Average Medicaid Pulmonary Function Test Payments in La Mesa, CA: $51.05
Avg. Paid
$51.05
Range
$0.00 – $425.38
Total Claims
20,369
Providers
9
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 La Mesa, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Hassan Kafri
8860 Center Dr |
$100.35 | 14 | 14 |
|
Marriane Zurbano
4579 Maple Ave Ste 1 |
$3.98 | 39 | 39 |
|
Cristina Tobon-Chung
4579 Maple Ave |
$0.00 | 54 | 37 |
|
Stephanie Jaune Harris
8530 La Mesa Blvd Ste 200 |
$9.64 | 153 | 146 |
|
Parkway Operations, Llc
7760 Parkway Dr |
$425.38 | 374 | 368 |
|
Sathya Pratap Pokala
8851 Center Dr |
$39.84 | 791 | 788 |
|
Kaveh Bagheri
8860 Center Drive |
$18.29 | 881 | 584 |
|
Grossmont Hospital Corporation
5555 Grossmont Center Dr |
$59.69 | 7,994 | 5,624 |
|
Raed A Al-Naser
5525 Grossmont Center Dr Ste 609 |
$35.05 | 10,069 | 9,914 |
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 La Mesa, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in La Mesa, CA is $51.05 per claim, based on 20,369 claims from 9 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 La Mesa, CA?
There are 9 Medicaid providers offering Pulmonary Function Test related services in La Mesa, CA according to public payment data.
What is the price range for Pulmonary Function Test in La Mesa, CA?
Medicaid reimbursement for Pulmonary Function Test in La Mesa, CA ranges from $0.00 to $425.38 per claim, with an average of $51.05. 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 La Mesa, CA
Blood Work & Lab Tests
Avg $7.42
2,191,821 claims
Office Visit
Avg $56.10
664,824 claims
Urinalysis & Urine Tests
Avg $3.66
438,401 claims
X-Ray
Avg $25.68
328,937 claims
Emergency Room Visit
Avg $187.08
277,381 claims
Culture & Microbiology Tests
Avg $3.01
181,043 claims
Physical Therapy
Avg $23.07
153,856 claims
CT Scan (Computed Tomography)
Avg $210.84
144,772 claims