Average Medicaid Pulmonary Function Test Payments in New York, NY: $26.86
Avg. Paid
$26.86
Range
$0.00 – $123.01
Total Claims
328,938
Providers
255
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 New York, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mayank Shukla
345 E 37Th St Rm 319 |
$31.72 | 32,311 | 28,293 |
|
The New York And Presbyterian Hospital
622 W 168Th St |
$37.39 | 27,709 | 26,514 |
|
St Lukes Roosevelt Hospital Center
1000 10Th Ave |
$38.50 | 18,424 | 17,200 |
|
Klaus-Dieter K Lessnau
332 E 14Th St |
$37.74 | 17,005 | 16,765 |
|
Thomas K Chan
198 Canal Street |
$17.68 | 14,217 | 13,113 |
|
New York City Health And Hospitals Corporation
506 Lenox Ave |
$27.83 | 12,249 | 10,270 |
|
Mount Sinai Hospital
1 Gustave L Levy Pl |
$31.63 | 12,080 | 11,164 |
|
City Medical Of Upper East Side, Pllc
336 E 86Th St |
$3.55 | 10,940 | 10,647 |
|
Nyu Langone Hospitals
550 1St Ave |
$75.67 | 10,564 | 9,913 |
|
Helen Khilkin-Sogoloff
425 E 61St St |
$9.67 | 7,370 | 7,278 |
|
George Hall
241 Canal St |
$20.38 | 7,282 | 7,246 |
|
The New York And Presbyterian Hospital
525 E 68Th St |
$5.80 | 7,152 | 6,478 |
|
Morris Nejat
116 E 36Th St |
$26.64 | 6,345 | 5,651 |
|
Edward Eden
425 W 59Th St |
$9.49 | 6,219 | 5,883 |
|
New York City Health And Hospitals Corporation
1901 1St Ave |
$33.73 | 5,838 | 5,350 |
|
Sami A Nachman
506 Lenox Ave |
$8.92 | 5,184 | 5,103 |
|
Abraham Sanders
520 E 70Th St # Starr-505 |
$26.28 | 4,599 | 4,584 |
|
Lenox Hill Hospital
100 E 77Th St |
$4.97 | 4,401 | 3,684 |
|
Singwu David Law
196 Canal St |
$21.75 | 4,346 | 4,328 |
|
New York City Health And Hospitals Corporation
462 First Avenue |
$44.15 | 4,239 | 4,053 |
|
Andrea Feng
139 Centre St |
$23.26 | 3,964 | 3,949 |
|
Sheng Wang
450 E 63Rd St Apt 4E |
$30.74 | 3,761 | 3,761 |
|
Wingtat Mui
53 Elizabeth St Rm 3B |
$21.81 | 3,745 | 3,745 |
|
Lourdes Marie E. Flaminiano
198 Canal St |
$31.50 | 3,646 | 3,583 |
|
Icahn School Of Medicine At Mount Sinai
1 Gustave L Levy Pl |
$17.19 | 3,503 | 3,474 |
|
14 Street Medical, Pc
332 E 14Th St |
$39.29 | 3,449 | 3,361 |
|
Mary M O'Sullivan
1090 Amsterdam Ave |
$9.85 | 3,231 | 2,997 |
|
Robert Bos
985 5Th Ave Ste 200 |
$13.43 | 2,947 | 2,933 |
|
James Friedlander Barrett
255 Greenwich St Rm 510 |
$22.89 | 2,701 | 2,593 |
|
Gwen S Skloot
5 East 98Th Street |
$37.06 | 2,535 | 2,529 |
|
Yong Kang He
77 Bowery Fl 3F |
$35.64 | 2,433 | 2,431 |
|
Adam S Morgenthau
10 E 102Nd St |
$34.43 | 2,231 | 2,227 |
|
Babubhai I Patel
2015 Amsterdam Ave |
$47.81 | 2,210 | 2,204 |
|
Kenneth Berger
400 E 34Th St |
$8.17 | 2,113 | 1,860 |
|
Chien Chiang
109 Lafayette St |
$18.10 | 1,841 | 1,542 |
|
Roman M Ostrowski
242 East 19Th Street |
$38.09 | 1,719 | 1,642 |
|
Barry J Weinberg
19 E 80Th St |
$12.87 | 1,718 | 1,583 |
|
Yin Sun
185 Canal St Suite 506 |
$27.96 | 1,597 | 1,540 |
|
Yin Yin Win
128 Mott St Ste 601 |
$45.95 | 1,576 | 1,568 |
|
Wilfredo Talavera
160 W 26Th St Fl 3 |
$32.33 | 1,562 | 1,497 |
|
Andrei Constantinescu
3959 Broadway |
$14.92 | 1,528 | 1,476 |
|
New York Allergy & Sinus Group, Pllc
116 East 36Th Street |
$23.75 | 1,505 | 1,346 |
|
Wuhua Jing
8 Chatham Sq |
$24.51 | 1,444 | 1,442 |
|
Robert Yao-Wen Lin
37 W 26Th St |
$23.84 | 1,316 | 1,254 |
|
Adil Shujaat
36 West 60Th Street |
$8.53 | 1,309 | 1,309 |
|
Niki Patel
2015 Amsterdam Ave |
$14.79 | 1,283 | 1,277 |
|
Emily Ann Dimango
622 W 168Th St |
$8.85 | 1,196 | 1,178 |
|
Anthony J. Smith
170 William St |
$9.44 | 1,184 | 1,184 |
|
Claire Mcgroder
161 Fort Washington Ave Fl 3 |
$6.75 | 1,120 | 1,104 |
|
Dustin Triet Nguyen
202 Canal St |
$24.45 | 1,078 | 1,061 |
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 New York, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in New York, NY is $26.86 per claim, based on 328,938 claims from 255 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 New York, NY?
There are 255 Medicaid providers offering Pulmonary Function Test related services in New York, NY according to public payment data.
What is the price range for Pulmonary Function Test in New York, NY?
Medicaid reimbursement for Pulmonary Function Test in New York, NY ranges from $0.00 to $123.01 per claim, with an average of $26.86. 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
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
New Haven, CT
Avg $13.65
177,307 claims · 60 providers
Other Procedures in New York, NY
Home Health Visit
Avg $167.81
48,743,027 claims
Office Visit
Avg $81.86
23,551,154 claims
Blood Work & Lab Tests
Avg $8.39
10,014,709 claims
Psychiatric Evaluation
Avg $116.70
6,547,727 claims
Physical Therapy
Avg $39.29
5,089,280 claims
Emergency Room Visit
Avg $130.02
3,905,512 claims
Case Management Services
Avg $322.62
3,682,218 claims
Eye Exam
Avg $50.07
3,393,865 claims