Average Medicaid Pulmonary Function Test Payments in Springfield, MA: $42.04
Avg. Paid
$42.04
Range
$1.52 – $79.56
Total Claims
69,269
Providers
35
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, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Baystate Medical Center Inc
759 Chestnut St |
$79.56 | 23,344 | 22,350 |
|
The Mercy Hospital Inc
271 Carew St |
$72.49 | 7,806 | 6,342 |
|
Chih Ming Chen
2150 Main St |
$15.48 | 7,165 | 4,960 |
|
Shamim A Najeebi
77 Boylston St |
$12.75 | 6,373 | 5,723 |
|
Paul S Salva
781 Chestnut St |
$19.28 | 6,047 | 5,881 |
|
Douglas C Johnson
3300 Main St |
$4.72 | 5,079 | 5,051 |
|
Aleska Pelagia Pelaez Acosta
84 Chapin Ter |
$14.44 | 1,577 | 1,198 |
|
Miguel A. Rodriguez
2150 Main Street |
$10.47 | 1,547 | 1,302 |
|
Nico W Vehse
50 Wason Ave |
$14.49 | 1,356 | 1,196 |
|
David M Robertson
90 Carew St Unit B |
$18.24 | 1,213 | 906 |
|
Andrey Pavlov
271 Carew St |
$7.89 | 1,206 | 1,091 |
|
Mohammad E Abu Hishmeh
3300 Main Street |
$4.03 | 1,193 | 1,173 |
|
Ernest K Dinino
3300 Main St |
$23.82 | 823 | 817 |
|
Kerri Danielle St. George
90 Carew St Unit B |
$13.60 | 712 | 520 |
|
Mary Jo S Farmer
3300 Main St |
$3.93 | 471 | 471 |
|
Talal Dahhan
3300 Main Street |
$7.28 | 456 | 421 |
|
Beata Tyminska-Paluchowska
299 Carew St |
$15.49 | 431 | 386 |
|
Puncho Gurung
3300 Main St |
$3.61 | 424 | 422 |
|
Sybille M Liautaud
3300 Main Street |
$3.35 | 398 | 392 |
|
Magdalena Czerkawska-Zydzik
299 Carew St |
$15.27 | 360 | 332 |
|
Medexpress Urgent Care, Pc - Massachusetts
430 Cooley St |
$14.67 | 308 | 278 |
|
Angelo L Morales
300 Stafford St |
$8.34 | 187 | 162 |
|
Ryan D Kindle
759 Chestnut St |
$3.83 | 178 | 178 |
|
Victor M Pinto-Plata
759 Chestnut St |
$4.60 | 172 | 171 |
|
Stanley Glasser
222 Carew Street |
$3.95 | 95 | 95 |
|
Jasdeep S. Badwal
2 Medical Center Dr Ste 406 |
$13.51 | 94 | 57 |
|
Afc Physicians Of Massachusetts, Pc
415 Cooley St |
$8.77 | 80 | 78 |
|
Thirupaimaruth K Raman
222 Carew Street |
$6.07 | 42 | 39 |
|
Nakul Ravikumar
3300 Main Street |
$5.77 | 38 | 38 |
|
Sharon June Laurin
299 Carew St |
$12.16 | 32 | 30 |
|
Akinniyi Babasola Odutola
475 Sumner Ave |
$14.20 | 13 | 12 |
|
Adele C. Hill
305 Bicentennial Hwy |
$12.28 | 13 | 12 |
|
Mahesh R. Bajaj
125 Liberty St |
$29.49 | 12 | 12 |
|
Alison E. Wondriska
305 Bicentennial Hwy |
$15.26 | 12 | 12 |
|
Kvr Mohan Rao
222 Carew Street |
$1.52 | 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 Springfield, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Springfield, MA is $42.04 per claim, based on 69,269 claims from 35 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, MA?
There are 35 Medicaid providers offering Pulmonary Function Test related services in Springfield, MA according to public payment data.
What is the price range for Pulmonary Function Test in Springfield, MA?
Medicaid reimbursement for Pulmonary Function Test in Springfield, MA ranges from $1.52 to $79.56 per claim, with an average of $42.04. 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, MA
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Avg $20.44
8,386,620 claims
Office Visit
Avg $71.94
2,654,243 claims
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Avg $7.91
2,608,014 claims
Psychiatric Evaluation
Avg $77.04
2,573,099 claims
Behavioral & Mental Health Therapy
Avg $146.55
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Emergency Room Visit
Avg $119.65
960,403 claims
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Avg $22.82
911,143 claims
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Avg $86.61
764,746 claims