Average Medicaid Pulmonary Function Test Payments in Mission, TX: $13.24
Avg. Paid
$13.24
Range
$3.23 – $69.04
Total Claims
4,719
Providers
17
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 Mission, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Addievi T Amper
900 S Bryan Rd |
$48.84 | 16 | 13 |
|
Heriberto Jose Alanis
900 S Bryan Rd |
$69.04 | 19 | 17 |
|
Abigail Gonzalez
3906 N Inspiration Rd |
$13.17 | 21 | 21 |
|
Oscar Tijerina
900 S Bryan Rd |
$64.34 | 25 | 25 |
|
Verley Gordon
5711 N. La Homa Rd |
$13.32 | 29 | 26 |
|
Celso E Tumulak
2121 E Griffin Pkwy Ste 10 |
$9.47 | 34 | 31 |
|
Harold J Pean
909 Business Park Dr Ste 6 |
$22.05 | 43 | 42 |
|
Christian Josue Cerna Santos
900 S Bryan Rd |
$59.32 | 55 | 54 |
|
Antonieta P Asuncion-Gimotea
1022 E Griffin Pkwy |
$12.13 | 76 | 71 |
|
Mission Hospital, Inc.
900 S Bryan Rd |
$66.68 | 77 | 69 |
|
Javier Medina
1924 E Griffin Pkwy |
$13.64 | 291 | 285 |
|
Victor O A Ogunlana
2408 N Conway Ave |
$23.94 | 310 | 296 |
|
Rogelio Sergio Ramirez
210 S Bryan Rd |
$10.64 | 333 | 303 |
|
Jose Escandon
1300 S Bryan Rd Ste 100 |
$7.74 | 386 | 374 |
|
Syed Rashid Husain
3005 N Conway Ave. |
$12.82 | 627 | 609 |
|
Luis F Arango
104 S Bryan Rd |
$3.23 | 865 | 855 |
|
Julio Cesar Bravo
3906 N Inspiration Rd |
$12.41 | 1,512 | 1,448 |
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 Mission, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Mission, TX is $13.24 per claim, based on 4,719 claims from 17 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 Mission, TX?
There are 17 Medicaid providers offering Pulmonary Function Test related services in Mission, TX according to public payment data.
What is the price range for Pulmonary Function Test in Mission, TX?
Medicaid reimbursement for Pulmonary Function Test in Mission, TX ranges from $3.23 to $69.04 per claim, with an average of $13.24. 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
328,938 claims · 255 providers
Milwaukee, WI
Avg $31.74
271,694 claims · 80 providers
Bronx, NY
Avg $23.40
241,250 claims · 156 providers
Phoenix, AZ
Avg $43.01
234,885 claims · 209 providers
Los Angeles, CA
Avg $28.44
186,761 claims · 157 providers
Detroit, MI
Avg $11.67
181,938 claims · 75 providers
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