Average Medicaid Pulmonary Function Test Payments in Marietta, OH: $34.50
Avg. Paid
$34.50
Range
$4.83 – $177.99
Total Claims
14,502
Providers
13
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 Marietta, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Marietta Memorial Hospital
401 Matthew St |
$46.35 | 7,159 | 4,824 |
|
Robert A Mckinley
400 Matthew St |
$4.83 | 4,321 | 4,220 |
|
Ayla Gordon
400 Matthew St Ste 305 |
$5.75 | 1,238 | 1,170 |
|
Selby General Hospital
1106 Colegate Dr |
$78.22 | 1,153 | 928 |
|
Roger D Anderson
101 Putnam St |
$90.49 | 255 | 178 |
|
Michael Tatro
401 Matthew St |
$145.92 | 94 | 82 |
|
Charles Robert Williams
1106 Colegate Dr |
$66.91 | 78 | 49 |
|
Oriade Kayode Adeoye
401 Matthew St |
$5.69 | 70 | 60 |
|
Frederic A. Humphrey
4727 State Route 60 |
$21.45 | 67 | 64 |
|
Pratik M Vaishnav
401 Matthew St |
$76.06 | 21 | 14 |
|
Sajid Pervaiz
1106 Colegate Dr |
$177.99 | 17 | 15 |
|
Mona Abdelgalil Imam
210 N 7Th St Ste 101 |
$7.54 | 16 | 15 |
|
Daniel Lee Jarrell
401 Matthew St |
$136.00 | 13 | 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 Marietta, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Marietta, OH is $34.50 per claim, based on 14,502 claims from 13 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 Marietta, OH?
There are 13 Medicaid providers offering Pulmonary Function Test related services in Marietta, OH according to public payment data.
What is the price range for Pulmonary Function Test in Marietta, OH?
Medicaid reimbursement for Pulmonary Function Test in Marietta, OH ranges from $4.83 to $177.99 per claim, with an average of $34.50. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Marietta, OH
Blood Work & Lab Tests
Avg $9.26
503,345 claims
Emergency Room Visit
Avg $109.57
437,828 claims
Office Visit
Avg $53.91
398,739 claims
Home Health Visit
Avg $45.60
348,014 claims
Substance Abuse Treatment
Avg $90.27
93,732 claims
Urinalysis & Urine Tests
Avg $6.49
91,797 claims
Psychiatric Evaluation
Avg $50.93
87,204 claims
X-Ray
Avg $20.50
83,774 claims