Average Medicaid Pulmonary Function Test Payments in Loma Linda, CA: $18.85
Avg. Paid
$18.85
Range
$0.00 – $35.20
Total Claims
24,328
Providers
18
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 Loma Linda, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Seventh-Day Adventists Loma Linda University Medical Center
11234 Anderson St Rm 1150 |
$21.46 | 16,930 | 15,776 |
|
Loma Linda University Children'S Hospital
11234 Anderson St Rm 1147 |
$6.59 | 3,839 | 3,555 |
|
Kimberly Nalani Otsuka
11370 Anderson St |
$27.09 | 1,301 | 1,257 |
|
Yvonne Fanous
11370 Anderson St |
$35.20 | 568 | 565 |
|
Niranjan Jeganathan
11234 Anderson St Rm 1516 |
$8.45 | 456 | 456 |
|
Dafne Tatiana Moretta
11234 Anderson St |
$8.39 | 315 | 315 |
|
Kanwaljeet K Maken
11370 Anderson St |
$8.49 | 273 | 272 |
|
Khazenay Bakhsh
11234 Anderson St Rm Mc1516 |
$6.99 | 175 | 175 |
|
Alexander Ong Sy
11201 Benton St |
$3.79 | 95 | 95 |
|
William A Kennedy
11370 Anderson St |
$17.20 | 88 | 87 |
|
Swati Baveja
11370 Anderson St Ste 3300 |
$6.28 | 82 | 82 |
|
Laren Dao-Wei Tan
11234 Anderson St # Mc-1516 |
$8.32 | 70 | 70 |
|
Gregory Cheek
11370 Anderson St Ste 3150 |
$10.40 | 60 | 60 |
|
Seventh-Day Adventists Loma Linda University Medical Center
11234 Anderson St Rm 1150 |
$20.03 | 26 | 25 |
|
Leo C Jeng
11370 Anderson St |
$0.00 | 13 | 12 |
|
Anthony Eli Shoo
11234 Anderson St # 3400 |
$13.87 | 13 | 12 |
|
Andrew Thomas Souza
11234 Anderson St |
$8.98 | 12 | 12 |
|
Jamie Cheree Macknet
25815 Barton Rd Ste 103 |
$11.84 | 12 | 12 |
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 Loma Linda, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Loma Linda, CA is $18.85 per claim, based on 24,328 claims from 18 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 Loma Linda, CA?
There are 18 Medicaid providers offering Pulmonary Function Test related services in Loma Linda, CA according to public payment data.
What is the price range for Pulmonary Function Test in Loma Linda, CA?
Medicaid reimbursement for Pulmonary Function Test in Loma Linda, CA ranges from $0.00 to $35.20 per claim, with an average of $18.85. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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