Average Medicaid Pulmonary Function Test Payments in Gary, IN: $13.79
Avg. Paid
$13.79
Range
$7.88 – $25.66
Total Claims
1,361
Providers
8
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 Gary, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nathaniel T Ross
1619 W 5Th Ave |
$17.13 | 785 | 547 |
|
Paul Chike Okolocha
2054 Grant St |
$7.95 | 364 | 272 |
|
Cynthia Galvan
600 Grant St |
$10.62 | 86 | 73 |
|
Eunice Okolocha
2054 Grant St |
$7.88 | 51 | 42 |
|
Steven Flynn
600 Grant St |
$9.10 | 35 | 30 |
|
Jude Kieltyka
600 Grant St |
$13.65 | 14 | 13 |
|
Geoffrey Okechukwu Onyeukwu
3814 Grant Street |
$25.66 | 13 | 13 |
|
Guangyu Bai
600 Grant St |
$21.02 | 13 | 12 |
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 Gary, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Gary, IN is $13.79 per claim, based on 1,361 claims from 8 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 Gary, IN?
There are 8 Medicaid providers offering Pulmonary Function Test related services in Gary, IN according to public payment data.
What is the price range for Pulmonary Function Test in Gary, IN?
Medicaid reimbursement for Pulmonary Function Test in Gary, IN ranges from $7.88 to $25.66 per claim, with an average of $13.79. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Gary, IN
Office Visit
Avg $51.27
293,741 claims
Behavioral & Mental Health Therapy
Avg $108.68
268,228 claims
Psychiatric Evaluation
Avg $72.78
199,026 claims
Substance Abuse Treatment
Avg $35.10
188,324 claims
Blood Work & Lab Tests
Avg $6.27
171,267 claims
Emergency Room Visit
Avg $104.80
145,760 claims
Ambulance Transport
Avg $85.88
85,091 claims
Vaccines & Immunizations
Avg $6.55
81,288 claims