Average Medicaid Pulmonary Function Test Payments in Hershey, PA: $52.83
Avg. Paid
$52.83
Range
$0.00 – $219.93
Total Claims
8,424
Providers
30
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 Hershey, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Binu-John Sankoorikal
500 University Dr |
$43.35 | 1,445 | 1,434 |
|
Daniel S Rifkin
500 University Dr |
$41.07 | 1,032 | 1,029 |
|
Jodie W Stabinski
500 University Dr |
$128.90 | 993 | 981 |
|
Gavin R Graff
500 University Dr |
$22.27 | 968 | 957 |
|
Amy Ann Dooley
500 University Dr |
$32.82 | 663 | 652 |
|
Lisa B Wilhite
500 University Dr |
$105.08 | 474 | 473 |
|
Philippe A Haouzi
500 University Dr |
$5.91 | 454 | 425 |
|
Pritish Mondal
500 University Dr |
$15.42 | 363 | 361 |
|
Margaret M Wojnar
500 University Dr |
$74.42 | 239 | 237 |
|
Rebecca Bascom
500 University Dr |
$21.99 | 236 | 236 |
|
Angel L Schuster
500 University Dr |
$52.47 | 230 | 227 |
|
Judie Ann Howrylak
500 University Dr |
$45.85 | 227 | 220 |
|
Richard Carl Bernstein
500 University Dr |
$63.23 | 165 | 164 |
|
Rami N. Khayat
500 University Dr |
$3.96 | 154 | 150 |
|
Nitasa Sahu
500 University Drive |
$17.29 | 117 | 112 |
|
The Milton S Hershey Medical Center
500 University Dr |
$219.93 | 106 | 102 |
|
The Milton S. Hershey Medical Center Physicians Group
500 University Dive |
$18.83 | 99 | 92 |
|
Katelyn Binder
500 University Dr |
$160.50 | 67 | 64 |
|
Subhankar Bandyopadhyay
500 University Dr |
$29.83 | 67 | 60 |
|
Tracy B Fausnight
500 University Dr |
$7.14 | 61 | 60 |
|
Addi Suleiman
500 University Dr |
$14.87 | 57 | 57 |
|
Kristen Marie Lutzkanin
500 University Dr |
$7.96 | 41 | 40 |
|
Kimberly E Frankhouser
500 University Dr |
$137.80 | 35 | 35 |
|
Francis R Mencl
500 University Dr |
$136.87 | 28 | 24 |
|
Heather Stern
500 University Dr |
$9.31 | 28 | 28 |
|
Amanda Lynn Kovar
500 University Dr |
$7.93 | 21 | 21 |
|
Joseph Spinell
500 University Dr |
$0.00 | 15 | 12 |
|
Kory Richard Dawson
500 University Dr |
$0.00 | 15 | 13 |
|
Marybeth Christine Rudy
500 University Dr |
$167.79 | 12 | 12 |
|
Robert L Vender
500 University Dr |
$123.32 | 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 Hershey, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Hershey, PA is $52.83 per claim, based on 8,424 claims from 30 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 Hershey, PA?
There are 30 Medicaid providers offering Pulmonary Function Test related services in Hershey, PA according to public payment data.
What is the price range for Pulmonary Function Test in Hershey, PA?
Medicaid reimbursement for Pulmonary Function Test in Hershey, PA ranges from $0.00 to $219.93 per claim, with an average of $52.83. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
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New York, NY
Avg $26.86
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Milwaukee, WI
Avg $31.74
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Bronx, NY
Avg $23.40
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Phoenix, AZ
Avg $43.01
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Los Angeles, CA
Avg $28.44
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Detroit, MI
Avg $11.67
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Other Procedures in Hershey, PA
Emergency Room Visit
Avg $130.02
405,079 claims
Office Visit
Avg $62.32
300,551 claims
X-Ray
Avg $10.45
223,386 claims
Blood Work & Lab Tests
Avg $6.23
186,537 claims
EKG / ECG (Electrocardiogram)
Avg $10.99
89,735 claims
Ultrasound
Avg $54.53
55,479 claims
Eye Exam
Avg $34.52
39,468 claims
Urinalysis & Urine Tests
Avg $4.29
35,907 claims