Average Medicaid Pulmonary Function Test Payments in Pontiac, MI: $4.08
Avg. Paid
$4.08
Range
$0.00 – $205.53
Total Claims
14,584
Providers
16
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 Pontiac, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
St Joseph Mercy Hospital-Smhc
44405 Woodward Ave |
$1.67 | 6,947 | 5,646 |
|
Mclaren Oakland
50 N Perry St |
$0.53 | 5,057 | 3,242 |
|
Opdyke Medical, Pllc
3959 Centerpoint Pkwy Ste 100 |
$21.78 | 779 | 771 |
|
Sjmh Medical Practice-Smhc
44405 Woodward Ave |
$10.39 | 514 | 489 |
|
Annamma S Pullukat
44200 Woodward Ave |
$7.53 | 438 | 336 |
|
Lung Associates Pc
35 S Johnson |
$28.16 | 305 | 305 |
|
Oakland Physicians Medical Center, Llc
461 West Huron Street |
$0.00 | 220 | 117 |
|
Grace Pediatrics Pc
44200 Woodward Ave Ste 103 |
$5.17 | 126 | 125 |
|
Mclaren Oakland
50 N Perry St |
$0.00 | 55 | 39 |
|
Manjinder Pannu
44405 Woodward Ave |
$48.68 | 43 | 18 |
|
Monish Sharma
50 N Perry St |
$205.53 | 28 | 25 |
|
Oakland Integrated Healthcare Network
114 Orchard Lake |
$1.84 | 17 | 15 |
|
Brad A Blaker
50 N Perry St |
$17.08 | 16 | 12 |
|
Qamrul Hoda
35 S Johnson |
$8.66 | 14 | 13 |
|
Mclaren Oakland
50 N Perry St |
$3.17 | 13 | 13 |
|
Kelly William Welsh
50 N Perry St |
$174.92 | 12 | 12 |
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 Pontiac, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Pontiac, MI is $4.08 per claim, based on 14,584 claims from 16 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 Pontiac, MI?
There are 16 Medicaid providers offering Pulmonary Function Test related services in Pontiac, MI according to public payment data.
What is the price range for Pulmonary Function Test in Pontiac, MI?
Medicaid reimbursement for Pulmonary Function Test in Pontiac, MI ranges from $0.00 to $205.53 per claim, with an average of $4.08. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
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Milwaukee, WI
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Bronx, NY
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Phoenix, AZ
Avg $43.01
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Los Angeles, CA
Avg $28.44
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Avg $11.67
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Other Procedures in Pontiac, MI
Blood Work & Lab Tests
Avg $4.56
810,652 claims
Office Visit
Avg $38.84
654,326 claims
Emergency Room Visit
Avg $154.55
376,602 claims
Vaccines & Immunizations
Avg $7.39
267,864 claims
Urinalysis & Urine Tests
Avg $0.97
193,997 claims
Substance Abuse Treatment
Avg $43.30
130,217 claims
X-Ray
Avg $16.77
124,181 claims
Ambulance Transport
Avg $101.68
121,474 claims