Average Medicaid Pulmonary Function Test Payments in Peoria, IL: $16.01
Avg. Paid
$16.01
Range
$7.26 – $35.02
Total Claims
15,246
Providers
17
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 Peoria, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jon Christopher Michel
1001 Main St |
$7.73 | 4,768 | 4,525 |
|
Kenneth Arnett
200 E Pennsylvania Ave |
$33.81 | 2,919 | 2,408 |
|
Patrick E Whitten
1001 Main St |
$12.49 | 1,984 | 1,903 |
|
Ahmed Mohamed Agameya
900 Main St Ste 630 |
$7.42 | 1,425 | 1,405 |
|
Luke Yang Xie
5903 W Ivybridge Pl |
$13.55 | 933 | 754 |
|
Jeremiah Edward Crabb
1001 Main St |
$7.91 | 723 | 697 |
|
Nizar Kherallah
530 Ne Glen Oak Ave Dept Of |
$24.90 | 597 | 546 |
|
Ossama Ikladios
1001 Main St |
$16.86 | 579 | 559 |
|
Stephen J Smart
6615 N Big Hollow Rd |
$34.13 | 433 | 381 |
|
Deepak Taneja
1001 Main St |
$10.65 | 308 | 296 |
|
Priyasha Srivastava
1505 N Peoria Ave |
$13.48 | 185 | 185 |
|
Michael Leroy Peil
1001 Main St |
$25.08 | 161 | 157 |
|
Penelope A Ewbank
6615 N Big Hollow Rd |
$35.02 | 141 | 137 |
|
Aiyub Patel
900 Main St |
$7.26 | 45 | 45 |
|
Alaina M Taylor
1001 Main St Ste 200 |
$7.32 | 18 | 12 |
|
Rachael M Davis
530 Ne Glen Oak Ave |
$12.41 | 14 | 14 |
|
Kelley Scott Bond Smith
530 Ne Glen Oak Ave |
$8.08 | 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 Peoria, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Peoria, IL is $16.01 per claim, based on 15,246 claims from 17 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 Peoria, IL?
There are 17 Medicaid providers offering Pulmonary Function Test related services in Peoria, IL according to public payment data.
What is the price range for Pulmonary Function Test in Peoria, IL?
Medicaid reimbursement for Pulmonary Function Test in Peoria, IL ranges from $7.26 to $35.02 per claim, with an average of $16.01. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
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Fresno, CA
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New York, NY
Avg $26.86
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Milwaukee, WI
Avg $31.74
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Bronx, NY
Avg $23.40
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Phoenix, AZ
Avg $43.01
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Los Angeles, CA
Avg $28.44
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Avg $11.67
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Other Procedures in Peoria, IL
Office Visit
Avg $44.09
1,063,890 claims
Blood Work & Lab Tests
Avg $4.80
958,624 claims
Emergency Room Visit
Avg $74.72
561,795 claims
X-Ray
Avg $7.26
361,467 claims
Dental Cleaning & Exam
Avg $31.41
340,147 claims
Urinalysis & Urine Tests
Avg $2.89
300,640 claims
Ambulance Transport
Avg $163.96
291,502 claims
EKG / ECG (Electrocardiogram)
Avg $9.95
204,348 claims