Average Medicaid Pulmonary Function Test Payments in Stamford, CT: $18.91
Avg. Paid
$18.91
Range
$0.00 – $22.86
Total Claims
24,290
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 Stamford, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Stamford Hospital
1 Hospital Plz |
$22.86 | 18,880 | 14,189 |
|
Paul Sachs
190 W Broad St |
$4.11 | 2,657 | 2,313 |
|
James S Krinsley
190 W Broad St |
$4.67 | 1,433 | 1,161 |
|
Hossein Sadeghi
32 Strawberry Hill Ct |
$6.66 | 494 | 366 |
|
Stella P Sabile
1425 Bedford St |
$8.29 | 309 | 278 |
|
Lizabeth Munz Sachs
190 W Broad St |
$6.99 | 134 | 70 |
|
Sofia Chiocconi
992 High Ridge Rd |
$9.67 | 108 | 90 |
|
Alex Ortega
190 W Broad St |
$5.20 | 66 | 54 |
|
Michal A Manaster
1515 Summer St. |
$8.17 | 66 | 59 |
|
Ester Ramirez-Cepeda
992 High Ridge Rd |
$18.27 | 51 | 50 |
|
Ann M Grootegoed
1180 Newfield Ave |
$0.00 | 39 | 29 |
|
Lynn Nayona Cunado
1515 Summer St Unit 101 |
$8.56 | 25 | 25 |
|
Emoliere Chanel Williams
1450 Washington Blvd # 103 |
$7.42 | 15 | 13 |
|
Moussa H. Takla
29 Hospital Plz Ste 505 |
$4.33 | 13 | 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 Stamford, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Stamford, CT is $18.91 per claim, based on 24,290 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 Stamford, CT?
There are 14 Medicaid providers offering Pulmonary Function Test related services in Stamford, CT according to public payment data.
What is the price range for Pulmonary Function Test in Stamford, CT?
Medicaid reimbursement for Pulmonary Function Test in Stamford, CT ranges from $0.00 to $22.86 per claim, with an average of $18.91. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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