Based on public Medicaid payment data.

Average Medicaid Pulmonary Function Test Payments in Madison, WI: $20.98

Avg. Paid

$20.98

Range

$1.98 – $176.32

Total Claims

48,264

Providers

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 Madison, WI

Provider	Avg. Paid	Claims	Patients
University Of Wisconsin Hospitals And Clinics Authority 600 Highland Ave	$19.44	36,618	23,046
Meriter Hospital, Inc. 202 S Park St	$28.81	5,072	3,633
Ssm Health Care Of Wisconsin, Inc. 700 S. Park St.	$43.32	2,880	2,491
Umang Barvalia 600 Highland Ave	$1.98	1,225	1,224
Taeha Kim 202 S Park St	$15.46	385	324
James R Runo 600 Highland Ave	$5.69	219	211
John G Mccartney 801 Braxton Pl	$7.32	206	191
Nizar N Jarjour 600 Highland Ave	$5.84	167	155
Thomas G. Gehlbach 700 S Park St Ste A	$7.38	116	104
Nathan Karl Sandbo 600 Highland Ave	$6.13	116	109
Amy N. Malik 600 Highland Ave	$6.10	114	103
Loren C Denlinger 600 Highland Ave	$6.97	110	97
John S Ferguson 600 Highland Ave	$5.73	91	87
Amik Sodhi 600 Highland Ave	$4.87	88	79
Michael J Rock 600 Highland Ave	$8.57	77	69
Christopher T Healy 1 S Park St	$16.23	76	71
Andrew Thierman Braun 600 Highland Ave	$6.05	65	64
Donita R Croft 600 Highland Ave	$4.64	64	52
Mark H Moss 600 Highland Ave	$8.36	54	52
William J Ehlenbach 700 S Park St Ste A	$6.40	50	44
Ashleigh A Olson 1821 S Stoughton Rd	$33.64	46	43
Andrew Steinfeldt 600 Highland Ave	$8.01	46	45
David A. Sonetti 600 Highland Ave	$6.30	45	40
Ankur Prasad Uw Hospitals And Clinics 600 Highland Ave	$6.38	43	38
Michael W Ritter 7610 Sawmill Rd	$19.19	40	39
Timothy Duane Starner 5522 Dahlen Dr	$3.37	39	37
Amy Laura Pon Jaeger 600 Highland Ave	$6.70	37	37
Nicholas Wilkie Uw Hospital And Clinics	$176.32	28	24
John D Wilson 700 S Park St Ste A	$9.46	26	24
Kyle Andrew Schoppel 600 Highland Ave	$24.87	23	15
Vivek Balasubramaniam 600 Highland Ave	$6.98	16	15
Cynthia M Manzke 451 Junction Rd	$7.78	14	12
Lisa A. Burns 600 Highland Ave	$10.16	14	12
Mounir Fertikh 700 S Park St	$7.70	14	14
Matthew O'Connor Uw Hospitals And Clinics	$9.23	14	14
Will Bringgold Uw Hospitals And Clinics 600 Highland Ave	$20.58	13	13
Erin M Lowery 600 Highland Ave	$6.53	13	13

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 Madison, WI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Madison, WI is $20.98 per claim, based on 48,264 claims from 37 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 Madison, WI?

There are 37 Medicaid providers offering Pulmonary Function Test related services in Madison, WI according to public payment data.

What is the price range for Pulmonary Function Test in Madison, WI?

Medicaid reimbursement for Pulmonary Function Test in Madison, WI ranges from $1.98 to $176.32 per claim, with an average of $20.98. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Pulmonary Function Test Payments in Madison, WI: $20.98

Providers Offering Pulmonary Function Test in Madison, WI

What to Expect: Pulmonary Function Test

Cost Components

Frequently Asked Questions

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