Average Medicaid Pulmonary Function Test Payments in Modesto, CA: $32.33
Avg. Paid
$32.33
Range
$2.43 – $112.40
Total Claims
8,565
Providers
27
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 Modesto, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Amr F Al-Bacil
600 Coffee Rd |
$14.01 | 12 | 12 |
|
Sunita Kaur Saini
830 Scenic Dr |
$12.60 | 13 | 12 |
|
County Of Stanislaus
830 Scenic Dr |
$29.64 | 16 | 15 |
|
Nirmal S Rai
1930 E Hatch Rd |
$8.17 | 17 | 12 |
|
Ann Marie Truscello
3109 Coffee Rd |
$13.92 | 17 | 17 |
|
Harjit Rita Gogna
1401 Spanos Ct |
$13.51 | 19 | 19 |
|
Anitha Channabasavaiah
4501 Dale Road |
$112.40 | 24 | 24 |
|
County Of Stanislaus
401 Paradise Rd |
$13.91 | 29 | 28 |
|
Meetinder Kaur Rai
1930 E Hatch Rd |
$9.56 | 35 | 29 |
|
Frank Fower
1700 Coffee Rd |
$18.27 | 48 | 47 |
|
Anuradha Dubey
4312 Spyres Way |
$23.55 | 66 | 58 |
|
Philip Bauman
4120 Prescott Rd |
$13.46 | 75 | 74 |
|
Nancy Brown
830 Scenic Dr |
$12.79 | 77 | 62 |
|
Robert M Tanaka
600 Coffee Rd |
$6.82 | 110 | 108 |
|
Erick Cartaya Aguilar
1541 Florida Ave Ste 200 |
$19.72 | 110 | 90 |
|
Muhammad A Mattu
1908 Coffee Rd Ste 3 |
$10.31 | 142 | 138 |
|
Elaine Joy Tubayan Soriano
1510 Florida Ave |
$2.49 | 149 | 148 |
|
Yan Meng
600 Coffee Rd |
$6.24 | 160 | 160 |
|
Pankaj Malhotra
1441 Florida Ave |
$8.91 | 173 | 168 |
|
Amrik Singh Basi
1524 Mchenry Ave 340 |
$12.63 | 182 | 169 |
|
Dena Ann Lenser
3109 Coffee Rd |
$11.43 | 249 | 225 |
|
Baz Allergy, Asthma & Sinus Center, Inc.
1923 Coffee Road |
$3.51 | 289 | 241 |
|
Sebnem Ozdogan
3525 Pelandale Ave |
$32.81 | 313 | 313 |
|
Kalyan Kosuri
600 Coffee Rd |
$6.63 | 623 | 612 |
|
Valley Children'S Medical Group
1524 Mchenry Ave |
$2.43 | 919 | 897 |
|
Doctors Medical Center Of Modesto, Inc.
1441 Florida Ave |
$86.43 | 1,581 | 1,388 |
|
Sutter Valley Hospitals
1700 Coffee Rd |
$32.35 | 3,117 | 2,699 |
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 Modesto, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Modesto, CA is $32.33 per claim, based on 8,565 claims from 27 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 Modesto, CA?
There are 27 Medicaid providers offering Pulmonary Function Test related services in Modesto, CA according to public payment data.
What is the price range for Pulmonary Function Test in Modesto, CA?
Medicaid reimbursement for Pulmonary Function Test in Modesto, CA ranges from $2.43 to $112.40 per claim, with an average of $32.33. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
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