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Based on public Medicaid payment data.

Average Medicaid Pulmonary Function Test Payments in Lexington, KY: $49.61

Avg. Paid

$49.61

Range

$0.00 – $176.57

Total Claims

109,716

Providers

84

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 Lexington, KY

Provider Avg. Paid Claims Patients
Matthew Michael Mcintosh

166 Pasadena Dr

$8.92 12 12
Marc Raymond Deshaies

1221 S Broadway

$20.75 12 12
Linda Yasmeen Katirji

800 Rose Street

$176.57 13 12
Megan Danielle Hensley

1000 S Limestone

$4.93 13 13
Luke Justin Wilder

4057 Mooncoin Way

$0.00 13 12
Harish Seethamraju

740 S Limestone

$5.19 13 13
Alexander E Tzouanakis

166 Pasadena Dr

$10.45 13 12
Kristin Allison Weeks

3085 Lakecrest Cir

$9.87 17 15
Slade Thompson

1221 S Broadway

$0.00 18 14
Eliseo Antonio Colon-Carreras

1401 Harrodsburg Rd Ste A300

$2.83 18 15
Lily Weddle

800 Rose St

$8.83 24 18
Lauren Rieber

1136 Monarch St

$16.51 28 26
Donna Clay Gerhardstein

166 Pasadena Dr

$10.31 34 32
Joseph Conrad Mueller

166 Pasadena Dr

$7.76 38 38
Ibrahim Shahoub

1401 Harrodsburg Rd Ste C405

$6.66 41 41
Muhammad Ijlal Khan

135 E Maxwell St Fl 3

$9.04 42 42
Marion Johanna Simpson

166 Pasadena Dr Ste 150

$14.37 42 40
Samer A Kseibi

1401 Harrodsburg Rd

$7.89 45 45
Michael Brennan Royalty

1000 Monarch St Ste 100

$10.04 47 44
Nikole Funk

2452 Sir Barton Way Ste 303

$163.78 47 39
Matthew James Craig

1225 S Broadway Ste 201

$20.92 52 50
Donald Ray Avery

1050 Chinoe Rd Ste 350

$16.21 62 54
Andrew Michael Smith

740 S Limestone D200

$6.35 64 61
Kelli Dawn Mathew

800 Rose St

$10.88 64 63
Jason Ballengee

1000 S Limestone

$5.44 66 62
Ryan T Smith

University Of Kentucky 800 Rose St

$153.50 73 62
Shaunah Ritter

740 S Limestone Ste K201

$30.46 96 92
Carlos Javier Ramirez-Icaza

1225 S Broadway Ste 201

$12.67 98 88
Zoran R. Danov

Chandler Medical Center 740 S Limestone

$12.14 115 111
Yuri Villaran

166 Pasadena Dr

$8.82 121 119
Priya J. Warrier

3165 Beaumont Centre Cir Ste 180

$19.77 126 116
Maria Laura Cosentino Roa

740 S Limestone Ste K201

$14.97 139 138
Farhad Karim

2387 Professional Heights Drive

$38.79 139 126
Ketan Purnedu Buch

740 S Limestone

$8.41 141 137
Patton Weddington Thompson

166 Pasadena Dr

$16.39 141 120
Arvind K Bansal

166 Pasadena Dr Ste 100

$15.32 142 127
Faizal Rajesh Nicholas Ramdial

740 S Limestone

$13.73 160 157
Theresa V Case

University Of Kentucky Kentucky Clinic L543

$21.99 221 208
Margaret Ann Disselkamp

Uk Division Of Pulmonary Critical Care

$7.53 249 239
Bhawan Yamraj

245 Fountain Ct Ste 120

$10.13 263 243
Kelsey A Coyle

3130 Mapleleaf Dr Ste 170

$25.59 276 254
Dorothy Mccord Maes

1000 S Limestone

$8.00 307 301
Kaitlyn Shrake

1000 S Limestone

$7.56 311 281
Hazim Said Bukamur

1401 Harrodsburg Rd Ste C405

$7.41 328 291
Richard Scott Morehead

740 S Limestone L543 Ky Clinic

$7.70 386 349
Ayorinde A Medaiyese

1225 S Broadway Ste 201

$7.30 400 373
Marlana Lynn Keeton

166 Pasadena Dr

$19.72 404 370
John R Thompson

166 Pasadena Dr

$27.54 462 437
Moayad Al-Sona'

1000 S Limestone

$8.25 486 451
Sanjay Dhar

Uk Division Of Pulmonary Critical Care

$7.13 495 455

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 Lexington, KY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Lexington, KY is $49.61 per claim, based on 109,716 claims from 84 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 Lexington, KY?

There are 84 Medicaid providers offering Pulmonary Function Test related services in Lexington, KY according to public payment data.

What is the price range for Pulmonary Function Test in Lexington, KY?

Medicaid reimbursement for Pulmonary Function Test in Lexington, KY ranges from $0.00 to $176.57 per claim, with an average of $49.61. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Pulmonary Function Test in Other Cities

Other Procedures in Lexington, KY