Average Medicaid Pulmonary Function Test Payments in San Jose, CA: $8.23
Avg. Paid
$8.23
Range
$0.00 – $41.05
Total Claims
37,835
Providers
29
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 Jose, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
James Saunders
124 Boston Ave |
$22.15 | 14 | 13 |
|
Theodore J Chu
130 Bellerose Dr |
$0.48 | 15 | 13 |
|
Philip K Hurst
751 S Bascom Ave |
$12.96 | 16 | 14 |
|
Vladimir G. Skorokhod
1375 Blossom Hill Rd |
$2.03 | 23 | 21 |
|
Ali Ghane Bassiri
2425 Samaritan Dr |
$3.85 | 26 | 26 |
|
Guardian Sleep Clinic, Llc
315 Piercy Rd |
$41.05 | 28 | 28 |
|
Virender K Sachdeva
175 N Jackson Ave |
$0.00 | 73 | 69 |
|
County Of Santa Clara
750 S Bascom Ave |
$0.00 | 73 | 70 |
|
Beth L. Bratt
2425 Samaritan Drive |
$21.86 | 77 | 77 |
|
Narges Alipanah-Lechner
751 S Bascom Ave |
$9.00 | 99 | 97 |
|
Sarkis Banipalsin
1610 Westwood Dr Ste 5 |
$8.24 | 151 | 147 |
|
Heng T Duong
751 S Bascom Ave |
$1.01 | 155 | 155 |
|
Christian Foglar
6140 Camino Verde Dr Ste L |
$0.23 | 253 | 148 |
|
Kaiser Foundation Hospitals
250 Hospital Pkwy |
$4.40 | 271 | 230 |
|
Vibha Mohindra
751 S Bascom Ave |
$2.24 | 392 | 392 |
|
Thomas D Lei
200 Jose Figueres Ave Ste 230 |
$0.71 | 493 | 487 |
|
Sleep Well Cpap Services, Llc
75 N Bascom Ave Ste 120 |
$39.97 | 563 | 563 |
|
Rami Keisari
751 S Bascom Ave |
$1.98 | 572 | 330 |
|
Eric Iee Hsiao
751 S Bascom Ave |
$1.48 | 608 | 608 |
|
Good Samaritan Hospital, L.P.
2425 Samaritan Dr |
$14.89 | 672 | 626 |
|
John Herbert Wehner
751 S Bascom Ave |
$1.50 | 681 | 680 |
|
Wei Chia Chen
751 S Bascom Ave |
$1.87 | 705 | 705 |
|
O'Connor Hospital
2105 Forest Ave |
$33.57 | 731 | 574 |
|
Jennifer Eunkyung Yoo
751 S Bascom Ave |
$0.01 | 863 | 449 |
|
Judy T Del Mundo
2061 Clarmar Way |
$0.51 | 909 | 854 |
|
Carl Martin Kirsch
751 S Bascom Ave |
$1.53 | 1,026 | 1,020 |
|
Amit Arun Gohil
751 S Bascom Ave |
$1.58 | 1,061 | 1,058 |
|
San Jose Healthcare System, L.P.
225 N Jackson Ave |
$8.99 | 2,505 | 2,275 |
|
County Of Santa Clara
751 S. Bascom Avenue |
$8.70 | 24,780 | 22,081 |
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 Jose, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in San Jose, CA is $8.23 per claim, based on 37,835 claims from 29 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 Jose, CA?
There are 29 Medicaid providers offering Pulmonary Function Test related services in San Jose, CA according to public payment data.
What is the price range for Pulmonary Function Test in San Jose, CA?
Medicaid reimbursement for Pulmonary Function Test in San Jose, CA ranges from $0.00 to $41.05 per claim, with an average of $8.23. 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
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