Average Medicaid Pulmonary Function Test Payments in Green Bay, WI: $26.01
Avg. Paid
$26.01
Range
$5.72 – $43.81
Total Claims
31,486
Providers
14
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 Green Bay, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bellin Memorial Hospital Inc.
744 S Webster Ave |
$21.60 | 10,655 | 7,104 |
|
Baycare Aurora, Llc
2845 Greenbrier Rd |
$24.34 | 8,482 | 6,394 |
|
St Vincent Hospital-Hospital Sisters-Third Order Of St Francis
835 S Van Buren St |
$43.81 | 4,634 | 3,580 |
|
St Mary'S Hospital Medical Center Of Green Bay Inc.-Hospital Sisters
1726 Shawano Ave |
$40.33 | 3,705 | 2,847 |
|
Raul Mendoza-Ayala
2845 Greenbrier Rd |
$5.72 | 3,042 | 2,897 |
|
Manar K Al Shahrouri
744 S Webster Ave |
$5.95 | 394 | 363 |
|
Richard Glen Potts
835 S Van Buren St |
$16.14 | 154 | 136 |
|
Pamela Rani Sud
744 S Webster Ave |
$9.06 | 108 | 74 |
|
Matas Morkevicius
2845 Greenbrier Rd |
$39.51 | 94 | 83 |
|
Ramana R Marada
2845 Greenbrier Rd |
$13.50 | 73 | 67 |
|
Musab Em T Nusrat
1821 S Webster Ave |
$16.62 | 60 | 53 |
|
Neesha Davies
3263 Eaton Rd |
$10.47 | 56 | 53 |
|
Rachel Marie Chastain
519 S Monroe Ave |
$23.64 | 15 | 13 |
|
Jeffrey Van Richards
2502 S Ashland Ave |
$12.44 | 14 | 13 |
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 Green Bay, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Green Bay, WI is $26.01 per claim, based on 31,486 claims from 14 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 Green Bay, WI?
There are 14 Medicaid providers offering Pulmonary Function Test related services in Green Bay, WI according to public payment data.
What is the price range for Pulmonary Function Test in Green Bay, WI?
Medicaid reimbursement for Pulmonary Function Test in Green Bay, WI ranges from $5.72 to $43.81 per claim, with an average of $26.01. 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
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