Average Medicaid Pulmonary Function Test Payments in Merced, CA: $29.66
Avg. Paid
$29.66
Range
$0.00 – $43.40
Total Claims
16,069
Providers
15
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 Merced, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Maher Gao
847 W Childs Ave Ste B |
$22.00 | 12 | 12 |
|
Ibraheem Al Shareef
847 W Childs Ave Ste B |
$1.01 | 19 | 18 |
|
Ma Ana Leon Arbo
3349 G St Ste C |
$0.00 | 24 | 24 |
|
Katie Marie Meyer
315 Mercy Avenue Suite 400 |
$4.00 | 32 | 15 |
|
Dirk Harmen Mous
374 W Olive Avenue |
$7.61 | 32 | 32 |
|
Kevin Yu
333 Mercy Ave |
$37.43 | 40 | 40 |
|
Eduardo Trinidad Villarama
847 W Childs Ave Ste C |
$1.08 | 114 | 107 |
|
Abhilasha Sharma
847 W Childs Ave |
$2.24 | 144 | 141 |
|
Steven Hernandez
333 Mercy Ave |
$37.56 | 227 | 214 |
|
Rajapuram Ravindra Kumar
780 W Olive Ave |
$43.40 | 264 | 264 |
|
Alissa K Smouse
333 Mercy Ave |
$36.18 | 359 | 348 |
|
Mohan P. Reddy
750 West Olive Ave. |
$23.78 | 371 | 360 |
|
Ellen E Piernot
737 W Childs Ave |
$3.50 | 955 | 883 |
|
Dignity Health
333 Mercy Ave |
$38.76 | 5,182 | 4,546 |
|
Sunit Ratilal Patel
3389 G St Ste B |
$27.49 | 8,294 | 8,219 |
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 Merced, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Merced, CA is $29.66 per claim, based on 16,069 claims from 15 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 Merced, CA?
There are 15 Medicaid providers offering Pulmonary Function Test related services in Merced, CA according to public payment data.
What is the price range for Pulmonary Function Test in Merced, CA?
Medicaid reimbursement for Pulmonary Function Test in Merced, CA ranges from $0.00 to $43.40 per claim, with an average of $29.66. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
Brooklyn, NY
Avg $23.88
467,812 claims · 307 providers
Fresno, CA
Avg $9.79
368,205 claims · 95 providers
New York, NY
Avg $26.86
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Milwaukee, WI
Avg $31.74
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Bronx, NY
Avg $23.40
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Phoenix, AZ
Avg $43.01
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Los Angeles, CA
Avg $28.44
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Detroit, MI
Avg $11.67
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