Average Medicaid Pulmonary Function Test Payments in San Antonio, TX: $28.72
Avg. Paid
$28.72
Range
$0.00 – $308.59
Total Claims
74,572
Providers
137
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 San Antonio, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Daniel Baker
102 Babcock Rd Ste 103 |
$22.55 | 27,268 | 23,300 |
|
Tarak J Patel
4114 Pond Hill Road |
$31.24 | 4,983 | 4,771 |
|
Amanda Mary Dove
5282 Medical Dr |
$19.36 | 3,531 | 3,076 |
|
Kelly J Smith
333 N Santa Rosa |
$31.14 | 3,495 | 3,386 |
|
Pedro Sepulveda
910 San Pedro Ave |
$24.44 | 3,200 | 3,139 |
|
Lukena Ulhas Karkhanis
2414 Babcock Rd |
$26.87 | 3,119 | 3,063 |
|
Joseph David Diaz
2414 Babcock Rd |
$26.56 | 2,740 | 2,602 |
|
Rebecca Ann Pena
333 N Santa Rosa St |
$105.31 | 2,695 | 2,544 |
|
Sandra Adams
903 W Martin St |
$7.49 | 2,063 | 2,034 |
|
Donna B Willey-Courand
7703 Floyd Curl Dr |
$43.77 | 1,789 | 1,713 |
|
Erika Gabriela Gonzalez
333 N Santa Rosa St |
$26.58 | 1,733 | 1,639 |
|
Erica Elizabeth Garcia
7500 Barlite Blvd |
$28.64 | 1,400 | 1,366 |
|
John Patrick Dice
10447 Highway 151 |
$23.77 | 1,253 | 1,222 |
|
Bexar County Hospital District
4502 Medical Dr |
$67.19 | 1,228 | 1,047 |
|
David F Piper
333 N Santa Rosa |
$13.08 | 1,201 | 1,117 |
|
Jay Peters
8300 Floyd Curl Dr |
$7.62 | 787 | 769 |
|
Valerie Erwin Parr
333 N Santa Rosa |
$8.57 | 589 | 523 |
|
Alma L Aguado
1445 Somerset Rd Ste 1 |
$12.96 | 510 | 404 |
|
Sushil Sadanand Valavalkar
7700 Floyd Curl |
$8.34 | 473 | 461 |
|
Felix Roberto Shardonofsky
333 N Santa Rosa St |
$81.62 | 473 | 451 |
|
Araceli Elizalde
21727 Ih 10 W |
$21.93 | 435 | 408 |
|
Kristine K. Rittichier
333 N Santa Rosa St |
$60.09 | 400 | 381 |
|
Paula Angelica Shelton
4502 Medical Dr |
$14.64 | 400 | 381 |
|
Esteban R Lopez
7108 Bandera Rd |
$5.73 | 392 | 370 |
|
Brenda Louise Giles
333 N Santa Rosa |
$10.48 | 320 | 215 |
|
Hussain Shakir
333 N Santa Rosa |
$52.29 | 306 | 289 |
|
Kimberly Stachniak
3066 E Commerce St |
$120.81 | 303 | 294 |
|
Audrey Erin Haywood
4502 Medical Dr |
$5.52 | 266 | 223 |
|
Methodist Healthcare System Of San Antonio, Ltd., L.L.P.
7700 Floyd Curl Drive |
$18.14 | 257 | 224 |
|
Sunil Udebhan Bochare
903 W Martin St |
$122.82 | 235 | 225 |
|
Maria Delrosario Aguirre Hernandez
2515 Castroville Rd |
$10.65 | 232 | 222 |
|
Carly Paige Hinojosa
333 N Santa Rosa |
$47.82 | 211 | 204 |
|
Angela Lauren Birdwell
12446 West Ave Ste 2001244 |
$7.98 | 206 | 200 |
|
Santos Cantu
333 N Santa Rosa St |
$46.19 | 190 | 180 |
|
Timothy David Rodriguez
98 Briggs St Ste 800 |
$65.95 | 188 | 167 |
|
Mary M Kirkendall-Atkins
8401 Datapoint Dr |
$54.85 | 188 | 179 |
|
David Eugene Hrncir
14615 San Pedro Ave Ste 250 |
$20.55 | 188 | 181 |
|
Kevin Proud
4502 Medical Dr |
$7.49 | 187 | 185 |
|
Jesus Ramon Guajardo
903 W Martin St |
$25.99 | 176 | 173 |
|
Joseline F Borchardt
2415 E Evans Rd Ste 108 |
$7.44 | 175 | 168 |
|
Christopher Joseph Burdick
4458 Medical Dr Ste 505 |
$5.66 | 171 | 169 |
|
Morey J Silverman
333 N Santa Rosa |
$7.60 | 151 | 150 |
|
Deborah L Callanan
333 N Santa Rosa |
$50.75 | 150 | 138 |
|
Rodolfo A. Estrada Anzueto
903 W Martin St |
$7.07 | 149 | 146 |
|
Charles Calais
1219 Mccullough Ave |
$28.11 | 141 | 111 |
|
Victor Octavio Diaz De Leon
9002 Culebra Rd |
$16.16 | 130 | 123 |
|
Ricardo Cosme Aguilar
2515 Castroville Rd Ste 1 |
$10.54 | 126 | 102 |
|
Aleli Casino Masajo
2148 Jackson Keller Rd |
$13.34 | 125 | 121 |
|
Grace Simone Hughes
7940 Floyd Curl Dr Ste 1050 |
$21.11 | 119 | 111 |
|
Cesar Francisco Artiles Feliz
10007 Huebner Rd Ste 402 |
$3.90 | 110 | 104 |
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 San Antonio, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in San Antonio, TX is $28.72 per claim, based on 74,572 claims from 137 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 San Antonio, TX?
There are 137 Medicaid providers offering Pulmonary Function Test related services in San Antonio, TX according to public payment data.
What is the price range for Pulmonary Function Test in San Antonio, TX?
Medicaid reimbursement for Pulmonary Function Test in San Antonio, TX ranges from $0.00 to $308.59 per claim, with an average of $28.72. 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 San Antonio, TX
Office Visit
Avg $47.25
4,471,070 claims
Personal Care Services
Avg $59.18
4,411,375 claims
Dental Cleaning & Exam
Avg $40.74
2,116,599 claims
Vaccines & Immunizations
Avg $6.82
1,972,578 claims
Emergency Room Visit
Avg $126.61
1,783,972 claims
Home Health Visit
Avg $36.92
1,523,622 claims
Blood Work & Lab Tests
Avg $7.55
1,133,231 claims
Physical Therapy
Avg $40.31
1,006,482 claims