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
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Avg $40.42
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