Average Medicaid Pulmonary Function Test Payments in Rochester Hills, MI: $13.55
Avg. Paid
$13.55
Range
$4.49 – $27.82
Total Claims
5,358
Providers
12
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 Rochester Hills, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tina Abraham Do Pllc
75 Barclay Cir Ste 205 |
$10.43 | 12 | 12 |
|
Mazen Sabbaq M.D. P.C.
75 Barclay Cir Ste 205 |
$7.84 | 22 | 20 |
|
Kidz 1St, P.L.L.C.
2370 Walton Blvd Suite 3 |
$9.45 | 39 | 37 |
|
Pro Health Medical Inc
1266 Walton Blvd |
$4.49 | 43 | 41 |
|
Pulmonary Allergy Critical Care & Sleep Associates Plc
75 Barclay Cir Ste 205 |
$9.07 | 122 | 122 |
|
Regal Pediatrics
2502 S Rochester Rd |
$27.82 | 136 | 136 |
|
Mohammed Wael Al-Ameri Md Pc
75 Barclay Cir Ste 205 |
$22.90 | 192 | 192 |
|
Syed Mohammed Hussain Raza
2084 S Livernois Rd |
$6.79 | 350 | 331 |
|
Bhavin Patel, M.D. P.C.
950 W Avon Rd |
$23.32 | 565 | 549 |
|
Pediatric Consultants Of Troy, P.C.
633 South Blvd E Ste 2400 |
$8.66 | 750 | 721 |
|
Ammar Ghanem Md Pllc
950 W Avon Rd |
$8.29 | 1,184 | 1,173 |
|
Lung Health Center Pllc
75 Barclay Cir |
$15.76 | 1,943 | 1,924 |
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 Rochester Hills, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Rochester Hills, MI is $13.55 per claim, based on 5,358 claims from 12 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 Rochester Hills, MI?
There are 12 Medicaid providers offering Pulmonary Function Test related services in Rochester Hills, MI according to public payment data.
What is the price range for Pulmonary Function Test in Rochester Hills, MI?
Medicaid reimbursement for Pulmonary Function Test in Rochester Hills, MI ranges from $4.49 to $27.82 per claim, with an average of $13.55. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
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Avg $23.88
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Phoenix, AZ
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Avg $11.67
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