Average Medicaid Pulmonary Function Test Payments in Cleveland, TN: $10.53
Avg. Paid
$10.53
Range
$0.00 – $19.39
Total Claims
14,053
Providers
17
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 Cleveland, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ahmad Machhour Ibrahimbacha
110 Dunhill Pl Nw |
$10.97 | 7,994 | 6,752 |
|
Robert F. Marcum
110 Dunhill Pl Nw |
$8.96 | 2,327 | 1,903 |
|
Ethan Brandon Rutledge
110 Dunhill Pl Nw |
$12.22 | 1,641 | 1,374 |
|
John S. Jaggers
110 Dunhill Pl Nw |
$8.71 | 1,481 | 1,216 |
|
Lisa Condra Swafford
4021 Keith St Nw |
$12.88 | 127 | 117 |
|
Timothy Keith Crumpler
2650 Executive Park Nw |
$4.82 | 100 | 87 |
|
Charles Rudolph
170 Mouse Creek Rd Nw |
$9.24 | 97 | 80 |
|
John Stewart Carden
3372 Keith St Nw |
$19.06 | 93 | 67 |
|
Andrea Michelle Keith
400 Stuart Rd Ne Ste 1 |
$19.39 | 33 | 30 |
|
Calvin Richard Kurz
2305 Chambliss Ave Nw |
$5.43 | 31 | 30 |
|
Ahmadur Rahman Siddiqui
2305 Chambliss Ave Nw |
$5.16 | 29 | 12 |
|
Gregory Vanfossen
862 Callen Ln Nw |
$9.55 | 25 | 17 |
|
Albert Anthony Clairmont
2700 Westside Dr Nw |
$0.00 | 17 | 16 |
|
Luke Judson Norman
2305 Chambliss Ave Nw |
$0.00 | 16 | 15 |
|
Mark T Pollard
1494 Stuart Rd Ne |
$4.99 | 15 | 13 |
|
James Madison Torrence
254 Broad St Sw |
$9.50 | 14 | 12 |
|
Jennifer Dawn Mchenry
1940 Westland Dr Sw |
$15.25 | 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 Cleveland, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Cleveland, TN is $10.53 per claim, based on 14,053 claims from 17 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 Cleveland, TN?
There are 17 Medicaid providers offering Pulmonary Function Test related services in Cleveland, TN according to public payment data.
What is the price range for Pulmonary Function Test in Cleveland, TN?
Medicaid reimbursement for Pulmonary Function Test in Cleveland, TN ranges from $0.00 to $19.39 per claim, with an average of $10.53. 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
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