Average Medicaid Pulmonary Function Test Payments in Danville, PA: $15.41
Avg. Paid
$15.41
Range
$4.81 – $438.70
Total Claims
4,858
Providers
12
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 Danville, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Brian M Walsh
100 North Academy Avenue |
$4.81 | 12 | 12 |
|
Evan Weiner
100 N Academy Ave |
$438.70 | 13 | 13 |
|
Sudheer Penupolu
100 North Academy Avenue |
$14.04 | 13 | 13 |
|
Kevin M Finnerty
Geisinger Medical Center 100 North Academy Ave |
$77.12 | 28 | 26 |
|
Catherine T Shoff
100 North Academy Avenue |
$5.63 | 29 | 29 |
|
Richard Charles Hale
100 N Academy Ave |
$7.19 | 42 | 36 |
|
Rajeev Gupta
100 N Academy Ave |
$14.72 | 126 | 110 |
|
Sreelatha Naik
1000 East Mountain Blvd |
$9.17 | 253 | 229 |
|
Sean T. Devine
100 N Academy Ave |
$9.59 | 326 | 316 |
|
Paul Flavian Simonelli
100 N Academy Ave |
$11.29 | 983 | 965 |
|
Kevin F Ferguson
100 N Academy Ave |
$19.07 | 1,279 | 1,254 |
|
Vasanthi Pugazhendhi
100 N Academy Ave |
$13.41 | 1,754 | 1,716 |
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 Danville, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Danville, PA is $15.41 per claim, based on 4,858 claims from 12 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 Danville, PA?
There are 12 Medicaid providers offering Pulmonary Function Test related services in Danville, PA according to public payment data.
What is the price range for Pulmonary Function Test in Danville, PA?
Medicaid reimbursement for Pulmonary Function Test in Danville, PA ranges from $4.81 to $438.70 per claim, with an average of $15.41. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
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Avg $23.88
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Fresno, CA
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New York, NY
Avg $26.86
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Milwaukee, WI
Avg $31.74
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Bronx, NY
Avg $23.40
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Phoenix, AZ
Avg $43.01
234,885 claims · 209 providers
Los Angeles, CA
Avg $28.44
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Detroit, MI
Avg $11.67
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Other Procedures in Danville, PA
Office Visit
Avg $52.78
342,242 claims
Emergency Room Visit
Avg $91.85
280,993 claims
X-Ray
Avg $8.73
241,218 claims
Blood Work & Lab Tests
Avg $7.75
194,005 claims
CT Scan (Computed Tomography)
Avg $44.57
110,516 claims
EKG / ECG (Electrocardiogram)
Avg $6.78
108,676 claims
Ultrasound
Avg $48.66
86,840 claims
Pathology & Lab Services
Avg $34.89
67,136 claims