Average Medicaid Pulmonary Function Test Payments in San Juan, PR: $38.98
Avg. Paid
$38.98
Range
$0.00 – $76.34
Total Claims
14,353
Providers
21
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 Juan, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Edgardo F Cartagena Ayala
369 Ave De Diego |
$32.28 | 3,787 | 3,391 |
|
Jose Rafael Rodriguez-Santana
735 Ponce De Leon Ave |
$43.48 | 3,146 | 2,278 |
|
Instituto Neumologico De Puerto Rico
Edif Clinica Las Americas Ofic 205 |
$44.56 | 2,310 | 2,161 |
|
Pedro J Yapor
Urb Las Lomas Carr 21 U-3-3 |
$24.54 | 966 | 742 |
|
Rene Ramirez-Ortiz
369 Calle De Diego Ste 304 |
$47.70 | 800 | 755 |
|
Stella Maris Baez Corujo
University District Hospital |
$76.34 | 620 | 550 |
|
Christian Castillo Latorre
100 Grand Paseo Blvd Ste 106-A |
$33.36 | 537 | 336 |
|
Hypnos Estudio De Sueno Csp
1764 Ave Paz Granela |
$30.20 | 472 | 437 |
|
Municipality Of San Juan Pr
Centro Medico Bo. Monacillos |
$47.34 | 309 | 309 |
|
Vivian Lourdes Acebal Lopez
1511Ave. Juan Ponce De Leon |
$3.10 | 261 | 241 |
|
Julio J Rodriguez Quinones
University District Hospital |
$18.16 | 215 | 174 |
|
Joel Efrain Nieves Scharon
400 Ave Franklin D. Roosevelt |
$48.55 | 203 | 149 |
|
Centro De Neumologia Pediatrica
735 Ave Ponce De Leon |
$51.98 | 185 | 161 |
|
Sandra E Rosario Lebron
Edif Clinica Las Americas Ofic 205 |
$42.75 | 146 | 110 |
|
Katiuska Nikole Baez Lopez
596 Calle Cesar Gonzalez |
$0.00 | 108 | 89 |
|
Frankie Alvarado
400 Ave Fd Roosevelt |
$55.31 | 103 | 87 |
|
Municipality Of San Juan
Bo. Monacillos Centro Medico |
$52.18 | 54 | 45 |
|
Respiratory Care Specialists Llp
735 Ponce De Leon Ave |
$40.79 | 50 | 50 |
|
Maximo C Blondet Passalacqua
400 Ave Fd Roosevelt |
$2.41 | 48 | 48 |
|
Elaine Jimenez Gonzalez
University District Hospital |
$8.52 | 20 | 14 |
|
Carlos Ruben Garcia Rodriguez
400 Ave Fd Roosevelt |
$23.69 | 13 | 13 |
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 Juan, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in San Juan, PR is $38.98 per claim, based on 14,353 claims from 21 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 Juan, PR?
There are 21 Medicaid providers offering Pulmonary Function Test related services in San Juan, PR according to public payment data.
What is the price range for Pulmonary Function Test in San Juan, PR?
Medicaid reimbursement for Pulmonary Function Test in San Juan, PR ranges from $0.00 to $76.34 per claim, with an average of $38.98. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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