Average Medicaid Pulmonary Function Test Payments in San Luis Obispo, CA: $31.01
Avg. Paid
$31.01
Range
$0.00 – $40.64
Total Claims
20,841
Providers
10
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 Luis Obispo, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Daniel Robert More
1551 Bishop St Ste 220 |
$31.66 | 18,692 | 12,114 |
|
Central Coast Chest Consultants A Medical Corporation
1428 Phillips Ln |
$11.79 | 607 | 605 |
|
Mark I Soll
1304 Ella St Ste A |
$40.64 | 518 | 518 |
|
Kelli Marie Rose
1551 Bishop St |
$31.05 | 403 | 393 |
|
Robert J Holzhauer
1551 Bishop St |
$34.60 | 224 | 221 |
|
Yvonne Dolores Jones-Wicks
1241 Johnson Ave # 316 |
$0.34 | 137 | 101 |
|
Courtney Ramos
1551 Bishop Street, Bldg B |
$37.01 | 119 | 118 |
|
John A Khan-Variba
1551 Bishop St |
$0.00 | 65 | 64 |
|
Thomas R Vendegna
1304 Ella St Ste A |
$36.34 | 39 | 39 |
|
Michael J Ryan
1428 Phillips Ln Ste 203 |
$6.43 | 37 | 37 |
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 Luis Obispo, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in San Luis Obispo, CA is $31.01 per claim, based on 20,841 claims from 10 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 Luis Obispo, CA?
There are 10 Medicaid providers offering Pulmonary Function Test related services in San Luis Obispo, CA according to public payment data.
What is the price range for Pulmonary Function Test in San Luis Obispo, CA?
Medicaid reimbursement for Pulmonary Function Test in San Luis Obispo, CA ranges from $0.00 to $40.64 per claim, with an average of $31.01. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
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Other Procedures in San Luis Obispo, CA
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Avg $6.74
1,542,494 claims
Office Visit
Avg $62.92
514,146 claims
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Avg $2.49
200,234 claims
Behavioral & Mental Health Therapy
Avg $182.89
130,665 claims
Psychiatric Evaluation
Avg $111.99
121,406 claims
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Avg $90.65
112,808 claims
Case Management Services
Avg $203.23
98,142 claims
Culture & Microbiology Tests
Avg $4.65
87,338 claims