Average Medicaid Pulmonary Function Test Payments in Syracuse, NY: $23.37
Avg. Paid
$23.37
Range
$0.00 – $164.48
Total Claims
35,829
Providers
39
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 Syracuse, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Vincent M. Gemelli
1304 Buckley Road |
$22.53 | 12 | 12 |
|
Linnea L. Wittick
750 E Adams St |
$0.00 | 12 | 12 |
|
Phillip John Gary
90 Presidential Plaza |
$8.35 | 12 | 12 |
|
Subrat Khanal
301 Prospect Ave |
$12.98 | 12 | 12 |
|
Manju P Paul
90 Presidential Plz |
$13.21 | 13 | 13 |
|
Trent Peppard
750 East Adams St |
$156.34 | 14 | 14 |
|
Ted J Triana
311 Green St |
$9.86 | 15 | 14 |
|
Marissa Mazella Paparo
750 East Adams St |
$36.45 | 21 | 21 |
|
Sumendra Joshi
750 E Adams St |
$11.71 | 24 | 24 |
|
Kristen Marie Maas
750 E Adams St |
$37.03 | 28 | 27 |
|
Kimberly Rush
750 East Adams St |
$12.09 | 28 | 28 |
|
Kara Walker
750 E Adams St |
$75.47 | 31 | 31 |
|
Dragos N Manta
90 Presidential Plz |
$13.13 | 37 | 37 |
|
Markus Gutsche
90 Presidential Plaza |
$10.30 | 39 | 39 |
|
Robert Vincent Hingre
750 E Adams St |
$43.11 | 41 | 41 |
|
Ryan Butzko
4900 Broad Rd |
$9.21 | 50 | 50 |
|
Dana Savici
90 Presidential Plz |
$10.57 | 54 | 54 |
|
Monica Michele Panzer Jones
3175 E Genesee St |
$15.89 | 63 | 61 |
|
Mariko Marium Yabe-Gill
750 E Adams St |
$25.95 | 71 | 71 |
|
Angela M Pericozzi
750 E Adams St |
$14.82 | 76 | 73 |
|
Auyon J Ghosh
90 Presidential Plz Fl 2 |
$8.03 | 78 | 78 |
|
Alanna Janine Albano
841 E Fayette St |
$164.48 | 83 | 49 |
|
Sheila M Ptak
750 East Adams Street |
$8.25 | 85 | 83 |
|
James F Sexton
90 Presidential Plz |
$26.28 | 99 | 95 |
|
Harcharan Singh
1200 E Genesee St |
$56.84 | 119 | 119 |
|
Thomas R Aiello
945 E Genesee St |
$36.54 | 123 | 123 |
|
Aisha Sultana Baig
750 East Adam St |
$58.74 | 126 | 125 |
|
Krithika Ramachandran
90 Presidential Plz Fl 2 |
$18.40 | 136 | 127 |
|
Angela Miriam Love
90 Presidential Plz Fl 2 |
$8.66 | 139 | 139 |
|
Marissa M Smith
4900 Broad Road |
$21.86 | 153 | 153 |
|
Edward Thomas Downing
945 E Genesee St |
$33.38 | 292 | 290 |
|
Ahmed Mahgoub
90 Presidential Plz Fl 2 |
$8.09 | 409 | 398 |
|
Michael John Flintrop
945 E Genesee St |
$22.97 | 992 | 985 |
|
Sherif George El Bayadi
945 E Genesee St |
$28.98 | 1,075 | 1,074 |
|
St Josephs Hospital Health Center
301 Prospect Ave |
$5.28 | 1,731 | 1,652 |
|
Christopher Neil Fortner
750 E Adams St |
$44.07 | 3,246 | 3,215 |
|
Crouse Health Hospital, Inc.
736 Irving Ave |
$5.61 | 3,545 | 2,463 |
|
Zafer N. Soultan
750 E Adams St |
$44.24 | 6,265 | 6,188 |
|
Suny Health Science Center At Syracuse
750 E Adams St |
$15.91 | 16,480 | 13,044 |
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 Syracuse, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Syracuse, NY is $23.37 per claim, based on 35,829 claims from 39 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 Syracuse, NY?
There are 39 Medicaid providers offering Pulmonary Function Test related services in Syracuse, NY according to public payment data.
What is the price range for Pulmonary Function Test in Syracuse, NY?
Medicaid reimbursement for Pulmonary Function Test in Syracuse, NY ranges from $0.00 to $164.48 per claim, with an average of $23.37. 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 Syracuse, NY
Office Visit
Avg $84.69
1,665,939 claims
Home Health Visit
Avg $141.48
1,490,559 claims
Blood Work & Lab Tests
Avg $11.75
1,425,614 claims
Psychiatric Evaluation
Avg $119.44
1,038,180 claims
Substance Abuse Treatment
Avg $62.37
1,023,428 claims
Emergency Room Visit
Avg $125.62
815,459 claims
Physical Therapy
Avg $66.66
496,488 claims
Case Management Services
Avg $215.74
389,365 claims