Average Medicaid Pulmonary Function Test Payments in San Leandro, CA: $24.77
Avg. Paid
$24.77
Range
$0.00 – $44.08
Total Claims
614
Providers
5
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 Leandro, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kaiser Foundation Hospitals
2500 Merced St |
$18.50 | 326 | 202 |
|
Alameda Health System
13855 E 14Th St |
$44.08 | 206 | 182 |
|
Laura Beth Denenberg
1300 Bancroft Ave |
$2.01 | 46 | 37 |
|
Michele Marie Tamse
1555 Doolittle Dr Ste 180 |
$0.00 | 18 | 15 |
|
Darcy Elizabeth Grant
1300 Bancroft Ave |
$0.00 | 18 | 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 San Leandro, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in San Leandro, CA is $24.77 per claim, based on 614 claims from 5 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 Leandro, CA?
There are 5 Medicaid providers offering Pulmonary Function Test related services in San Leandro, CA according to public payment data.
What is the price range for Pulmonary Function Test in San Leandro, CA?
Medicaid reimbursement for Pulmonary Function Test in San Leandro, CA ranges from $0.00 to $44.08 per claim, with an average of $24.77. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
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Milwaukee, WI
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Bronx, NY
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Phoenix, AZ
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Los Angeles, CA
Avg $28.44
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Other Procedures in San Leandro, CA
Ambulance Transport
Avg $95.70
358,816 claims
Office Visit
Avg $43.77
315,104 claims
Blood Work & Lab Tests
Avg $5.60
298,118 claims
Non-Emergency Medical Transportation
Avg $253.24
208,621 claims
Vaccines & Immunizations
Avg $5.69
185,116 claims
Emergency Room Visit
Avg $189.34
177,150 claims
Case Management Services
Avg $44.40
156,287 claims
X-Ray
Avg $30.22
135,273 claims