Average Medicaid Pulmonary Function Test Payments in Southfield, MI: $13.35
Avg. Paid
$13.35
Range
$2.64 – $33.31
Total Claims
5,547
Providers
12
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 Southfield, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Southfield City Urgent Care Pc
23832 Southfield Rd |
$5.57 | 2,156 | 2,008 |
|
University Allergy & Asthma Center Pllc
23077 Greenfield Rd |
$16.86 | 1,645 | 1,624 |
|
Southfield Family Practice Pllc
22972 Lahser Road |
$21.92 | 993 | 975 |
|
Vk Internal Medicine, Pc
24777 Greenfield Rd |
$20.30 | 272 | 267 |
|
Ear Nose And Throat Consultants Pc
29201 Telegraph Rd |
$19.94 | 189 | 189 |
|
Ascension Providence Hospital
16001 W 9 Mile Rd |
$2.64 | 83 | 80 |
|
Ascension Providence Hospital
16001 W 9 Mile Rd |
$10.38 | 64 | 55 |
|
Laina Feinstein Md Pc
29829 Telegraph Rd |
$9.54 | 53 | 50 |
|
Ascension Providence Hospital
16001 W 9 Mile Rd |
$10.77 | 34 | 30 |
|
Edison Health Care Associates, Inc
20755 Greenfield Rd |
$33.31 | 26 | 25 |
|
First Ideal Enterprises Inc.
21700 Northwestern Hwy |
$20.90 | 16 | 16 |
|
O L Matthews Md Pc
29201 Telegraph Rd Ste 400 |
$19.56 | 16 | 16 |
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 Southfield, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Southfield, MI is $13.35 per claim, based on 5,547 claims from 12 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 Southfield, MI?
There are 12 Medicaid providers offering Pulmonary Function Test related services in Southfield, MI according to public payment data.
What is the price range for Pulmonary Function Test in Southfield, MI?
Medicaid reimbursement for Pulmonary Function Test in Southfield, MI ranges from $2.64 to $33.31 per claim, with an average of $13.35. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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