Average Medicaid Pulmonary Function Test Payments in Danbury, CT: $29.26
Avg. Paid
$29.26
Range
$3.23 – $35.81
Total Claims
23,052
Providers
22
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 Danbury, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Thomas Botta
24 Hospital Ave |
$4.12 | 12 | 12 |
|
Abhijith Hegde
24 Hospital Ave |
$3.71 | 12 | 12 |
|
Loren Antonio Inigo-Santiago
33 Germantown Road |
$6.11 | 37 | 37 |
|
Augustine Andoh-Duku
33 Germantown Rd Ste 2 |
$3.92 | 39 | 39 |
|
Douglas Kahn
24 Hospital Ave |
$3.23 | 41 | 41 |
|
Anasua Chakraborty
33 Germantown Rd |
$4.52 | 41 | 41 |
|
Cristina Vo
107 Newtown Rd Ste 1B |
$33.42 | 44 | 42 |
|
Guillermo Jose Ballarino
24 Hospital Ave |
$3.98 | 67 | 64 |
|
Eric Jimenez
24 Hospital Ave |
$5.38 | 69 | 69 |
|
Jose L Mendez
24 Hospital Ave |
$4.96 | 70 | 62 |
|
Sakshi Sethi
33 Germantown Rd |
$5.22 | 121 | 115 |
|
Michelle C Dimauro
107 Newtown Rd Ste 1B |
$22.73 | 125 | 100 |
|
Richard Joseph Lee
107 Newtown Rd |
$33.09 | 159 | 146 |
|
Jonathan Bruce Bell
107 Newtown Rd |
$32.00 | 161 | 144 |
|
Purvi Shah
107 Newtown Rd |
$32.94 | 213 | 205 |
|
Yogen Dave
107 Newtown Rd |
$32.06 | 268 | 239 |
|
Neetu Godhwani
107 Newtown Rd Ste 1B |
$32.06 | 306 | 292 |
|
Shashi Kariyawasam
24 Hospital Ave |
$7.34 | 319 | 309 |
|
David Oelberg
24 Hospital Ave |
$4.16 | 754 | 748 |
|
Gregory Dworkin
24 Hospital Ave |
$11.80 | 1,052 | 589 |
|
Jacques Edouard Etienne
205 Main St. 1St Fl |
$21.12 | 4,865 | 4,629 |
|
Danbury Hospital
24 Hospital Ave |
$35.81 | 14,277 | 11,192 |
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 Danbury, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Danbury, CT is $29.26 per claim, based on 23,052 claims from 22 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 Danbury, CT?
There are 22 Medicaid providers offering Pulmonary Function Test related services in Danbury, CT according to public payment data.
What is the price range for Pulmonary Function Test in Danbury, CT?
Medicaid reimbursement for Pulmonary Function Test in Danbury, CT ranges from $3.23 to $35.81 per claim, with an average of $29.26. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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