Average Medicaid Pulmonary Function Test Payments in Monterey, CA: $26.35
Avg. Paid
$26.35
Range
$6.05 – $34.52
Total Claims
5,298
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 Monterey, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Community Hospital Of The Monterey Peninsula
23625 Wr Holman Hwy |
$34.52 | 3,283 | 2,908 |
|
John M Koostra
30 Garden Ct |
$13.38 | 1,004 | 979 |
|
Hans P Poggemeyer
30 Garden Ct |
$13.20 | 497 | 480 |
|
Mark David Garfield
2 Upper Ragsdale Dr Bldg A |
$14.44 | 372 | 353 |
|
Cardio-Pulmonary Associates Medical Group Inc A Professional Corp
1010 Cass St Ste B1 |
$6.78 | 72 | 69 |
|
Scott Prysi
501 Lighthouse Ave |
$6.05 | 70 | 69 |
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 Monterey, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Monterey, CA is $26.35 per claim, based on 5,298 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 Monterey, CA?
There are 6 Medicaid providers offering Pulmonary Function Test related services in Monterey, CA according to public payment data.
What is the price range for Pulmonary Function Test in Monterey, CA?
Medicaid reimbursement for Pulmonary Function Test in Monterey, CA ranges from $6.05 to $34.52 per claim, with an average of $26.35. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Monterey, CA
Office Visit
Avg $64.35
364,712 claims
Blood Work & Lab Tests
Avg $7.31
206,868 claims
Emergency Room Visit
Avg $81.64
188,389 claims
Physical Therapy
Avg $30.52
183,667 claims
Speech Therapy
Avg $78.52
103,318 claims
Psychiatric Evaluation
Avg $97.85
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X-Ray
Avg $21.81
71,739 claims
Behavioral & Mental Health Therapy
Avg $152.04
69,039 claims