Average Medicaid Pulmonary Function Test Payments in Palo Alto, CA: $21.03
Avg. Paid
$21.03
Range
$0.00 – $83.78
Total Claims
46,202
Providers
27
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 Palo Alto, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Muhammad Hassan Bashir
725 Welch Rd |
$20.14 | 39,339 | 22,975 |
|
Lucile Salter Packard Children'S Hospital At Stanford
725 Welch Rd |
$31.49 | 2,508 | 2,462 |
|
Andrew James Maxwell
725 Welch Rd |
$16.35 | 544 | 536 |
|
Joann C Blessing-Moore
723 Emerson St |
$28.38 | 424 | 337 |
|
Susan Corinne Gage
770 Welch Rd Ste 350 |
$6.19 | 353 | 352 |
|
Eric Dong-Ming Zee
725 Welch Rd |
$25.27 | 349 | 344 |
|
Esmeralda Elisa Morales
725 Welch Rd |
$20.28 | 321 | 310 |
|
Diana Y Chen
725 Welch Rd |
$19.17 | 309 | 297 |
|
Tushar Jasubhai Desai
300 Pasteur Dr |
$8.28 | 301 | 300 |
|
Kubra Melike Bozkanat
725 Welch Rd |
$83.78 | 274 | 267 |
|
Mymy Cong Huyen Buu
725 Welch Rd |
$15.22 | 259 | 237 |
|
Carlos Eduardo Milla
725 Welch Rd |
$12.43 | 230 | 213 |
|
Michael Taymor
145 N California Avenue |
$55.15 | 158 | 155 |
|
John David Mark
725 Welch Rd |
$26.75 | 157 | 155 |
|
Aglaia Kaissa De Boer
300 Pasteur Dr |
$6.28 | 117 | 117 |
|
Xin Si
725 Welch Rd |
$16.75 | 114 | 112 |
|
Maria Saavedra Karlsson
725 Welch Rd |
$0.00 | 100 | 71 |
|
Michael C Tracy
725 Welch Rd |
$14.67 | 99 | 96 |
|
Rachna Gurjeet Wadia
725 Welch Rd |
$40.16 | 55 | 54 |
|
Karen Ann Hardy
725 Welch Rd |
$31.15 | 53 | 51 |
|
Lori Waihang Lee
725 Welch Rd |
$19.24 | 51 | 49 |
|
Katherine Hansen
725 Welch Rd |
$51.26 | 16 | 15 |
|
Sutter Bay Medical Foundation
795 El Camino Real |
$9.47 | 16 | 15 |
|
Julia Pederson
725 Welch Rd |
$14.36 | 16 | 12 |
|
Terry Robinson
725 Welch Rd |
$17.11 | 15 | 15 |
|
David Nachum Cornfield
770 Welch Rd |
$21.11 | 12 | 12 |
|
Manisha Newaskar
725 Welch Rd |
$31.71 | 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 Palo Alto, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Palo Alto, CA is $21.03 per claim, based on 46,202 claims from 27 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 Palo Alto, CA?
There are 27 Medicaid providers offering Pulmonary Function Test related services in Palo Alto, CA according to public payment data.
What is the price range for Pulmonary Function Test in Palo Alto, CA?
Medicaid reimbursement for Pulmonary Function Test in Palo Alto, CA ranges from $0.00 to $83.78 per claim, with an average of $21.03. 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 Palo Alto, CA
Office Visit
Avg $43.09
860,500 claims
X-Ray
Avg $7.22
305,903 claims
Blood Work & Lab Tests
Avg $11.98
301,455 claims
Vaccines & Immunizations
Avg $4.15
236,777 claims
EKG / ECG (Electrocardiogram)
Avg $13.82
120,401 claims
Ultrasound
Avg $60.90
120,394 claims
Emergency Room Visit
Avg $68.30
87,160 claims
Hearing Test (Audiometry)
Avg $18.47
80,368 claims