 46 | 46 |
|
David C Beck
7502 State Rd Ste 3310 |
$3.97 | 47 | 43 |
|
City Of Cincinnati
1930 Fricke Rd |
$9.63 | 50 | 31 |
|
Allison Rudy
3101 Burnet Ave |
$11.27 | 51 | 27 |
|
Robert Matthew Burkes
234 Goodman St |
$6.97 | 53 | 51 |
|
Douglas E Chicchon
308 Reading Rd |
$20.61 | 53 | 50 |
|
Katherine Harmon
2415 Auburn Ave |
$10.60 | 54 | 28 |
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