Average Medicaid Pulmonary Function Test Payments in Monroe, MI: $3.70
Avg. Paid
$3.70
Range
$2.85 – $8.87
Total Claims
6,004
Providers
6
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 Monroe, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Pulmonary N Sleep Specialists Pc
1084 N Monroe St |
$5.54 | 12 | 12 |
|
Monroe Pediatrics Pllc
1052 N Monroe St |
$8.87 | 99 | 88 |
|
Toledo Clinic Incorporated
800 Stewart Rd |
$5.23 | 369 | 362 |
|
Ped Pc
307 Stewart Rd |
$7.26 | 381 | 371 |
|
Navin K Jain
1084 N Monroe St |
$6.53 | 522 | 467 |
|
Mercy Memorial Hospital Corporation
718 N Macomb St |
$2.85 | 4,621 | 4,157 |
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 Monroe, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Monroe, MI is $3.70 per claim, based on 6,004 claims from 6 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 Monroe, MI?
There are 6 Medicaid providers offering Pulmonary Function Test related services in Monroe, MI according to public payment data.
What is the price range for Pulmonary Function Test in Monroe, MI?
Medicaid reimbursement for Pulmonary Function Test in Monroe, MI ranges from $2.85 to $8.87 per claim, with an average of $3.70. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
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Phoenix, AZ
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Other Procedures in Monroe, MI
Substance Abuse Treatment
Avg $34.19
401,284 claims
Office Visit
Avg $68.45
391,016 claims
Blood Work & Lab Tests
Avg $4.03
358,215 claims
Behavioral & Mental Health Therapy
Avg $73.35
275,059 claims
Emergency Room Visit
Avg $122.39
179,511 claims
Case Management Services
Avg $199.65
93,654 claims
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Avg $150.36
80,310 claims
Urinalysis & Urine Tests
Avg $0.93
69,035 claims