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Based on public Medicaid payment data.

Average Medicaid Pulmonary Function Test Payments in Rochester, NY: $33.52

Avg. Paid

$33.52

Range

$2.36 – $214.82

Total Claims

33,213

Providers

46

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, NY

Provider Avg. Paid Claims Patients
Kellie Danglis

900 Elmgrove Rd

 $8.97 12 12
Peter Capucilli

10 Hagen Dr Ste 20

 $16.37 12 12
Adam Schulenberg

601 Elmwood Ave

 $20.12 12 12
Karen Susan Penird

500 Helendale Rd

 $39.34 12 12
Jennifer J Stalica

1561 Long Pond Road

 $6.44 12 12
Mahta Mortezavi

222 Alexander St Ste 3000

 $37.38 12 12
Kelsey Haag

1300 Jefferson Rd Ste 100

 $13.01 12 12
Diana Lynn Andolina

900 Elmgrove Rd

 $9.66 13 13
Theresa A Bingemann

222 Alexander St

 $29.81 13 13
Katharine Lynn Kurtz

1425 Portland Ave

 $15.01 13 13
Heidi Jaworski

1425 Portland Ave

 $10.58 13 13
Caitlynn Fantigrossi

900 Elmgrove Rd

 $19.36 13 13
Kimberly Jennie Depape

601 Elmwood Ave

 $9.82 14 14
Mariola B Kubicka

300 Meridian Centre

 $29.50 14 14
Matthew L Ferrantino

1561 Long Pond Rd

 $6.71 24 24
Mark W Frampton

601 Elmwood Ave

 $2.36 25 25
Sara K Willistein

222 Alexander St Ste 3000

 $24.91 25 25
Maria P Rivera

400 Red Creek Dr Ste 110

 $3.05 26 26
Serban A Staicu

1000 South Ave

 $6.62 27 27
Luanna Yang

10 Hagen Dr Ste 20

 $27.88 27 27
Joseph Modrak

601 Elmwood Ave

 $6.42 32 32
Emily Weis

300 Meridian Centre Blvd

 $27.59 37 36
Emily Ummer

1425 Portland Ave

 $23.88 46 43
Rebecca A Flynn

1425 Portland Ave

 $14.52 46 46
Jazeela Fayyaz

1561 Long Pond Rd

 $8.27 51 51
Margaret Connolly

601 Elmwood Ave

 $39.31 52 52
Andrew James Kretovic

158 Sawgrass Dr Fl 2

 $214.82 53 46
Divya Chhabra

601 Elmwood Ave

 $10.21 62 62
Thomas J Belt

1555 Long Pond Rd

 $37.17 69 51
James Andrew Murray

1561 Long Pond Rd

 $7.49 80 80
Albert S Hartel

300 Meridian Centre

 $26.51 80 79
Damanpaul Singh Sondhi

1425 Portland Avenue

 $8.40 82 82
Michael C. Kallay

1000 South Ave

 $11.81 119 117
Allison Ramsey

222 Alexander St

 $28.78 121 121
Syed Shahzad Mustafa

2300 W Ridge Rd

 $25.45 139 136
Monica L. Vielkind

601 Elmwood Ave

 $10.75 185 185
Farrukh Abbas

1425 Portland Ave

 $5.72 380 346
Eduardo Arreaza

222 Alexander St

 $24.76 385 380
Fariba Rezaee

601 Elmwood Ave

 $13.80 667 494
Highland Hospital Of Rochester

1000 South Ave

 $22.69 832 743
Manoj Jacob Mammen

601 Elmwood Ave.

 $16.34 1,043 1,033
Karen Voter

601 Elmwood Ave

 $10.12 1,446 1,420
U Of R Neurology Department

601 Elmwood Ave

 $76.51 2,979 2,795
The Unity Hospital Of Rochester

1555 Long Pond Rd

 $25.03 4,656 4,433
Rochester General Hospital

1425 Portland Ave

 $32.89 6,393 5,771
University Of Rochester

601 Elmwood Ave

 $34.89 12,847 12,412

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, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Rochester, NY is $33.52 per claim, based on 33,213 claims from 46 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, NY?

There are 46 Medicaid providers offering Pulmonary Function Test related services in Rochester, NY according to public payment data.

What is the price range for Pulmonary Function Test in Rochester, NY?

Medicaid reimbursement for Pulmonary Function Test in Rochester, NY ranges from $2.36 to $214.82 per claim, with an average of $33.52. 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, NY

Home Health Visit

Avg $155.96

4,468,559 claims

Blood Work & Lab Tests

Avg $13.58

3,406,771 claims

Office Visit

Avg $80.81

3,372,720 claims

Emergency Room Visit

Avg $129.50

1,243,277 claims

Case Management Services

Avg $416.23

1,188,020 claims

Psychiatric Evaluation

Avg $142.49

1,087,559 claims

Substance Abuse Treatment

Avg $66.55

788,422 claims

Physical Therapy

Avg $59.14

727,107 claims