Average Medicaid Pulmonary Function Test Payments in Iowa City, IA: $22.51
Avg. Paid
$22.51
Range
$0.00 – $82.56
Total Claims
28,142
Providers
28
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 Iowa City, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Frederick M Frank
500 E Market St |
$19.07 | 14 | 12 |
|
Katherine D Mathews
200 Hawkins Dr |
$0.00 | 14 | 12 |
|
Paul B Mccray
200 Hawkins Dr |
$26.64 | 15 | 15 |
|
Philip Barns
500 E Market St |
$0.00 | 16 | 13 |
|
Diana Kay Bayer-Bowstead
200 Hawkins Dr |
$5.18 | 28 | 28 |
|
Christoph O. Randak
200 Hawkins Dr |
$15.14 | 28 | 26 |
|
Anthony John Fischer
200 Hawkins Dr |
$14.17 | 39 | 38 |
|
Kaleb Tanner Veit
200 Hawkins Drive |
$8.61 | 41 | 40 |
|
Samantha B Lee
200 Hawkins Dr |
$8.82 | 43 | 39 |
|
Julia Ann Klesney Tait
200 Hawkins Dr |
$5.22 | 59 | 38 |
|
Laura Jane Ramsey
200 Hawkins Dr |
$9.92 | 61 | 59 |
|
Derek Vogel
200 Hawkins Dr Department Of Internal Medicine |
$9.24 | 61 | 58 |
|
State University Of Iowa
200 Hawkins Dr |
$82.56 | 73 | 72 |
|
Kamonpun Ussavarungsi
200 Hawkins Dr |
$22.24 | 186 | 178 |
|
Shweta Paritosh Kukrety
200 Hawkins Dr Dept Of |
$7.64 | 215 | 201 |
|
Elise Sinnwell
200 Hawkins Dr |
$21.57 | 222 | 218 |
|
Daniel M Hinds
200 Hawkins Dr |
$9.38 | 359 | 351 |
|
Cheryl Angeline Conrad
200 Hawkins Dr |
$11.03 | 366 | 349 |
|
Amith George Jacob
200 Hawkins Dr |
$20.73 | 661 | 584 |
|
Lois J Geist
200 Hawkins Dr |
$27.85 | 903 | 846 |
|
Theodosia Thoma
200 Hawkins Dr |
$13.78 | 1,144 | 1,055 |
|
Thomas J Gross
200 Hawkins Dr |
$18.41 | 1,403 | 1,308 |
|
Rebecca Larie Weiner
200 Hawkins Dr |
$11.82 | 1,574 | 1,499 |
|
Scott J Sheets
200 Hawkins Dr |
$14.19 | 2,249 | 2,139 |
|
Douglas B Hornick
200 Hawkins Dr |
$23.85 | 2,420 | 2,275 |
|
Dawn Flaherty
200 Hawkins Dr |
$29.20 | 4,029 | 3,782 |
|
Kimberly Michelle Baker El Abiad
200 Hawkins Dr |
$23.42 | 5,073 | 4,740 |
|
Jeffrey Scott Wilson
200 Hawkins Dr |
$26.33 | 6,846 | 6,474 |
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 Iowa City, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Iowa City, IA is $22.51 per claim, based on 28,142 claims from 28 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 Iowa City, IA?
There are 28 Medicaid providers offering Pulmonary Function Test related services in Iowa City, IA according to public payment data.
What is the price range for Pulmonary Function Test in Iowa City, IA?
Medicaid reimbursement for Pulmonary Function Test in Iowa City, IA ranges from $0.00 to $82.56 per claim, with an average of $22.51. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
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Fresno, CA
Avg $9.79
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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
234,885 claims · 209 providers
Los Angeles, CA
Avg $28.44
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Detroit, MI
Avg $11.67
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Other Procedures in Iowa City, IA
Office Visit
Avg $49.62
731,963 claims
Blood Work & Lab Tests
Avg $3.36
396,970 claims
X-Ray
Avg $9.32
315,070 claims
Emergency Room Visit
Avg $119.10
302,845 claims
Dental Cleaning & Exam
Avg $30.93
280,322 claims
EKG / ECG (Electrocardiogram)
Avg $8.44
178,871 claims
Ultrasound
Avg $58.44
165,568 claims
Vaccines & Immunizations
Avg $19.42
124,999 claims