Average Medicaid Pulmonary Function Test Payments in Utica, NY: $44.34
Avg. Paid
$44.34
Range
$0.73 – $69.11
Total Claims
13,174
Providers
16
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 Utica, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
St Elizabeth Medical Center
2209 Genesee St |
$69.11 | 5,719 | 5,332 |
|
Mvhs Inc
111 Hospital Dr |
$31.33 | 4,563 | 3,817 |
|
Nalini J Namassivaya
35 Riverside Dr |
$9.15 | 1,211 | 1,211 |
|
Jaime Michelle Blum
2206 Genesee St Ste 101 |
$45.69 | 463 | 448 |
|
Aleksey V Bogolyubov
35 Riverside Dr |
$8.49 | 462 | 462 |
|
Rebecca Lavalley
6 Hampden Pl |
$9.04 | 307 | 297 |
|
Sushma Kaul
35 Riverside Dr |
$9.33 | 243 | 242 |
|
Roseanne Theresa Brindisi
2206 Genesee Street |
$44.94 | 39 | 39 |
|
Anwar Wassel
1450 Champlin Ave |
$30.43 | 38 | 38 |
|
Christina Stanton Stewart
1651 Oneida St |
$19.87 | 29 | 14 |
|
Diane M Scalise
1450 Champlin Ave |
$8.06 | 26 | 26 |
|
Thomas E Gwilt
35 Riverside Dr |
$26.31 | 19 | 17 |
|
Jessica Faith Martin
1676 Sunset Ave Ste 2 |
$16.58 | 15 | 15 |
|
Brittie Wintle
1676 Sunset Ave |
$2.43 | 14 | 14 |
|
Tatyana Misyulya
417 Trenton Ave |
$17.33 | 14 | 14 |
|
Mv Medical Practice Pc
1904 Genesee St |
$0.73 | 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 Utica, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Utica, NY is $44.34 per claim, based on 13,174 claims from 16 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 Utica, NY?
There are 16 Medicaid providers offering Pulmonary Function Test related services in Utica, NY according to public payment data.
What is the price range for Pulmonary Function Test in Utica, NY?
Medicaid reimbursement for Pulmonary Function Test in Utica, NY ranges from $0.73 to $69.11 per claim, with an average of $44.34. 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 Utica, NY
Home Health Visit
Avg $146.48
1,418,271 claims
Blood Work & Lab Tests
Avg $8.00
866,904 claims
Office Visit
Avg $81.63
464,991 claims
Psychiatric Evaluation
Avg $105.72
272,745 claims
Case Management Services
Avg $314.51
242,895 claims
Emergency Room Visit
Avg $214.25
190,597 claims
Behavioral & Mental Health Therapy
Avg $80.73
172,741 claims
Urinalysis & Urine Tests
Avg $3.59
119,563 claims