Average Medicaid Pulmonary Function Test Payments in Roseville, CA: $25.30
Avg. Paid
$25.30
Range
$0.00 – $145.33
Total Claims
9,703
Providers
18
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 Roseville, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lawrence Dean Bistrong
5 Medical Plaza Dr Ste 190 |
$11.39 | 3,277 | 3,187 |
|
Matthew Stiles Bowdish
1528 Eureka Rd Ste 102 |
$17.44 | 1,823 | 1,786 |
|
Sutter Valley Hospitals
1 Medical Plaza Dr |
$37.72 | 1,468 | 1,228 |
|
Kaiser Foundation Hospitals
1600 Eureka Road |
$78.61 | 1,343 | 926 |
|
Sunil Pushpakumara Perera
935 Reserve Dr |
$0.68 | 544 | 464 |
|
Karan Chugh
5 Medical Plaza Dr Ste 190 |
$7.57 | 388 | 379 |
|
Chiraag S Patel
8735 Sierra College Blvd Ste 200 |
$3.20 | 277 | 194 |
|
Deepak Chandra
5 Medical Plaza Dr Ste 190 |
$8.41 | 205 | 205 |
|
Priscilla H Wong
1620 E Roseville Pkwy Ste 110 |
$36.59 | 115 | 115 |
|
Brent Edward Vanhoozen
5 Medical Plaza Dr |
$11.94 | 74 | 74 |
|
Mudita Gogna
1528 Eureka Rd Ste 102 |
$15.16 | 55 | 55 |
|
Arvind Kumar
1001 Riverside Ave |
$0.00 | 27 | 27 |
|
Asha Kaushik Desai
1528 Eureka Rd Ste 102 |
$20.20 | 25 | 25 |
|
Paul A Bilunos
5 Medical Plaza Dr |
$6.72 | 24 | 24 |
|
Abby Stretch
4010 Foothills Blvd Ste 102 |
$0.00 | 16 | 12 |
|
Bart J Peterson
3 Medical Plaza Dr Ste 140 |
$0.00 | 16 | 16 |
|
Jonathan David Packer
5 Medical Plaza Dr Ste 190 |
$82.89 | 14 | 13 |
|
Joshua James Mckamie
1600 Eureka Rd |
$145.33 | 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 Roseville, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Roseville, CA is $25.30 per claim, based on 9,703 claims from 18 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 Roseville, CA?
There are 18 Medicaid providers offering Pulmonary Function Test related services in Roseville, CA according to public payment data.
What is the price range for Pulmonary Function Test in Roseville, CA?
Medicaid reimbursement for Pulmonary Function Test in Roseville, CA ranges from $0.00 to $145.33 per claim, with an average of $25.30. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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