Average Medicaid Pulmonary Function Test Payments in San Francisco, CA: $14.27
Avg. Paid
$14.27
Range
$0.00 – $78.94
Total Claims
25,465
Providers
68
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 Francisco, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
City & County Of San Francisco
1001 Potrero Ave |
$2.80 | 4,234 | 4,190 |
|
University Of California San Francisco Medical Center
505 Parnassus Ave |
$49.10 | 1,759 | 1,699 |
|
Sutter Bay Hospitals
3555 Cesar Chavez |
$47.79 | 1,536 | 1,412 |
|
V Courtney Broaddus
1001 Potrero Avenue |
$3.22 | 1,126 | 1,120 |
|
Elizabeth Rachel Gibb
Ucsf Pediatrics M691 |
$12.04 | 1,105 | 1,083 |
|
Laura L. Koth
400 Parnassus Ave |
$8.77 | 1,078 | 1,061 |
|
Ucsf Health Community Hospitals
900 Hyde St |
$16.30 | 1,072 | 894 |
|
Richard Jin-Yuan Wang
1001 Potrero Ave |
$4.51 | 994 | 985 |
|
Antonio Diaz Gomez
505 Parnassus Ave # M1094 |
$3.31 | 937 | 935 |
|
Philip Christy Hopewell
1001 Potrero Avenue |
$5.25 | 906 | 896 |
|
Priya B Shete
505 Parnassus Ave |
$3.31 | 720 | 720 |
|
Brian Lewis Block
1001 Potrero Ave Rm 5K1 |
$8.80 | 673 | 664 |
|
George Su
517 21St Ave |
$1.76 | 648 | 646 |
|
Laurence Huang
995 Potrero Ave |
$4.24 | 564 | 561 |
|
Christina Yoon
1001 Potrero Ave |
$5.06 | 502 | 498 |
|
Sutter Bay Hospitals
1101 Van Ness Ave |
$26.65 | 466 | 394 |
|
Stephen C. Lazarus
400 Parnassus Ave |
$8.88 | 451 | 441 |
|
Jenny Hanching Lin
550 16Th St Fl 4 |
$68.28 | 448 | 441 |
|
John Z Metcalfe
1001 Potrero Ave Rm 5K1 |
$3.23 | 428 | 425 |
|
University Of California, San Francisco
505 Parnassus Ave |
$78.94 | 411 | 408 |
|
Neeta Thakur
505 Parnassus Ave |
$4.12 | 365 | 364 |
|
John Randolph Balmes
1001 Potrero Avenue |
$3.40 | 246 | 246 |
|
Sofia Pan
1520 Stockton St |
$0.10 | 223 | 141 |
|
Jeffrey Earl Gotts
533 Parnassus Ave |
$8.56 | 216 | 210 |
|
Carolyn Marie Hendrickson
505 Parnassus Ave |
$2.27 | 215 | 215 |
|
Farzad Moazed
400 Parnassus Ave |
$10.43 | 210 | 210 |
|
Leslie Libeth Seijo
505 Parnassus Ave |
$6.69 | 190 | 190 |
|
Nancy Hoo
1520 Stockton St |
$0.18 | 185 | 110 |
|
Gwynne D. Church
400 Parnassus Ave |
$15.54 | 182 | 182 |
|
Jonathan Budzik
505 Parnassus Ave Rm M987 |
$10.29 | 171 | 171 |
|
Janet Trang Lim
550 16Th St Fl 5 |
$25.05 | 159 | 156 |
|
Nisha H Gidwani
2330 Post St Ste 420 |
$11.45 | 158 | 157 |
|
Alison M Dedent
400 Parnassus Ave Fl 5 |
$3.47 | 146 | 146 |
|
Timothy Gordon Dyster
505 Parnassus Ave |
$7.44 | 145 | 145 |
|
Kensho Iwanaga
521 Parnassus Ave |
$11.94 | 141 | 140 |
|
Michael Yim
2351 Clay St |
$0.70 | 137 | 136 |
|
Brendan Huang
505 Parnassus Ave |
$8.89 | 135 | 135 |
|
David M. Claman
2330 Post St |
$14.22 | 131 | 130 |
|
Brett James Ley
505 Parnassus Ave |
$6.45 | 129 | 124 |
|
Payam Nahid
1001 Potrero Ave |
$1.35 | 127 | 127 |
|
City & County Of San Francisco
1001 Potrero Ave |
$0.04 | 122 | 122 |
|
Leah Jean Witt Gaspard
400 Parnassus Ave Ste A-6118 |
$8.48 | 120 | 118 |
|
Connie L Amorde
3555 Cesar Chavez |
$12.84 | 116 | 113 |
|
Helen K Lu
1520 Stockton St |
$0.00 | 113 | 26 |
|
Sutter West Bay Hospitals
2333 Buchanan Street |
$28.22 | 110 | 101 |
|
Sutter Bay Hospitals
601 Duboce Ave |
$29.05 | 100 | 87 |
|
Sutter West Bay Hospitals
2333 Buchanan Street |
$0.00 | 99 | 95 |
|
Grace R Fuong
1520 Stockton Street |
$0.12 | 98 | 88 |
|
Julie Ng
1001 Potrero Avenue |
$3.29 | 90 | 89 |
|
David Jacob Erle
1001 Potrero Ave |
$2.30 | 87 | 84 |
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 Francisco, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in San Francisco, CA is $14.27 per claim, based on 25,465 claims from 68 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 Francisco, CA?
There are 68 Medicaid providers offering Pulmonary Function Test related services in San Francisco, CA according to public payment data.
What is the price range for Pulmonary Function Test in San Francisco, CA?
Medicaid reimbursement for Pulmonary Function Test in San Francisco, CA ranges from $0.00 to $78.94 per claim, with an average of $14.27. 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 Francisco, CA
Office Visit
Avg $27.38
4,381,925 claims
Substance Abuse Treatment
Avg $24.87
3,627,413 claims
Blood Work & Lab Tests
Avg $9.39
1,330,034 claims
Emergency Room Visit
Avg $99.86
864,304 claims
Case Management Services
Avg $219.34
857,389 claims
X-Ray
Avg $10.29
837,190 claims
Vaccines & Immunizations
Avg $4.60
793,901 claims
EKG / ECG (Electrocardiogram)
Avg $13.42
477,994 claims