Average Medicaid Pulmonary Function Test Payments in Grand Rapids, MI: $13.53
Avg. Paid
$13.53
Range
$0.00 – $38.06
Total Claims
73,150
Providers
19
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 Grand Rapids, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Spectrum Health Primary Care Partners
1840 Wealthy St Se |
$15.05 | 34,816 | 33,948 |
|
Spectrum Health Hospitals
100 Michigan St Ne |
$15.35 | 16,920 | 14,287 |
|
Saint Mary'S Health Services
200 Jefferson Ave Se |
$10.21 | 10,398 | 9,221 |
|
Spectrum Health Primary Care Partners
80 68Th St Se |
$7.23 | 5,431 | 5,110 |
|
Advantage Health Saint Mary'S Medical Group
200 Jefferson Se |
$5.00 | 3,280 | 3,260 |
|
Allergy & Asthma Care Of W Mi Pc
1179 East Paris Se |
$16.71 | 581 | 581 |
|
Charles Alan Mccaslin
35 Michigan St Ne |
$37.09 | 540 | 502 |
|
Grand Rapids Allergy Plc
970 Parchment Drive Se |
$18.02 | 347 | 339 |
|
Jigna Zatakia
4100 Lake Dr Se |
$12.97 | 340 | 307 |
|
Leif Eric Meyers
1000 Monroe Ave Nw # Mc-49 |
$0.00 | 114 | 85 |
|
Cherry Street Services, Inc.
100 Cherry St Se |
$1.16 | 98 | 94 |
|
Mercy Health Urgent Care
3100 Plainfield Ave Ne |
$4.34 | 96 | 96 |
|
Robert Alan Schoumacher
35 Michigan St Ne Ste 3003 |
$15.87 | 53 | 51 |
|
Susan Pasnick
4100 Lake Dr Se Ste 200 |
$4.11 | 41 | 37 |
|
Spectrum Health Hospitals
100 Michigan St Ne |
$38.06 | 40 | 40 |
|
Amy Ann Croff
414 Plymouth Ave Ne |
$4.76 | 15 | 12 |
|
Alger Pediatrics Pc
733 Alger St Se |
$14.77 | 15 | 13 |
|
Allergy & Asthma Centers Of West Michigan, P.C.
5055 Plainfield Ave Ne |
$20.21 | 13 | 13 |
|
Cherry Street Services, Inc.
669 Stocking Ave Nw |
$0.00 | 12 | 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 Grand Rapids, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Grand Rapids, MI is $13.53 per claim, based on 73,150 claims from 19 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 Grand Rapids, MI?
There are 19 Medicaid providers offering Pulmonary Function Test related services in Grand Rapids, MI according to public payment data.
What is the price range for Pulmonary Function Test in Grand Rapids, MI?
Medicaid reimbursement for Pulmonary Function Test in Grand Rapids, MI ranges from $0.00 to $38.06 per claim, with an average of $13.53. 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 Grand Rapids, MI
Office Visit
Avg $56.03
3,306,257 claims
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Avg $4.19
2,384,351 claims
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Avg $24.17
2,223,309 claims
X-Ray
Avg $7.57
2,155,834 claims
Emergency Room Visit
Avg $106.82
1,903,454 claims
Psychiatric Evaluation
Avg $79.32
1,323,354 claims
Physical Therapy
Avg $24.71
1,298,324 claims
Vaccines & Immunizations
Avg $10.34
1,229,009 claims