Average Medicaid Pulmonary Function Test Payments in Pittsburgh, PA: $15.02
Avg. Paid
$15.02
Range
$0.00 – $161.23
Total Claims
12,290
Providers
31
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 Pittsburgh, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Daniel Weiner
200 Lothrop St |
$17.65 | 2,299 | 2,246 |
|
Mark Dovey
4401 Penn Ave |
$17.16 | 1,929 | 1,898 |
|
Joseph Pilewski
3601 5Th Ave |
$5.53 | 1,662 | 1,612 |
|
Daniel Townshend Atwood
4401 Penn Ave |
$17.13 | 850 | 835 |
|
Geoffrey Kurland
3705 5Th Ave |
$17.48 | 831 | 819 |
|
Michael Patrick Donahoe
3601 5Th Ave Fl 4 |
$6.28 | 774 | 762 |
|
Allyson Sara Larkin
4401 Penn Ave Ste 3300 |
$18.74 | 648 | 620 |
|
Christopher Faber
3601 5Th Ave |
$5.17 | 613 | 607 |
|
Upmc Children'S Hospital Of Pittsburgh
4401 Penn Ave |
$31.04 | 563 | 510 |
|
James Lanz
5200 Centre Ave |
$9.67 | 405 | 405 |
|
Levent Midyat
4401 Penn Ave |
$14.59 | 310 | 304 |
|
Emily Yee
5200 Centre Ave |
$6.99 | 227 | 223 |
|
John W Kreit
3601 5Th Ave |
$4.91 | 209 | 205 |
|
Kayla Rose Maropis
490 E North Ave |
$27.30 | 195 | 186 |
|
Michael A Apostolis
490 E North Ave Ste 300 |
$17.53 | 127 | 126 |
|
Ashley Houghton
200 Lothrop St |
$5.48 | 108 | 108 |
|
Jessica Reyes Angel
4401 Penn Avenue-Aob Suite 3300 |
$19.18 | 86 | 84 |
|
Azmat Qayyum
5131 Liberty Ave |
$19.24 | 76 | 73 |
|
Nadine Ghossoub Dandachi
3601 5Th Ave |
$7.17 | 68 | 68 |
|
Marvin Relato Balaan
490 E North Ave |
$14.02 | 54 | 53 |
|
Ahmad Alhajhusain
490 E North Ave |
$16.68 | 40 | 40 |
|
Upmc Presbyterian Shadyside
200 Lothrop St |
$14.00 | 31 | 28 |
|
Joseph Noga
2 Hot Metal St |
$161.23 | 26 | 26 |
|
Raghukumar D Thirumala
490 E North Ave |
$19.63 | 25 | 25 |
|
John Matthew Brehm
200 Delafield Rd Ste 2040 |
$8.47 | 25 | 25 |
|
Jeremiah Escajeda
6305 Marchand St Apt 17 |
$145.92 | 25 | 13 |
|
Mitchell Patti
200 Delafield Rd |
$5.27 | 24 | 24 |
|
Najeeb Taki
320 E North Ave |
$0.00 | 20 | 12 |
|
University Of Pittsburgh Physicians
200 Lothrop St |
$24.33 | 14 | 14 |
|
Tyler Harris
4401 Penn Ave |
$78.48 | 13 | 13 |
|
Gabriel Cisneros
5608 Wilkins Ave Ste 202 |
$24.17 | 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 Pittsburgh, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Pittsburgh, PA is $15.02 per claim, based on 12,290 claims from 31 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 Pittsburgh, PA?
There are 31 Medicaid providers offering Pulmonary Function Test related services in Pittsburgh, PA according to public payment data.
What is the price range for Pulmonary Function Test in Pittsburgh, PA?
Medicaid reimbursement for Pulmonary Function Test in Pittsburgh, PA ranges from $0.00 to $161.23 per claim, with an average of $15.02. 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 Pittsburgh, PA
Blood Work & Lab Tests
Avg $12.74
5,898,610 claims
Office Visit
Avg $58.11
1,594,344 claims
Emergency Room Visit
Avg $104.00
1,342,847 claims
Urinalysis & Urine Tests
Avg $4.28
839,744 claims
X-Ray
Avg $8.11
814,115 claims
Culture & Microbiology Tests
Avg $5.35
530,883 claims
Physical Therapy
Avg $57.35
415,480 claims
EKG / ECG (Electrocardiogram)
Avg $8.10
404,951 claims