Average Medicaid Pulmonary Function Test Payments in Philadelphia, PA: $33.31
Avg. Paid
$33.31
Range
$0.00 – $850.70
Total Claims
79,340
Providers
172
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 Philadelphia, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Childrens Hospital Of Philadelphia
34Th And Civic Center Blvd |
$114.87 | 6,889 | 5,245 |
|
Jeffrey Brian Hoag
219 N Broad St |
$19.01 | 5,696 | 5,565 |
|
Saqib Hasan Baig
834 Walnut St Ste 650 |
$17.75 | 3,551 | 3,489 |
|
Rafael L Perez
834 Walnut St Ste 650 |
$16.51 | 3,124 | 3,090 |
|
Jason S Fritz
3400 Civic Center Blvd Fl 1 |
$8.53 | 2,934 | 2,832 |
|
Vatsala Ramprasad
160 E Erie Ave |
$17.57 | 2,920 | 2,877 |
|
Sandra B. Weibel
834 Chestnut St |
$16.84 | 2,841 | 2,795 |
|
Michael Scharf
834 Walnut St |
$15.51 | 2,705 | 2,649 |
|
Daniel Joseph Dorgan
3400 Civic Center Blvd |
$8.93 | 2,475 | 2,397 |
|
Gilbert Dalonzo
3401 N Broad St |
$10.53 | 2,469 | 2,374 |
|
David Ciccolella
3401 N Broad St |
$9.14 | 2,168 | 2,098 |
|
Shweta Sood
3400 Spruce St |
$7.72 | 2,076 | 1,988 |
|
Oscar H Mayer
3401 Civic Center Blvd |
$19.54 | 1,952 | 1,914 |
|
Jonathan E Spahr
160 E Erie Ave |
$21.86 | 1,942 | 1,899 |
|
Janae K Heath
3400 Spruce St |
$8.99 | 1,780 | 1,723 |
|
Mary K Porteous
3400 Civic Center Blvd Fl 1 |
$12.63 | 1,728 | 1,659 |
|
Joel L Deitz
51 N. 39Th Street |
$7.16 | 1,375 | 1,349 |
|
Jennifer B Logan
160 E Erie Ave |
$25.84 | 1,260 | 1,233 |
|
Kathleen Brennan
3401 N Broad St |
$13.83 | 1,259 | 1,216 |
|
Stc Opco Llc
160 E Erie Ave |
$345.76 | 1,084 | 1,045 |
|
Cheilonda R Johnson
3400 Civic Center Blvd Fl 1 |
$8.17 | 1,081 | 1,039 |
|
Rachel A Kohn
Pcam - 3400 Civic Center Blvd |
$7.32 | 950 | 925 |
|
Marciarose Winston
34Th Street & Civic Center Boulevard |
$153.16 | 879 | 876 |
|
Michael W Sims
39Th & Market Street |
$7.41 | 866 | 843 |
|
Temple University Hospital, Inc
3401 N Broad St |
$33.42 | 825 | 817 |
|
Jamie L. Garfield
3401 N Broad St |
$13.39 | 821 | 789 |
|
Oshioke Esivue
5401 Old York Rd |
$8.27 | 781 | 722 |
|
Anita Bhandari
3401 Civic Center Blvd |
$65.20 | 760 | 754 |
|
Daniel Alejandro Salerno
3401 N Broad St |
$11.09 | 759 | 751 |
|
Maureen Banfe Josephson
3401 Civic Center Blvd |
$12.95 | 758 | 705 |
|
Kenneth Wiseman
1216 E Hunting Park Ave |
$22.90 | 724 | 678 |
|
Michaela Restivo Anderson
3400 Spruce St Bldg Stef |
$9.66 | 720 | 699 |
|
Trustees Of The University Of Pennsylvania
3400 Spruce St |
$26.69 | 701 | 603 |
|
Parag B. Desai
3401 N Broad St |
$12.53 | 680 | 671 |
|
Sean Duffy
3401 N Broad St |
$11.38 | 626 | 606 |
|
Kumar Sarvottam
5501 Old York Rd Ste 1 |
$6.95 | 582 | 554 |
|
Laura Theresa Ferguson
3600 Spruce St |
$7.41 | 568 | 550 |
|
Parth M Rali
3401 N Broad St |
$10.99 | 560 | 544 |
|
Mary Elizabeth Kreider
3400 Civic Center Blvd Fl 1 |
$9.70 | 503 | 481 |
|
Pooja Pandit
834 Walnut St Ste 650 |
$14.44 | 484 | 449 |
|
Gerard Criner
3401 N Broad St |
$11.46 | 476 | 465 |
|
Jeffrey Mark Ewig
3401 Civic Center Blvd |
$49.36 | 461 | 454 |
|
Courtney Quinlan
3401 Civic Center Blvd |
$26.58 | 439 | 435 |
|
John Smyth Michel
7515 Stenton Ave |
$19.15 | 427 | 412 |
|
Rohit Gupta
3401 N Broad St |
$11.94 | 403 | 398 |
|
Lijo Illipparambil
3401 N Broad St |
$11.29 | 400 | 395 |
|
Aamir Ajmeri
3401 N Broad St |
$7.17 | 399 | 384 |
|
Fatima Anjum
3401 N Broad St |
$10.25 | 397 | 355 |
|
Kartik V. Shenoy
3401 N Broad St |
$8.05 | 378 | 374 |
|
Sameep Sehgal
3401 N Broad St |
$7.67 | 348 | 335 |
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 Philadelphia, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Philadelphia, PA is $33.31 per claim, based on 79,340 claims from 172 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 Philadelphia, PA?
There are 172 Medicaid providers offering Pulmonary Function Test related services in Philadelphia, PA according to public payment data.
What is the price range for Pulmonary Function Test in Philadelphia, PA?
Medicaid reimbursement for Pulmonary Function Test in Philadelphia, PA ranges from $0.00 to $850.70 per claim, with an average of $33.31. 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 Philadelphia, PA
Office Visit
Avg $47.22
5,853,067 claims
Substance Abuse Treatment
Avg $57.23
5,131,687 claims
Psychiatric Evaluation
Avg $69.22
3,688,209 claims
Emergency Room Visit
Avg $135.52
3,661,931 claims
X-Ray
Avg $9.69
1,822,183 claims
Behavioral & Mental Health Therapy
Avg $119.23
1,618,868 claims
Blood Work & Lab Tests
Avg $6.85
1,492,079 claims
Dental Cleaning & Exam
Avg $29.51
1,399,541 claims