Average Medicaid Pulmonary Function Test Payments in Plattsburgh, NY: $25.74
Avg. Paid
$25.74
Range
$0.00 – $41.87
Total Claims
6,565
Providers
7
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 Plattsburgh, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Champlain Valley Physicians Hospital Medical Center
75 Beekman St |
$41.87 | 3,534 | 3,127 |
|
Wajih Aksamawati Dit Arja
206 Cornelia St Ste 307 |
$7.43 | 1,084 | 1,043 |
|
Harold H Chaskey
151 Bridge Street |
$0.12 | 970 | 936 |
|
Michael Kosters
206 Cornelia St Ste 307 |
$7.99 | 532 | 532 |
|
Melynne Y Mcarthur
75 Beekman St |
$25.40 | 302 | 299 |
|
Sadaf N Mir
206 Cornelia St |
$7.94 | 114 | 114 |
|
Sobia A Qudsi
25 Degrandpre Way |
$0.00 | 29 | 29 |
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 Plattsburgh, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Plattsburgh, NY is $25.74 per claim, based on 6,565 claims from 7 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 Plattsburgh, NY?
There are 7 Medicaid providers offering Pulmonary Function Test related services in Plattsburgh, NY according to public payment data.
What is the price range for Pulmonary Function Test in Plattsburgh, NY?
Medicaid reimbursement for Pulmonary Function Test in Plattsburgh, NY ranges from $0.00 to $41.87 per claim, with an average of $25.74. 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
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Detroit, MI
Avg $11.67
181,938 claims · 75 providers
Other Procedures in Plattsburgh, NY
Office Visit
Avg $81.03
352,712 claims
Blood Work & Lab Tests
Avg $18.00
247,742 claims
Psychiatric Evaluation
Avg $108.77
96,574 claims
Emergency Room Visit
Avg $118.11
88,317 claims
Vaccines & Immunizations
Avg $12.72
64,934 claims
Physical Therapy
Avg $59.82
60,972 claims
Substance Abuse Treatment
Avg $83.72
54,971 claims
EKG / ECG (Electrocardiogram)
Avg $6.30
51,010 claims