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Based on public Medicaid payment data.

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

Other Procedures in Philadelphia, PA