Average Medicaid Pulmonary Function Test Payments in Springfield, IL: $24.20
Avg. Paid
$24.20
Range
$0.32 – $49.18
Total Claims
18,235
Providers
40
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 Springfield, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Srinivasa Kakumani
1025 S 6Th St |
$25.33 | 3,027 | 2,926 |
|
David C Crabtree
2151 W White Oaks Dr |
$19.69 | 2,319 | 1,604 |
|
Gaurav Sangwan
1025 S 6Th St |
$18.22 | 1,819 | 1,733 |
|
Samir Patel
1025 S 6Th St |
$23.87 | 1,623 | 1,537 |
|
Jessica Berry Moja
1025 S 6Th St |
$25.79 | 1,576 | 1,533 |
|
Anwar Shafi
301 N 8Th St |
$43.25 | 1,480 | 1,168 |
|
Philip James Abraham
1025 S 6Th St |
$24.02 | 1,350 | 1,306 |
|
Jeremiah Sean Reedy
1025 S 6Th St |
$16.09 | 862 | 742 |
|
Mark R Johnson
301 N 8Th St |
$49.18 | 783 | 617 |
|
Mouhamad Haitham Bakir
751 N Rutledge St Ste 1700 |
$22.16 | 588 | 491 |
|
Michael J Light
400 N 9Th St Fl 3 |
$16.80 | 580 | 542 |
|
Mingchen Song
751 N Rutledge St Ste 1700 |
$18.55 | 370 | 321 |
|
Mary Olivia Polk
301 N 8Th St |
$9.27 | 253 | 191 |
|
Omar Zuhair Abdulfattah
751 N Rutledge St Ste 1700 |
$11.12 | 231 | 218 |
|
Jessica Lynne Heil
701 N 1St St |
$13.58 | 185 | 142 |
|
Michelle Christine Bollinger
400 N 9Th St Fl 3 |
$25.04 | 163 | 162 |
|
Nathalie Emma-Marie Foray
751 N Rutledge St Ste 1700 |
$17.07 | 136 | 103 |
|
Peter White
751 N Rutledge St Ste 1700 |
$25.16 | 117 | 87 |
|
Konstantin I Denev
415 N 9Th St |
$0.32 | 117 | 100 |
|
Ashley H Overmeyer
3132 Old Jacksonville Rd |
$13.93 | 72 | 62 |
|
Jennifer Brennan Nelson
1025 S 6Th St |
$13.08 | 66 | 53 |
|
Rajagopal V Sreedhar
751 N Rutledge St Ste 1700 |
$12.42 | 65 | 58 |
|
Alison M Peddycoart
1836 S Macarthur Blvd |
$14.35 | 58 | 44 |
|
Pradeep S Kulkarni
543 W Miller St |
$11.77 | 56 | 50 |
|
Lanie E Eagleton
751 N Rutledge St |
$38.40 | 43 | 36 |
|
David N Wright
543 W Miller St |
$25.98 | 40 | 30 |
|
Brieana D. Kesterson
315 W Carpenter St |
$13.65 | 31 | 30 |
|
Taylor W Stone
751 N Rutledge St Ste 1700 |
$18.41 | 26 | 26 |
|
Ali Bin Sarwar Zubairi
751 N Rutledge St Ste 1700 |
$11.21 | 24 | 24 |
|
Sarah Elizabeth Halsey
3220 Atlanta St |
$13.84 | 22 | 18 |
|
Andrew W Messmore
3132 Old Jacksonville Rd |
$16.68 | 20 | 14 |
|
Brooke Marie Wangen
2532 Farragut Dr |
$12.89 | 18 | 14 |
|
Amber Sperry
3132 Old Jacksonville Rd |
$14.50 | 15 | 14 |
|
Mischaela N Aring
401 E Carpenter St |
$13.53 | 15 | 13 |
|
Allison M Trigg
3132 Old Jacksonville Rd |
$13.82 | 15 | 12 |
|
Emily M Schafer
751 N Rutledge St Ste 1700 |
$40.92 | 15 | 15 |
|
Jennifer K. Tinsley
1100 E Lincolnshire Blvd |
$35.64 | 14 | 13 |
|
Kelsey Lynne Reed
751 N Rutledge St Ste 2100 |
$16.68 | 14 | 12 |
|
Jessica Sestak Winkleman
315 W Carpenter St Fl 1 |
$13.66 | 14 | 14 |
|
Ivette Jaqueline Cortes
3132 Old Jacksonville Rd |
$14.50 | 13 | 13 |
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 Springfield, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Springfield, IL is $24.20 per claim, based on 18,235 claims from 40 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 Springfield, IL?
There are 40 Medicaid providers offering Pulmonary Function Test related services in Springfield, IL according to public payment data.
What is the price range for Pulmonary Function Test in Springfield, IL?
Medicaid reimbursement for Pulmonary Function Test in Springfield, IL ranges from $0.32 to $49.18 per claim, with an average of $24.20. 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
Other Procedures in Springfield, IL
Blood Work & Lab Tests
Avg $5.40
1,969,993 claims
Office Visit
Avg $38.46
1,154,993 claims
X-Ray
Avg $6.66
606,310 claims
Urinalysis & Urine Tests
Avg $3.01
520,146 claims
Emergency Room Visit
Avg $69.78
490,116 claims
Speech Therapy
Avg $17.02
248,732 claims
CT Scan (Computed Tomography)
Avg $50.70
241,309 claims
Dental Cleaning & Exam
Avg $32.13
212,993 claims