Average Medicaid Pulmonary Function Test Payments in Rochester, MN: $28.73
Avg. Paid
$28.73
Range
$2.69 – $204.23
Total Claims
5,795
Providers
26
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, MN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Harsha Vardhan Mudrakola
200 1St St Sw |
$6.31 | 600 | 497 |
|
David Lowe
210 9Th St Se |
$47.91 | 536 | 525 |
|
Kaiser G Lim
200 1St St Sw |
$30.86 | 515 | 502 |
|
Sumedh Shrikant Hoskote
200 1St St Sw |
$28.64 | 456 | 446 |
|
Peter C Gay
200 1St St Sw |
$31.46 | 401 | 389 |
|
Hamid Rehman
200 1St St Sw |
$5.62 | 399 | 390 |
|
Alexander Stefan Niven
200 1St St Sw |
$28.31 | 380 | 374 |
|
Philippe R Bauer
200 1St St Sw |
$28.61 | 367 | 347 |
|
Timothy R Aksamit
200 1St St Sw |
$29.39 | 305 | 301 |
|
Richard A Oeckler
200 1St St Sw |
$32.00 | 301 | 294 |
|
Sophia M Pillai
200 1St St Sw |
$27.76 | 248 | 241 |
|
Karina Anne Keogh
200 1St St Sw |
$27.53 | 238 | 230 |
|
Kavitha Gopalratnam
200 1St St Sw |
$2.69 | 194 | 111 |
|
Anna Marie Depompolo
200 1St St Sw |
$57.35 | 192 | 175 |
|
Bilal Samhouri
200 1St St Sw |
$12.28 | 153 | 152 |
|
Gustavo Andres Cortes Puentes
200 1St St Sw |
$27.80 | 151 | 148 |
|
Hemang Yadav
200 1St St Sw |
$31.97 | 73 | 68 |
|
Blaine Evans
210 9Th St Se |
$148.61 | 66 | 51 |
|
Zhenmei Zhang
200 1St St Sw |
$26.96 | 47 | 47 |
|
David A. Mcalpine
1650 4Th St Se |
$37.15 | 31 | 29 |
|
Alexis Christie
200 1St St Sw |
$33.58 | 28 | 26 |
|
Hector R. Cajigas
200 1St St Sw |
$3.03 | 27 | 27 |
|
Aahd Kubbara
200 1St St Sw |
$12.26 | 24 | 24 |
|
Jana L Anderson
200 1St St Sw |
$204.23 | 24 | 22 |
|
Eniola O Fagbongbe
200 1St St Sw |
$9.38 | 23 | 15 |
|
Guruprasad Ranganatha Rao Kaginele
1650 4Th St Se |
$82.69 | 16 | 14 |
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, MN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Rochester, MN is $28.73 per claim, based on 5,795 claims from 26 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, MN?
There are 26 Medicaid providers offering Pulmonary Function Test related services in Rochester, MN according to public payment data.
What is the price range for Pulmonary Function Test in Rochester, MN?
Medicaid reimbursement for Pulmonary Function Test in Rochester, MN ranges from $2.69 to $204.23 per claim, with an average of $28.73. 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 Rochester, MN
Blood Work & Lab Tests
Avg $8.02
724,935 claims
Substance Abuse Treatment
Avg $161.27
481,555 claims
Office Visit
Avg $73.40
314,133 claims
Emergency Room Visit
Avg $154.08
291,969 claims
Non-Emergency Medical Transportation
Avg $21.92
218,514 claims
X-Ray
Avg $9.48
212,589 claims
Ambulance Transport
Avg $242.27
175,972 claims
EKG / ECG (Electrocardiogram)
Avg $7.67
130,505 claims