Average Medicaid Pulmonary Function Test Payments in Lima, OH: $48.21
Avg. Paid
$48.21
Range
$0.00 – $174.86
Total Claims
19,694
Providers
20
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 Lima, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tyler Jay Niese
1001 Bellefontaine Ave |
$11.32 | 13 | 12 |
|
Health Partners Of Western Ohio
441 E 8Th St |
$0.00 | 13 | 12 |
|
Toby James Tippie
801 Medical Dr |
$104.06 | 13 | 12 |
|
Gary J Cathcart
730 W Market St |
$174.86 | 15 | 14 |
|
Tammy A Parker
1001 Bellefontaine Ave |
$128.29 | 18 | 12 |
|
Pooja Gupta
730 W Market St |
$150.70 | 29 | 27 |
|
Warren Calvin Morris
441 E 8Th St |
$0.00 | 57 | 32 |
|
John T Meyer
730 W Market St |
$147.63 | 60 | 54 |
|
Nathan J Walters
1001 Bellefontaine Ave |
$156.31 | 70 | 59 |
|
Sarat B. Kuchipudi
528 W Market St |
$7.56 | 77 | 76 |
|
Sampath Medepalli
730 W Market St |
$76.58 | 83 | 47 |
|
Marc S. Rovner
770 W High St |
$7.14 | 137 | 110 |
|
Jason A Stienecker
1003 Bellefontaine Ave Ste 150 |
$5.32 | 170 | 158 |
|
Mohammad Taleb
770 W High St Ste 240 |
$3.60 | 393 | 389 |
|
Javier Francisco Pere
770 W High St |
$4.25 | 1,305 | 1,278 |
|
William Clifford Cole
770 W High St Ste 240 |
$5.47 | 2,117 | 1,932 |
|
Lima Memorial Joint Operating Company
1001 Bellefontaine Ave |
$108.67 | 2,257 | 1,493 |
|
Sreenivasa Rao Chanamolu
770 W High St |
$4.93 | 3,067 | 2,989 |
|
Abdul Basit
1003 Bellefontaine Ave Ste 150 |
$8.59 | 3,366 | 2,681 |
|
Mercy Health-St Ritas Medical Center Llc
730 W Market St |
$93.59 | 6,434 | 4,536 |
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 Lima, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Lima, OH is $48.21 per claim, based on 19,694 claims from 20 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 Lima, OH?
There are 20 Medicaid providers offering Pulmonary Function Test related services in Lima, OH according to public payment data.
What is the price range for Pulmonary Function Test in Lima, OH?
Medicaid reimbursement for Pulmonary Function Test in Lima, OH ranges from $0.00 to $174.86 per claim, with an average of $48.21. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
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