Average Medicaid Pulmonary Function Test Payments in Fall River, MA: $29.90
Avg. Paid
$29.90
Range
$8.45 – $84.11
Total Claims
25,532
Providers
20
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 Fall River, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Steven Kilcoyne
795 Middle St |
$8.45 | 12 | 12 |
|
Catherine Schomer
386 Stanley St |
$15.26 | 14 | 13 |
|
Robert J Koterbay
851 Middle St |
$15.56 | 18 | 16 |
|
Lelia Marie Lamp
1030 President Ave Rm 210 |
$26.09 | 34 | 30 |
|
Robert M Aisenberg
1030 President Ave |
$21.33 | 43 | 39 |
|
Achilles Romualdo E Alcaraz
277 Pleasant St Ste 204 |
$14.59 | 68 | 47 |
|
Arvind Bansal
1030 President Ave |
$25.79 | 73 | 68 |
|
Patricia A Tweedie
289 Pleasant St |
$10.73 | 92 | 81 |
|
Jose A L Monteiro
211 Milliken Blvd |
$18.18 | 243 | 222 |
|
Cynthia Rodrigues
1030 President Ave |
$24.37 | 415 | 378 |
|
Hector E Mateo
1030 President Ave |
$22.39 | 516 | 470 |
|
Timur Tafari Graham
203 Plymouth Ave Ste 702 |
$16.28 | 617 | 411 |
|
Essam R. Awad
1030 President Ave |
$21.61 | 702 | 660 |
|
Ana Cojocaru
277 Pleasant St |
$17.72 | 1,242 | 874 |
|
Alejandro Lorenzana
203 Plymouth Ave Ste 702 |
$17.08 | 1,511 | 1,043 |
|
Brendan J. Carolan
191 Bedford Street |
$17.67 | 2,194 | 1,566 |
|
Majid Hussain Dudha
277 Pleasant Street Box 1070 |
$17.46 | 2,259 | 1,550 |
|
Steward St. Annes Hospital Corporation
795 Middle St |
$84.11 | 2,660 | 2,446 |
|
Southcoast Hospitals Group, Inc
363 Highland Ave |
$78.54 | 3,325 | 2,488 |
|
Joseph S Zhou
277 Pleasant St Ste 309B |
$10.00 | 9,494 | 3,498 |
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 Fall River, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Fall River, MA is $29.90 per claim, based on 25,532 claims from 20 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 Fall River, MA?
There are 20 Medicaid providers offering Pulmonary Function Test related services in Fall River, MA according to public payment data.
What is the price range for Pulmonary Function Test in Fall River, MA?
Medicaid reimbursement for Pulmonary Function Test in Fall River, MA ranges from $8.45 to $84.11 per claim, with an average of $29.90. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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