Average Medicaid Pulmonary Function Test Payments in Ponce, PR: $37.23
Avg. Paid
$37.23
Range
$0.00 – $59.55
Total Claims
17,656
Providers
11
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 Ponce, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lisandra Perez Colon
Edif Centro Caribe Suite 101-C |
$39.12 | 14 | 14 |
|
Luis Alexis Garcia Barreto
450 Calle Ferrocarril |
$32.58 | 57 | 39 |
|
Sonia J. Baez Colon
1484 Emilio Fagot Ave |
$0.00 | 63 | 42 |
|
Caribbean Pulmonary Medical Society, C.S.P.
2431 Ave Las Americas Ste 300 |
$51.32 | 202 | 195 |
|
Pedro G. Goyco
8169 Calle Concordia |
$59.55 | 629 | 492 |
|
Domingo Chardon
917 Ave Tito Castro |
$52.83 | 865 | 793 |
|
Dev Richard Boodoosingh
Torre San Lucas Suite 701 |
$18.07 | 1,560 | 1,450 |
|
Eugenio Rivera Rios
2431 Avenida Las Americas |
$40.05 | 1,618 | 1,413 |
|
Manuel A Morell Cataquet
2431 Avenida Las Americas |
$41.57 | 1,626 | 1,372 |
|
Hector Puig-Ramirez
917 Ave Tito Castro Ste 710 |
$40.87 | 1,882 | 1,607 |
|
George Paul Fahed
917 Ave Tito Castro |
$35.44 | 9,140 | 6,588 |
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 Ponce, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Ponce, PR is $37.23 per claim, based on 17,656 claims from 11 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 Ponce, PR?
There are 11 Medicaid providers offering Pulmonary Function Test related services in Ponce, PR according to public payment data.
What is the price range for Pulmonary Function Test in Ponce, PR?
Medicaid reimbursement for Pulmonary Function Test in Ponce, PR ranges from $0.00 to $59.55 per claim, with an average of $37.23. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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