Average Medicaid Pulmonary Function Test Payments in Orange, CA: $16.11
Avg. Paid
$16.11
Range
$0.00 – $140.71
Total Claims
65,985
Providers
37
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 Orange, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Children'S Hospital Of Orange County
1201 W La Veta Ave |
$8.28 | 30,227 | 27,029 |
|
Alan E. Gorenberg
8506 E Chapman Ave |
$40.25 | 9,284 | 9,260 |
|
University Of California Irvine
101 The City Dr S |
$22.40 | 5,951 | 5,163 |
|
St. Joseph Hospital Of Orange
1100 W Stewart Dr |
$14.24 | 5,790 | 3,598 |
|
Children'S Hospital Of Orange County
1201 W La Veta Ave |
$13.56 | 4,851 | 4,747 |
|
Children'S Hospital Of Orange County
1201 W La Veta Ave |
$31.53 | 1,752 | 1,741 |
|
Hugo L Paz Y Mar
101 The City Dr S |
$24.61 | 1,244 | 1,165 |
|
Uc Regents
101 The City Dr S |
$2.67 | 1,020 | 1,018 |
|
Pediatric Subspecialty Faculty, Inc.
1201 W La Veta Ave |
$9.31 | 659 | 452 |
|
Children'S Hospital Of Orange County
1201 W La Veta Ave |
$10.49 | 657 | 506 |
|
Timothy David Hicks
1201 W La Veta Ave |
$6.80 | 613 | 610 |
|
Mark H. Ellis
455 S Main St |
$7.74 | 597 | 595 |
|
Childrens Hospital Of Orange County
455 S Main St |
$13.24 | 556 | 470 |
|
Clarisse Casilang
810 W Collins Ave |
$0.14 | 516 | 514 |
|
Pornchai Tirakitsoontorn
455 S Main St |
$5.92 | 397 | 396 |
|
Hanna Hong
1201 W La Veta Ave |
$6.74 | 211 | 211 |
|
Children'S Hospital Of Orange County
1201 W La Veta Ave |
$12.75 | 205 | 183 |
|
Panch Jeyakumar
101 The City Dr S |
$39.61 | 183 | 181 |
|
Sarah Samimi Field
725 W La Veta Ave |
$10.38 | 177 | 177 |
|
Children'S Hospital Of Orange County
1201 W La Veta Ave |
$14.21 | 162 | 162 |
|
Wan-Yin Chan
725 W La Veta Ave Ste 100 |
$5.58 | 149 | 149 |
|
Chao-I Lin
1140 W La Veta Ave Ste 850 |
$9.91 | 128 | 128 |
|
Matthew Brenner
Uci Medical Center |
$11.98 | 118 | 112 |
|
Adithya Cattamanchi
101 The City Dr S |
$2.30 | 79 | 79 |
|
Mahmoud Qasem Moammar
845 W La Veta Ave Ste 108 |
$7.83 | 75 | 69 |
|
Orange County Pediatric Cardiology Medical Group
1310 W Stewart Dr |
$23.94 | 71 | 71 |
|
Anchalee Yuengsrigul
455 S Main St |
$14.05 | 68 | 67 |
|
Rene Patino
101 The City Dr S |
$121.47 | 49 | 49 |
|
Hector Damian Valadez
101 The City Dr S |
$23.27 | 40 | 40 |
|
David Jefferson Reeder
101 The City Drive |
$32.28 | 38 | 38 |
|
Brian Dang
101 The City Dr S |
$140.71 | 28 | 28 |
|
Allergy Partners Of California, Inc.
1140 W La Veta Ave Ste 850 |
$58.72 | 25 | 25 |
|
Omar Medhat Amr
101 The City Dr S |
$5.66 | 14 | 14 |
|
John C Fox
Uci Medical Center |
$13.46 | 14 | 14 |
|
Phallin Theng Silver
1201 W La Veta Ave |
$0.00 | 13 | 13 |
|
Children'S Hospital Of Orange County
1201 W La Veta Ave |
$72.05 | 12 | 12 |
|
Uc Regents Uci Dept Of Pediatrics
101 The City Dr S |
$13.01 | 12 | 12 |
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 Orange, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Orange, CA is $16.11 per claim, based on 65,985 claims from 37 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 Orange, CA?
There are 37 Medicaid providers offering Pulmonary Function Test related services in Orange, CA according to public payment data.
What is the price range for Pulmonary Function Test in Orange, CA?
Medicaid reimbursement for Pulmonary Function Test in Orange, CA ranges from $0.00 to $140.71 per claim, with an average of $16.11. 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 Orange, CA
Blood Work & Lab Tests
Avg $4.74
2,673,584 claims
Office Visit
Avg $52.01
2,116,805 claims
Ambulance Transport
Avg $108.94
1,443,285 claims
X-Ray
Avg $8.74
1,084,008 claims
Emergency Room Visit
Avg $91.53
892,554 claims
Urinalysis & Urine Tests
Avg $2.54
841,684 claims
Dental Cleaning & Exam
Avg $49.98
541,480 claims
EKG / ECG (Electrocardiogram)
Avg $12.71
437,065 claims