Average Medicaid Pulmonary Function Test Payments in Marion, OH: $52.04
Avg. Paid
$52.04
Range
$5.41 – $144.55
Total Claims
7,290
Providers
16
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 Marion, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Marion General Hospital, Inc.
1000 Mckinley Park Dr |
$85.33 | 3,476 | 2,839 |
|
Hiten G Shah
1040 Delaware Ave |
$5.43 | 1,525 | 1,450 |
|
Incare Health Solutions Llc
175 Edgefield Blvd |
$5.47 | 1,021 | 1,002 |
|
Melissa O'Ryan Mekesa
1000 Mckinley Park Dr |
$112.50 | 423 | 253 |
|
Sarah Wynn
1025 Harding Memorial Pkwy |
$15.12 | 192 | 184 |
|
Aileen Theresa Ruffino
1040 Delaware Ave |
$13.10 | 145 | 143 |
|
Mushtaq Ahmad
1021 Harding Memorial Pkwy |
$5.41 | 110 | 82 |
|
Joel D Provenzano
1040 Delaware Ave |
$5.65 | 84 | 82 |
|
Christopher Brad Dupuy
1000 Mckinley Park Dr |
$39.93 | 81 | 67 |
|
Sarah Jane Jones
1025 Harding Memorial Pkwy |
$15.74 | 74 | 68 |
|
Veena Gaddam
1040 Delaware Ave |
$17.78 | 39 | 38 |
|
Harsh D Shah
1040 Delaware Ave |
$79.24 | 39 | 39 |
|
Matthew James White
1000 Mckinley Park Dr |
$118.30 | 38 | 25 |
|
Paul R Culler
1000 Mckinley Park Dr |
$144.55 | 17 | 13 |
|
Adil Omar Katabay
1065 Delaware Ave |
$9.42 | 14 | 14 |
|
Parminder Bobby Singh
970 S Prospect St |
$15.52 | 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 Marion, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Marion, OH is $52.04 per claim, based on 7,290 claims from 16 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 Marion, OH?
There are 16 Medicaid providers offering Pulmonary Function Test related services in Marion, OH according to public payment data.
What is the price range for Pulmonary Function Test in Marion, OH?
Medicaid reimbursement for Pulmonary Function Test in Marion, OH ranges from $5.41 to $144.55 per claim, with an average of $52.04. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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