Average Medicaid Pulmonary Function Test Payments in Hialeah, FL: $5.14
Avg. Paid
$5.14
Range
$0.00 – $6.52
Total Claims
11,906
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 Hialeah, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gilda Torres-Portalatin
4861 W 4Th Ave |
$0.00 | 17 | 13 |
|
Israel D. Alvarez
18300 Nw 62Nd Ave Ste 230 |
$0.50 | 21 | 17 |
|
Javier Perez Md Pa
777 E 25Th St |
$0.00 | 33 | 14 |
|
Julio Emil Pardave
7100 W 20Th Ave Ste 706 |
$3.16 | 33 | 27 |
|
Rene Andino
3416 W 84Th St |
$0.27 | 45 | 44 |
|
Manuel Alfredo Galguera
1816 E 4Th Ave |
$0.00 | 46 | 45 |
|
Maria Victoria Fernandez
3750 W 16Th Ave |
$0.90 | 73 | 53 |
|
Carmen A Molina
625 E 49Th St |
$0.79 | 90 | 77 |
|
Fernando Luis Martinez Catinchi
7100 W 20Th Ave |
$0.12 | 98 | 92 |
|
Kid Care Pediatrics, P A
801A W 48Th St |
$4.24 | 150 | 144 |
|
Ezequiel F. Romero
1840 West 49Th Street |
$5.24 | 537 | 487 |
|
Maria Antonieta Carballosa
4395 Palm Ave |
$0.05 | 908 | 807 |
|
Julio Cesar Egusquiza
7100 W 20Th Ave |
$3.39 | 2,193 | 1,960 |
|
Jorge Castellanos
2387 W 68Th St |
$6.52 | 7,662 | 6,105 |
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 Hialeah, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Hialeah, FL is $5.14 per claim, based on 11,906 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 Hialeah, FL?
There are 14 Medicaid providers offering Pulmonary Function Test related services in Hialeah, FL according to public payment data.
What is the price range for Pulmonary Function Test in Hialeah, FL?
Medicaid reimbursement for Pulmonary Function Test in Hialeah, FL ranges from $0.00 to $6.52 per claim, with an average of $5.14. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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