Average Medicaid Pulmonary Function Test Payments in South Bend, IN: $20.10
Avg. Paid
$20.10
Range
$2.75 – $92.41
Total Claims
12,546
Providers
16
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 South Bend, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Asad Ansari
100 Navarre Pl Ste 5550 |
$28.37 | 4,397 | 4,084 |
|
Matthew Francis Koscielski
621 Memorial Drive |
$12.59 | 2,531 | 2,244 |
|
Ismail Al-Ani
621 Memorial Dr Ste 512 |
$15.44 | 2,139 | 1,891 |
|
Charbel F Maskiny
621 Memorial Drive |
$13.92 | 1,917 | 1,707 |
|
Rebecca Kathleen Kelln
100 Navarre Pl Ste 5550 |
$20.29 | 676 | 613 |
|
Jaclyn Ann Fusco
100 Navarre Pl Ste 5550 |
$26.54 | 275 | 245 |
|
Sohaib Aleem
211 N Eddy St |
$28.01 | 225 | 182 |
|
Gary B Fromm
615 N Michigan St |
$2.75 | 151 | 140 |
|
Jaimee Michelle Kamp
1815 E Ireland Rd |
$5.98 | 76 | 62 |
|
Paul N Zenker
615 N Michigan St 5Th Fl |
$92.41 | 50 | 49 |
|
Betsy Rossow
615 N Michigan St Fl 5 |
$20.40 | 28 | 14 |
|
Memorial Hospital Of South Bend
615 N Michigan St |
$73.00 | 26 | 13 |
|
Abigail Marie Korb
610 N Michigan St Ste 306 |
$5.22 | 16 | 16 |
|
Jennifer Pierce Heaney
610 N Michigan St |
$10.55 | 14 | 12 |
|
Steven Paul Spilger
615 N Michigan St |
$13.20 | 13 | 12 |
|
Peter Ray Martin
715 Park Ave |
$16.56 | 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 South Bend, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in South Bend, IN is $20.10 per claim, based on 12,546 claims from 16 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 South Bend, IN?
There are 16 Medicaid providers offering Pulmonary Function Test related services in South Bend, IN according to public payment data.
What is the price range for Pulmonary Function Test in South Bend, IN?
Medicaid reimbursement for Pulmonary Function Test in South Bend, IN ranges from $2.75 to $92.41 per claim, with an average of $20.10. 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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Office Visit
Avg $58.29
778,111 claims
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Avg $6.15
552,088 claims
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Avg $67.17
188,449 claims
Emergency Room Visit
Avg $95.59
180,378 claims
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Avg $31.56
170,960 claims
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Avg $10.10
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Avg $34.07
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Avg $58.84
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