Average Medicaid Pulmonary Function Test Payments in Santa Monica, CA: $13.94
Avg. Paid
$13.94
Range
$0.00 – $89.51
Total Claims
3,708
Providers
14
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 Santa Monica, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Regents Of The Univ Of California
1250 16Th St |
$15.91 | 2,118 | 1,700 |
|
Providence Saint John'S Health Center
2121 Santa Monica Blvd |
$8.94 | 332 | 282 |
|
Corinne Tina Sheth
1223 16Th St Ste 3400 |
$5.52 | 230 | 230 |
|
Timothy Jing Ping Young
1223 16Th St Ste 3400 |
$6.72 | 199 | 199 |
|
Shailesh Balasubramanian
1223 16Th St Ste 3400 |
$6.48 | 156 | 152 |
|
Gregory Bion Bierer
1223 16Th St |
$5.74 | 137 | 136 |
|
Oscar Alexander Estrada Paz
1260 15Th St Ste 600 |
$5.09 | 116 | 116 |
|
Swetha Gogineni
1223 16Th St Ste 3400 |
$6.26 | 101 | 101 |
|
Sanny K Chan
1301 20Th St Ste 220 |
$89.51 | 94 | 87 |
|
Yuqing Alexandria Gao
1223 16Th St Ste 3400 |
$5.83 | 94 | 94 |
|
Rebecca Lynn Rodriguez
1711 Ocean Park Blvd |
$0.00 | 83 | 72 |
|
Darren Michael Boyer
2001 Santa Monica Blvd Ste 490W |
$0.00 | 20 | 20 |
|
Christopher Adam Belfour
1250 16Th St |
$20.84 | 16 | 16 |
|
Gerard William Frank
1223 16Th St |
$6.95 | 12 | 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 Santa Monica, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Santa Monica, CA is $13.94 per claim, based on 3,708 claims from 14 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 Santa Monica, CA?
There are 14 Medicaid providers offering Pulmonary Function Test related services in Santa Monica, CA according to public payment data.
What is the price range for Pulmonary Function Test in Santa Monica, CA?
Medicaid reimbursement for Pulmonary Function Test in Santa Monica, CA ranges from $0.00 to $89.51 per claim, with an average of $13.94. 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
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Bronx, NY
Avg $23.40
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Phoenix, AZ
Avg $43.01
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Los Angeles, CA
Avg $28.44
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Detroit, MI
Avg $11.67
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Avg $22.57
373,557 claims
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Avg $4.49
329,206 claims
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Avg $8.96
258,632 claims
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