Average Medicaid Pulmonary Function Test Payments in Edinburg, TX: $32.42
Avg. Paid
$32.42
Range
$7.55 – $88.64
Total Claims
10,180
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 Edinburg, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michelle Ann Ibarra Jimenez
1102 W Trenton Rd |
$9.82 | 13 | 12 |
|
Dalia Contreras
316 Conquest Ste 300 |
$7.55 | 15 | 14 |
|
Riaz Ahmed Shareef
5325 S Mccoll Rd |
$10.26 | 27 | 27 |
|
David Lee Jimenez
4634 S Us Highway 281 |
$10.54 | 27 | 25 |
|
Rosie Cadiz Belandres-Hicban
3145 W Alberta Rd |
$12.34 | 29 | 29 |
|
Mahfuzul Huq
1102 W Trenton Rd |
$17.37 | 47 | 45 |
|
Ashley Bose
3601 S Business Highway 281 |
$13.72 | 53 | 53 |
|
Rebecca Rivera
122 W Champion St |
$28.04 | 54 | 54 |
|
Safeer Ahmed
1102 W Trenton Rd |
$22.95 | 55 | 50 |
|
Argelia Clementina Douglas
5007 S Mccoll Rd |
$12.04 | 64 | 58 |
|
Westly Arrow Keating
5007 S Mccoll Rd |
$43.70 | 65 | 62 |
|
Gerardo Athanasi Orfanos
2703 W Trenton Rd |
$11.80 | 105 | 104 |
|
Rodrigo Argenal
4102 Crosspoint Blvd |
$12.88 | 117 | 109 |
|
Doctors Hospital At Renaissance, Ltd
5501 S Mccoll Rd |
$21.22 | 149 | 94 |
|
Nicholas Pereira
1102 W Trenton Rd |
$35.07 | 203 | 189 |
|
Vanessa L Obregon
922 S Closner Blvd Ste C |
$9.26 | 215 | 197 |
|
Cynthia A. Fuentes
4150 Crosspoint Blvd |
$32.72 | 354 | 350 |
|
Allan Francis Mercado
316 Conquest |
$12.80 | 434 | 424 |
|
Eduardo Guillen
802 E University Dr Ste B |
$11.97 | 446 | 417 |
|
Humberto Arturo Hidalgo
4150 Crosspoint Blvd |
$36.26 | 487 | 484 |
|
Juan Manuel Ortiz
5501 S Mccoll Rd |
$27.09 | 694 | 680 |
|
Mcallen Hospitals L P
1102 W Trenton Rd |
$88.64 | 1,068 | 998 |
|
Praveen Vijhani
5501 S Mccoll Rd |
$8.23 | 1,904 | 1,762 |
|
Roberto A Ayres
2821 Michaelangelo Dr Ste 303 |
$38.44 | 3,555 | 3,492 |
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 Edinburg, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Edinburg, TX is $32.42 per claim, based on 10,180 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 Edinburg, TX?
There are 24 Medicaid providers offering Pulmonary Function Test related services in Edinburg, TX according to public payment data.
What is the price range for Pulmonary Function Test in Edinburg, TX?
Medicaid reimbursement for Pulmonary Function Test in Edinburg, TX ranges from $7.55 to $88.64 per claim, with an average of $32.42. 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 Edinburg, TX
Office Visit
Avg $39.60
1,601,805 claims
Blood Work & Lab Tests
Avg $8.03
994,855 claims
Personal Care Services
Avg $66.62
932,589 claims
Vaccines & Immunizations
Avg $6.07
492,039 claims
Dental Cleaning & Exam
Avg $43.69
427,789 claims
Physical Therapy
Avg $59.61
294,805 claims
Speech Therapy
Avg $81.81
279,480 claims
Urinalysis & Urine Tests
Avg $3.46
217,843 claims