Average Medicaid Pulmonary Function Test Payments in Owensboro, KY: $36.45
Avg. Paid
$36.45
Range
$3.89 – $182.60
Total Claims
24,869
Providers
19
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 Owensboro, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Owensboro Health Inc
1201 Pleasant Valley Rd |
$49.70 | 14,601 | 12,129 |
|
Lee Stanton Clore
3604 Wathens Crossing |
$25.67 | 2,405 | 2,231 |
|
Sara Jane Martin
3604 Wathens Xing |
$18.23 | 1,651 | 1,583 |
|
Kelly Shawn Brauer
2851 New Hartford Rd |
$16.68 | 1,147 | 998 |
|
Rejmon Dedaj
2609 New Hartford Rd |
$16.30 | 1,055 | 964 |
|
Thomas Patrick Waring
1301 Pleasant Valley Rd |
$21.60 | 750 | 726 |
|
Berhanemeskel Nesketa
1301 Pleasant Valley Rd |
$12.72 | 726 | 682 |
|
Michael Muzoora
1301 Pleasant Valley Rd Ste 404 |
$11.91 | 590 | 555 |
|
Paul Bradley Brasher
1301 Pleasant Valley Rd Ste 404 |
$11.01 | 535 | 513 |
|
Meliha Hrustanovic-Kadic
1301 Pleasant Valley Rd Ste 404 |
$8.26 | 531 | 519 |
|
Sarah Elizabeth Neill
1201 Pleasant Valley Rd |
$10.11 | 501 | 488 |
|
John Sublett
4359 Scotland Dr |
$4.33 | 84 | 81 |
|
Sara Lynn Doolin-Thompson
3221 Frederica St Ste A&B |
$3.89 | 83 | 75 |
|
Mckenzie Stieneker
1000 Breckenridge St Ste 301 |
$7.28 | 58 | 54 |
|
Tisha Marlene Warren
3600 Frederica St |
$6.18 | 51 | 41 |
|
Gregory M. Fletcher
1201 Pleasant Valley Rd |
$15.79 | 33 | 24 |
|
Krystal Thurman Wright
3245 Mount Moriah Ave Ste 10 |
$4.84 | 31 | 25 |
|
Sarah D. Osborne
1000 Breckenridge St |
$10.49 | 24 | 24 |
|
Don Alexander Bertolotti
1201 Pleasant Valley Rd |
$182.60 | 13 | 13 |
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 Owensboro, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Owensboro, KY is $36.45 per claim, based on 24,869 claims from 19 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 Owensboro, KY?
There are 19 Medicaid providers offering Pulmonary Function Test related services in Owensboro, KY according to public payment data.
What is the price range for Pulmonary Function Test in Owensboro, KY?
Medicaid reimbursement for Pulmonary Function Test in Owensboro, KY ranges from $3.89 to $182.60 per claim, with an average of $36.45. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
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Avg $36.73
1,157,739 claims
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Avg $7.76
1,008,183 claims
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Avg $86.00
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Avg $62.26
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Avg $84.61
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Avg $152.85
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Avg $24.89
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Avg $18.17
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