Average Medicaid Pulmonary Function Test Payments in Denver, CO: $24.33
Avg. Paid
$24.33
Range
$0.37 – $229.00
Total Claims
30,112
Providers
72
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 Denver, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael E Hanley
777 Bannock St |
$15.49 | 4,958 | 4,169 |
|
Sarah E Roark
777 Bannock St |
$13.50 | 4,662 | 3,665 |
|
Mark T. Kearns
1400 Jackson St |
$14.42 | 3,778 | 3,105 |
|
Anna Neumeier
777 Bannock St |
$13.03 | 2,333 | 1,858 |
|
Ivor S Douglas
777 Bannock St |
$17.34 | 1,750 | 1,361 |
|
Lee Stuart Rusakow
4545 E 9Th Ave |
$36.54 | 1,671 | 1,590 |
|
Katherine Shuang-Chyuang Tsai
125 Rampart Way |
$27.40 | 1,184 | 1,067 |
|
Lauren A Spitzinger
1400 Jackson St |
$58.68 | 926 | 782 |
|
Jason Navid Mansoori
777 Bannock St |
$16.42 | 779 | 697 |
|
Andi Hudler
777 Bannock St |
$43.42 | 467 | 460 |
|
Catherine A Wittman
1400 Jackson St |
$54.46 | 450 | 378 |
|
Elena Anisimova
1260 S Parker Rd Ste 201 |
$8.84 | 394 | 372 |
|
Flavia Cecilia Lega Hoyte
1400 Jackson St |
$69.22 | 309 | 263 |
|
Monica B Reddy
3920 Federal Blvd Ste B |
$21.97 | 307 | 259 |
|
Kara Mould
1400 Jackson St |
$32.09 | 290 | 262 |
|
Michael C Peters
University Of Colorado School Of Medicine |
$7.60 | 289 | 282 |
|
Jennifer Renee Sederberg
1400 Jackson St |
$38.80 | 258 | 185 |
|
Timothy Amass
777 Bannock St |
$36.12 | 249 | 228 |
|
James Piper Woodrow
1400 Jackson St |
$49.67 | 245 | 200 |
|
Anuj Mehta
777 Bannock St |
$12.99 | 239 | 194 |
|
Matthew Mcgraw
1400 Jackson St |
$10.55 | 202 | 202 |
|
Mark Boguniewicz
1400 Jackson St |
$89.08 | 192 | 174 |
|
Katherine Stell Rosen
777 Bannock St |
$37.60 | 187 | 145 |
|
Christine Cho
1400 Jackson St |
$95.27 | 181 | 178 |
|
Kanao Otsu
1400 Jackson St |
$71.24 | 178 | 151 |
|
Ronina A Covar
1400 Jackson St |
$85.51 | 176 | 162 |
|
Scott Merenstein
8190 E 1St Ave |
$19.02 | 176 | 150 |
|
Michael Paul Mohning
1400 Jackson St |
$24.22 | 164 | 138 |
|
Paul D Mack
300 S Jackson St |
$11.79 | 158 | 144 |
|
Gary R Cott
1400 Jackson St |
$35.78 | 148 | 105 |
|
John M James
125 Rampart Way |
$27.85 | 148 | 133 |
|
Susan Kotake
1400 Jackson St |
$33.06 | 146 | 98 |
|
Howard L Saft
1400 Jackson St |
$19.55 | 144 | 108 |
|
Zulma Xenia Yunt
1400 Jackson St |
$41.66 | 143 | 111 |
|
Adriel J. Malave
1400 Jackson St |
$7.02 | 140 | 137 |
|
Cailin Mckenna Frank
777 Bannock St |
$0.37 | 139 | 95 |
|
Mark A Ebadi
125 Rampart Way |
$25.01 | 128 | 110 |
|
Eileen Wang
1400 Jackson St |
$55.51 | 128 | 102 |
|
Shaila Gogate
125 Rampart Way Ste 100 |
$19.47 | 126 | 91 |
|
Elizabeth Rose Nugent
1400 Jackson St |
$45.86 | 123 | 119 |
|
John Fletcher Wade
100 Cook St Ste 400 |
$7.39 | 116 | 103 |
|
Vamsi Pallavi Guntur
1400 Jackson St |
$50.30 | 111 | 89 |
|
Steven E. Lommatzsch
1400 Jackson St |
$42.05 | 104 | 78 |
|
Peter Charles Stubenrauch
1400 Jackson St |
$41.55 | 90 | 70 |
|
Nathan Rabinovitch
1400 Jackson St |
$87.19 | 89 | 79 |
|
Laurie Ann Manka
1400 Jackson St |
$52.06 | 79 | 67 |
|
Rebecca C. Keith
1400 Jackson St |
$41.29 | 66 | 53 |
|
Timmy Lahm
1400 Jackson St |
$8.44 | 59 | 56 |
|
James K. Obrien
1400 Jackson St |
$37.86 | 54 | 41 |
|
Milene Saavedra
1400 Jackson St |
$39.56 | 52 | 40 |
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 Denver, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Denver, CO is $24.33 per claim, based on 30,112 claims from 72 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 Denver, CO?
There are 72 Medicaid providers offering Pulmonary Function Test related services in Denver, CO according to public payment data.
What is the price range for Pulmonary Function Test in Denver, CO?
Medicaid reimbursement for Pulmonary Function Test in Denver, CO ranges from $0.37 to $229.00 per claim, with an average of $24.33. 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 Denver, CO
Non-Emergency Medical Transportation
Avg $26.40
71,876,674 claims
Ambulance Transport
Avg $23.52
11,577,287 claims
Office Visit
Avg $89.80
3,664,561 claims
Blood Work & Lab Tests
Avg $6.48
3,027,459 claims
Substance Abuse Treatment
Avg $93.12
2,728,510 claims
Home Health Visit
Avg $313.41
1,547,478 claims
Emergency Room Visit
Avg $97.09
1,116,435 claims
Dental Cleaning & Exam
Avg $31.66
1,066,803 claims