Average Medicaid Pulmonary Function Test Payments in Elizabethtown, KY: $39.21
Avg. Paid
$39.21
Range
$0.00 – $63.89
Total Claims
18,357
Providers
13
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 Elizabethtown, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Baptist Healthcare System Inc
913 N Dixie Ave |
$63.89 | 7,922 | 6,903 |
|
Hardin Memorial Hospital
913 N Dixie Ave |
$24.23 | 7,147 | 4,567 |
|
Rhianna K Riggs
2407 Ring Rd Ste 100 |
$16.19 | 770 | 741 |
|
Navin R Kaini
110 Layman Ln |
$8.89 | 668 | 648 |
|
William Benjamin Cundiff
110 Layman Ln |
$9.57 | 648 | 617 |
|
Aaron Michael Mulhall
110 Layman Ln |
$9.77 | 636 | 619 |
|
Ha Thanh Le
914 N Dixie Ave |
$18.31 | 250 | 227 |
|
Aijaz A Yazdani
914 N Dixie Ave |
$13.88 | 103 | 93 |
|
Thao H Pham
914 N Dixie Ave |
$19.51 | 99 | 88 |
|
Yasir Saifullah
103 Financial Pl Ste 100 |
$30.05 | 41 | 39 |
|
Chelsea Danielle Thorn
1107 Crown Pointe Dr Ste 107 |
$6.33 | 30 | 26 |
|
Leigh Anne Pearman
111 Helmwood Plaza Drive |
$9.67 | 28 | 27 |
|
Carefirst Urgent Care Center Llc
1111 Ring Rd |
$0.00 | 15 | 15 |
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 Elizabethtown, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Elizabethtown, KY is $39.21 per claim, based on 18,357 claims from 13 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 Elizabethtown, KY?
There are 13 Medicaid providers offering Pulmonary Function Test related services in Elizabethtown, KY according to public payment data.
What is the price range for Pulmonary Function Test in Elizabethtown, KY?
Medicaid reimbursement for Pulmonary Function Test in Elizabethtown, KY ranges from $0.00 to $63.89 per claim, with an average of $39.21. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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