Average Medicaid Pulmonary Function Test Payments in Lorain, OH: $63.79
Avg. Paid
$63.79
Range
$5.87 – $171.95
Total Claims
8,721
Providers
11
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 Lorain, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kevin Turner
3600 Kolbe Rd Ste 120 |
$13.93 | 12 | 12 |
|
Meghan Elizabeth Lynch Ljubi
3600 Kolbe Rd |
$10.95 | 34 | 31 |
|
Carla Ann O'Day
Chp Regional Medical Center |
$132.06 | 48 | 37 |
|
Kari M Jacono
3600 Kolbe Rd Ste 120 |
$11.24 | 102 | 92 |
|
Randhir S Paul
3700 Kolbe Rd |
$155.01 | 201 | 183 |
|
Samuel Getachew
2152 Reid Ave |
$10.93 | 491 | 480 |
|
Brian Andrew Romito
3700 Koble Road |
$171.95 | 595 | 566 |
|
Manaf Zaizafoun
3600 Kolbe Rd Ste 109 |
$5.87 | 686 | 643 |
|
Ashok P Makadia
3600 Kolbe Rd Ste 227 |
$10.99 | 892 | 858 |
|
Rami Abboud
3600 Kolbe Rd |
$9.16 | 1,183 | 1,141 |
|
Mercy Health-Regional Medical Center Llc
3700 Kolbe Rd |
$85.95 | 4,477 | 3,485 |
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 Lorain, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Lorain, OH is $63.79 per claim, based on 8,721 claims from 11 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 Lorain, OH?
There are 11 Medicaid providers offering Pulmonary Function Test related services in Lorain, OH according to public payment data.
What is the price range for Pulmonary Function Test in Lorain, OH?
Medicaid reimbursement for Pulmonary Function Test in Lorain, OH ranges from $5.87 to $171.95 per claim, with an average of $63.79. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Lorain, OH
Office Visit
Avg $42.76
582,044 claims
Behavioral & Mental Health Therapy
Avg $73.54
353,970 claims
Blood Work & Lab Tests
Avg $5.56
292,761 claims
Psychiatric Evaluation
Avg $68.76
200,757 claims
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Avg $132.64
187,034 claims
Emergency Room Visit
Avg $85.32
173,745 claims
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Avg $12.47
139,698 claims
Home Health Visit
Avg $77.73
101,545 claims