Average Medicaid Pulmonary Function Test Payments in Valhalla, NY: $24.81
Avg. Paid
$24.81
Range
$11.69 – $37.75
Total Claims
8,527
Providers
10
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 Valhalla, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Westchester County Health Care Corporation
100 Woods Rd |
$19.98 | 5,684 | 5,453 |
|
Bindu Ann George
95 Grasslands Road |
$37.44 | 1,156 | 1,151 |
|
Daniel Aaron Krich
40 Sunshine Cottage Rd # 1N-E29 |
$34.56 | 668 | 653 |
|
Lai-Ming Lisa Chan
40 Sunshine Cottage Rd |
$36.64 | 601 | 593 |
|
Bernard J Katz
100 Woods Rd |
$22.19 | 152 | 125 |
|
Stuart Lehrman
95 Grasslands Rd-Nymc |
$11.69 | 119 | 119 |
|
Sahar Al Baroudi
100 Woods Road |
$31.34 | 80 | 80 |
|
Shyall Bhela
40 Sunshine Cottage Rd # 1N-E29 |
$35.41 | 42 | 42 |
|
Joan Arthi Monroe
100 Woods Rd |
$26.71 | 13 | 12 |
|
Karyi Leigh Coyle
100 Woods Rd |
$37.75 | 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 Valhalla, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Valhalla, NY is $24.81 per claim, based on 8,527 claims from 10 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 Valhalla, NY?
There are 10 Medicaid providers offering Pulmonary Function Test related services in Valhalla, NY according to public payment data.
What is the price range for Pulmonary Function Test in Valhalla, NY?
Medicaid reimbursement for Pulmonary Function Test in Valhalla, NY ranges from $11.69 to $37.75 per claim, with an average of $24.81. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
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Phoenix, AZ
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Other Procedures in Valhalla, NY
Blood Work & Lab Tests
Avg $7.40
297,696 claims
Office Visit
Avg $112.66
212,962 claims
Physical Therapy
Avg $130.75
185,861 claims
Emergency Room Visit
Avg $138.00
164,878 claims
X-Ray
Avg $7.53
137,977 claims
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Avg $28.96
128,761 claims
Pathology & Lab Services
Avg $51.64
51,770 claims
Ultrasound
Avg $72.63
45,688 claims