Average Medicaid Pulmonary Function Test Payments in Salem, MA: $24.43
Avg. Paid
$24.43
Range
$4.80 – $126.01
Total Claims
12,505
Providers
19
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 Salem, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
North Shore Medical Center, Inc.
81 Highland Ave |
$41.97 | 4,141 | 3,032 |
|
Cristina Mazzoni Palumbo
114R Highland Ave |
$13.21 | 2,031 | 1,310 |
|
James A Maclean
114R Highland Ave |
$13.51 | 1,017 | 686 |
|
Diana S Balekian
114R Highland Ave |
$15.74 | 828 | 563 |
|
Eyal Oren
114R Highland Ave |
$16.18 | 726 | 486 |
|
Sameer Shah
55 Highland Ave |
$5.43 | 661 | 647 |
|
Christopher Wesley Humphreys
55 Highland Ave |
$5.23 | 573 | 570 |
|
Andrew Ira Ober
114R Highland Ave |
$14.54 | 389 | 261 |
|
Zannat Ekram
81 Highland Ave |
$5.74 | 366 | 363 |
|
North Shore Medical Center, Inc.
81 Highland Ave |
$126.01 | 306 | 191 |
|
Christine A. Blaski
55 Highland Ave. |
$5.97 | 261 | 258 |
|
Jeanne E Gose
114R Highland Ave |
$14.67 | 249 | 161 |
|
Michelle Maciag
114R Highland Ave |
$17.45 | 240 | 181 |
|
Timothy William Roedder
55 Highland Ave Ste 104 |
$5.30 | 228 | 224 |
|
Patrick Livius Gordan
81 Highland Ave |
$5.48 | 214 | 214 |
|
Avalon Mertens
55 Highland Ave Ste 104 |
$4.80 | 172 | 172 |
|
Neil S. Shore
55 Highland Ave |
$5.36 | 74 | 74 |
|
Cheryl M D Souza
72 Highland Ave |
$13.35 | 16 | 15 |
|
Clovene P Campbell
72 Highland Ave |
$15.26 | 13 | 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 Salem, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Salem, MA is $24.43 per claim, based on 12,505 claims from 19 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 Salem, MA?
There are 19 Medicaid providers offering Pulmonary Function Test related services in Salem, MA according to public payment data.
What is the price range for Pulmonary Function Test in Salem, MA?
Medicaid reimbursement for Pulmonary Function Test in Salem, MA ranges from $4.80 to $126.01 per claim, with an average of $24.43. 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 Salem, MA
Non-Emergency Medical Transportation
Avg $33.00
362,264 claims
Blood Work & Lab Tests
Avg $5.52
329,371 claims
Office Visit
Avg $52.29
207,503 claims
Emergency Room Visit
Avg $116.60
167,439 claims
Psychiatric Evaluation
Avg $74.80
128,183 claims
Dental Cleaning & Exam
Avg $31.38
123,536 claims
EKG / ECG (Electrocardiogram)
Avg $4.10
90,574 claims
X-Ray
Avg $10.31
69,159 claims