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 |
|---|---|---|---|
|
University Of Kentucky
800 Rose St |
$96.05 | 44,340 | 35,941 |
|
Baptist Healthcare System, Inc
1740 Nicholasville Rd |
$29.83 | 5,892 | 5,102 |
|
Rose Pierson
1019 Majestic Dr |
$13.73 | 5,797 | 5,140 |
|
Iraklis C Livas
1019 Majestic Dr |
$30.11 | 4,968 | 3,840 |
|
Saint Joseph Health System, Inc
1 Saint Joseph Dr |
$30.03 | 4,874 | 3,449 |
|
Rajiv Arora
3130 Mapleleaf Dr Ste 170 |
$24.15 | 3,012 | 2,667 |
|
Saint Joseph Health System, Inc
150 N Eagle Creek Dr |
$21.08 | 2,898 | 1,919 |
|
Jamshed Firoze Kanga
740 S Limestone |
$12.36 | 2,201 | 2,026 |
|
Leighandra Barber
1136 Monarch St |
$15.10 | 1,872 | 1,723 |
|
Erin Leigh Wilson
740 S Limestone |
$9.39 | 1,783 | 1,666 |
|
Kristen N Evans
171 N Eagle Creek Dr Ste 106 |
$14.53 | 1,693 | 1,508 |
|
Eric Salomon Bensadoun
740 S Limestone L543 Ky Clinic |
$7.59 | 1,634 | 1,509 |
|
Abdolreza Rabiee
1221 S Broadway |
$9.36 | 1,431 | 1,316 |
|
Malik Muhammad Khurram Sher Khan
Uk Healthcare-Icu |
$8.30 | 1,324 | 1,227 |
|
Amanda Jane Reid
1019 Majestic Dr Ste 210 |
$15.06 | 1,316 | 1,245 |
|
Kelley M. Hawkins
166 Pasadena Dr Ste 150 |
$15.60 | 1,243 | 1,149 |
|
Rolando Berger
740 S Limestone |
$7.85 | 1,235 | 1,148 |
|
William A Greisner
171 North Eagle Creek Drive |
$22.41 | 1,226 | 1,147 |
|
Said Chaaban
Uk Division Of Pulmonary Critical Care 740 S |
$6.82 | 1,205 | 1,068 |
|
Kinjal Dave
Uk Division Of Pulmonary Critical Care |
$7.36 | 1,121 | 1,053 |
|
Brianna Shea Fischer
740 S. Limestone Ste L504 |
$14.81 | 1,078 | 965 |
|
Parijat Sen
800 Rose St |
$7.78 | 1,028 | 954 |
|
Beth Ann Miller
135 E Maxwell St |
$19.92 | 1,019 | 955 |
|
Christopher Caleb Meenach
166 Pasadena Dr Ste 100 |
$21.58 | 988 | 924 |
|
Mehdi Khosravi
University Of Kentucky |
$7.54 | 969 | 902 |
|
Arun Rajguru Kadambi
1136 Monarch St. |
$21.22 | 966 | 830 |
|
Michael I Anstead
740 S Limestone |
$10.39 | 954 | 852 |
|
Michael Francis Powers
800 Rose St |
$8.36 | 765 | 715 |
|
Tracie L Overbeck
166 Pasadena Drive Suite 150 |
$19.71 | 750 | 685 |
|
Nathan Garrett
740 S Limestone |
$7.88 | 725 | 465 |
|
Andrea Renee Covington
740 S Limestone Ste J107 |
$15.25 | 651 | 617 |
|
Erin Riley Camac
800 Rose St |
$7.13 | 651 | 583 |
|
Audra Marcum
166 Pasadena Dr |
$17.76 | 623 | 527 |
|
Sara Naz Pasha
Uk Division Of Pulmonary Critical Care Sleep |
$8.63 | 567 | 539 |
|
Sanjay Dhar
Uk Division Of Pulmonary Critical Care |
$7.13 | 495 | 455 |
|
Moayad Al-Sona'
1000 S Limestone |
$8.25 | 486 | 451 |
|
John R Thompson
166 Pasadena Dr |
$27.54 | 462 | 437 |
|
Marlana Lynn Keeton
166 Pasadena Dr |
$19.72 | 404 | 370 |
|
Ayorinde A Medaiyese
1225 S Broadway Ste 201 |
$7.30 | 400 | 373 |
|
Richard Scott Morehead
740 S Limestone L543 Ky Clinic |
$7.70 | 386 | 349 |
|
Hazim Said Bukamur
1401 Harrodsburg Rd Ste C405 |
$7.41 | 328 | 291 |
|
Kaitlyn Shrake
1000 S Limestone |
$7.56 | 311 | 281 |
|
Dorothy Mccord Maes
1000 S Limestone |
$8.00 | 307 | 301 |
|
Kelsey A Coyle
3130 Mapleleaf Dr Ste 170 |
$25.59 | 276 | 254 |
|
Bhawan Yamraj
245 Fountain Ct Ste 120 |
$10.13 | 263 | 243 |
|
Margaret Ann Disselkamp
Uk Division Of Pulmonary Critical Care |
$7.53 | 249 | 239 |
|
Theresa V Case
University Of Kentucky Kentucky Clinic L543 |
$21.99 | 221 | 208 |
|
Faizal Rajesh Nicholas Ramdial
740 S Limestone |
$13.73 | 160 | 157 |
|
Arvind K Bansal
166 Pasadena Dr Ste 100 |
$15.32 | 142 | 127 |
|
Patton Weddington Thompson
166 Pasadena Dr |
$16.39 | 141 | 120 |
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 $23.88
467,812 claims · 307 providers
Fresno, CA
Avg $9.79
368,205 claims · 95 providers
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
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Los Angeles, CA
Avg $28.44
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Avg $11.67
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Other Procedures in Lexington, KY
Blood Work & Lab Tests
Avg $14.22
4,452,973 claims
Office Visit
Avg $40.42
4,343,155 claims
Emergency Room Visit
Avg $156.12
2,128,548 claims
X-Ray
Avg $27.62
1,657,833 claims
Psychiatric Evaluation
Avg $54.73
1,162,452 claims
Physical Therapy
Avg $62.23
1,009,326 claims
Substance Abuse Treatment
Avg $82.19
953,868 claims
Dental Cleaning & Exam
Avg $36.91
818,313 claims