Average Medicaid Pulmonary Function Test Payments in Des Moines, IA: $30.34
Avg. Paid
$30.34
Range
$0.00 – $188.63
Total Claims
15,543
Providers
24
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 Des Moines, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Broadlawns Medical Center
1801 Hickman Rd |
$0.00 | 12 | 12 |
|
Holly Healey
1801 Hickman Rd |
$0.00 | 16 | 13 |
|
David L Thornton
1200 Pleasant St |
$0.00 | 16 | 16 |
|
Martin E Van Zee
1301 Pennsylvania Ave |
$0.00 | 18 | 12 |
|
Ellie Conser
1111 6Th Ave |
$0.00 | 23 | 13 |
|
Laura Sue Kersey
1212 Pleasant St Ste 110 |
$16.22 | 24 | 24 |
|
Douglas E Selover
1111 6Th Ave |
$0.00 | 32 | 24 |
|
Tyler J Fisher
1200 Pleasant St |
$0.00 | 39 | 37 |
|
Loras R Even
6520 Se 14Th St |
$14.29 | 45 | 40 |
|
Priscilla M. Putzier
1200 Pleasant St |
$0.00 | 79 | 73 |
|
Amy Marie Groen
1200 Pleasant St |
$0.00 | 87 | 78 |
|
Bryan Stocker
1200 Pleasant St |
$0.08 | 119 | 101 |
|
Lydia J Holm
1200 Pleasant St |
$0.00 | 125 | 116 |
|
Matthew Spitzenberger
1801 Hickman Rd |
$3.08 | 148 | 131 |
|
Erik Adair
1200 Pleasant St |
$0.00 | 152 | 139 |
|
Debra J Borcherding
1200 Pleasant St |
$1.64 | 165 | 151 |
|
Robert Austin Colman
1212 Pleasant St |
$22.57 | 287 | 267 |
|
Amna Jafry
1200 Pleasant St |
$188.63 | 326 | 306 |
|
Sunita Tarun Kumar
330 Laurel St |
$16.91 | 535 | 512 |
|
Mina A Salib
1200 Pleasant St |
$33.08 | 918 | 890 |
|
Joi S. Lucas
1212 Pleasant St |
$43.16 | 1,191 | 1,143 |
|
Kathleen Gradoville
1212 Pleasant St |
$8.66 | 2,062 | 2,016 |
|
Tara M. Eastvold
1212 Pleasant St |
$12.15 | 2,622 | 2,545 |
|
Jason B Wittmer
1601 Nw 114Th St |
$40.20 | 6,502 | 3,620 |
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 Des Moines, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Des Moines, IA is $30.34 per claim, based on 15,543 claims from 24 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 Des Moines, IA?
There are 24 Medicaid providers offering Pulmonary Function Test related services in Des Moines, IA according to public payment data.
What is the price range for Pulmonary Function Test in Des Moines, IA?
Medicaid reimbursement for Pulmonary Function Test in Des Moines, IA ranges from $0.00 to $188.63 per claim, with an average of $30.34. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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