Average Medicaid Pulmonary Function Test Payments in Oakland, CA: $35.40
Avg. Paid
$35.40
Range
$0.00 – $57.00
Total Claims
25,963
Providers
20
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 Oakland, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Allison Robbins
747 52Nd St |
$15.26 | 14 | 12 |
|
Lourdes Juarez
747 52Nd St |
$0.00 | 16 | 16 |
|
Dayna Alexis Long
747 52Nd St |
$1.30 | 26 | 26 |
|
Kara Rakoczy-Byun
1800 Harrison St |
$1.67 | 39 | 39 |
|
Edward Fong
747 52Nd St |
$26.65 | 40 | 31 |
|
Ryan P. Pavlovich
275 W Macarthur Blvd |
$57.00 | 60 | 59 |
|
Robert Watts
3001 High St |
$0.20 | 89 | 88 |
|
Kaiser Foundation Health Plan Inc
1800 Harrison St Fl 25 |
$13.15 | 97 | 82 |
|
Leland George Dobbs
411 30Th St |
$5.78 | 168 | 167 |
|
Sutter East Bay Hospitals
350 Hawthorne Ave |
$45.17 | 212 | 178 |
|
Benjamin David Wiederhold
1411 E 31St St |
$9.93 | 245 | 231 |
|
Alameda Health System
1411 E 31St St |
$40.02 | 424 | 403 |
|
Bryon D. Quick
280 W Macarthur Blvd |
$0.45 | 695 | 692 |
|
Kaiser Foundation Hospitals
280 W Macarthur Blvd |
$25.87 | 742 | 565 |
|
Carol Elizabeth Glann
3055 Macarthur Blvd |
$2.68 | 1,108 | 981 |
|
Nirav R. Bhakta
275 W Macarthur |
$8.57 | 1,512 | 1,486 |
|
Justin P Dumouchel
3300 Webster St Ste 1000 |
$2.63 | 1,570 | 1,543 |
|
Sutter Bay Hospitals
350 Hawthorne Avenue |
$43.25 | 4,253 | 3,978 |
|
Alameda Health System
1411 E 31St Street |
$56.49 | 6,945 | 6,526 |
|
Children'S Hospital & Research Center At Oakland
747 52Nd St |
$34.66 | 7,708 | 6,832 |
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 Oakland, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Oakland, CA is $35.40 per claim, based on 25,963 claims from 20 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 Oakland, CA?
There are 20 Medicaid providers offering Pulmonary Function Test related services in Oakland, CA according to public payment data.
What is the price range for Pulmonary Function Test in Oakland, CA?
Medicaid reimbursement for Pulmonary Function Test in Oakland, CA ranges from $0.00 to $57.00 per claim, with an average of $35.40. 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
Other Procedures in Oakland, CA
Office Visit
Avg $19.22
2,992,452 claims
Substance Abuse Treatment
Avg $23.42
1,786,349 claims
Blood Work & Lab Tests
Avg $9.55
1,668,108 claims
Emergency Room Visit
Avg $83.54
1,142,476 claims
Behavioral & Mental Health Therapy
Avg $224.83
867,225 claims
Vaccines & Immunizations
Avg $3.16
684,001 claims
X-Ray
Avg $24.32
646,804 claims
Urinalysis & Urine Tests
Avg $3.70
415,978 claims