Average Medicaid Pulmonary Function Test Payments in Eau Claire, WI: $14.20
Avg. Paid
$14.20
Range
$3.61 – $29.53
Total Claims
17,210
Providers
16
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 Eau Claire, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mayo Clinic Health System-Northwest Wisconsin Region, Inc.
1221 Whipple St |
$16.92 | 6,121 | 5,220 |
|
Mchs Hospitals Inc
2310 Craig Rd |
$14.77 | 3,120 | 2,770 |
|
Omprakash Ahuja
2116 Craig Rd |
$6.52 | 2,480 | 2,356 |
|
Sacred Heart Hospital Of The Hospital Sisters-3Rd Order Of St Francis
900 W Clairemont Ave |
$29.53 | 1,975 | 1,370 |
|
Asegid H. Kebede
1221 Whipple St |
$7.62 | 1,049 | 995 |
|
Omesh Gopal Toolsie
2116 Craig Rd |
$4.41 | 891 | 828 |
|
Adriane Gianlupi
3802 Oakwood Mall Dr |
$5.32 | 656 | 604 |
|
Morris Pasternack
1221 Whipple St |
$3.61 | 294 | 236 |
|
Joseph Kojo Kittah
1400 Bellinger St |
$5.91 | 233 | 190 |
|
Ali Zaied
1400 Bellinger St |
$4.38 | 121 | 108 |
|
Hussam Ziad Al-Sharif
1400 Bellinger St |
$3.86 | 97 | 88 |
|
Mansur Javaid
2116 Craig Rd |
$12.44 | 56 | 53 |
|
Adel S Zurob
1400 Bellinger St |
$6.35 | 35 | 34 |
|
Christopher D Williams
1400 Bellinger St |
$4.59 | 29 | 29 |
|
Kyle James Dettbarn
3802 Oakwood Mall Dr |
$9.54 | 27 | 25 |
|
Aryan Shiari
1400 Bellinger St |
$6.04 | 26 | 25 |
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 Eau Claire, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Eau Claire, WI is $14.20 per claim, based on 17,210 claims from 16 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 Eau Claire, WI?
There are 16 Medicaid providers offering Pulmonary Function Test related services in Eau Claire, WI according to public payment data.
What is the price range for Pulmonary Function Test in Eau Claire, WI?
Medicaid reimbursement for Pulmonary Function Test in Eau Claire, WI ranges from $3.61 to $29.53 per claim, with an average of $14.20. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
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