Average Medicaid Pulmonary Function Test Payments in Ventura, CA: $24.28
Avg. Paid
$24.28
Range
$0.00 – $32.62
Total Claims
15,228
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 Ventura, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
County Of Ventura
300 Hillmont Ave |
$25.93 | 7,602 | 6,988 |
|
Community Memorial Health System
147 N Brent St |
$24.87 | 4,572 | 4,078 |
|
County Of Ventura
300 Hillmont Ave Ste 302 |
$31.88 | 1,170 | 1,116 |
|
Andrew S Binder
3200 Telegraph Rd |
$32.62 | 441 | 438 |
|
Prashant Verma
5720 Ralston St |
$0.96 | 410 | 384 |
|
Chris Landon
300 Hillmont Ave, Bldg 340 Suite 302 |
$0.04 | 287 | 283 |
|
County Of Ventura
300 Hillmont Ave |
$2.55 | 257 | 234 |
|
Sanjiv Verma
5720 Ralston St |
$1.45 | 165 | 154 |
|
Helmuth Billy
3200 Telegraph Rd |
$32.43 | 146 | 143 |
|
County Of Ventura
133 W. Santa Clara |
$10.71 | 96 | 93 |
|
Sun Moon Lee
300 Hillmont Ave |
$0.00 | 29 | 28 |
|
Jake David Donaldson
3291 Loma Vista Rd |
$0.00 | 24 | 24 |
|
Kavitha Simpson
3291 Loma Vista Rd |
$0.00 | 16 | 16 |
|
Sylvana Guidotti
3291 Loma Vista Rd |
$12.76 | 13 | 13 |
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 Ventura, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Ventura, CA is $24.28 per claim, based on 15,228 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 Ventura, CA?
There are 14 Medicaid providers offering Pulmonary Function Test related services in Ventura, CA according to public payment data.
What is the price range for Pulmonary Function Test in Ventura, CA?
Medicaid reimbursement for Pulmonary Function Test in Ventura, CA ranges from $0.00 to $32.62 per claim, with an average of $24.28. 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
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Milwaukee, WI
Avg $31.74
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Bronx, NY
Avg $23.40
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Phoenix, AZ
Avg $43.01
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Los Angeles, CA
Avg $28.44
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Detroit, MI
Avg $11.67
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Other Procedures in Ventura, CA
Office Visit
Avg $38.51
1,869,199 claims
Blood Work & Lab Tests
Avg $9.67
873,471 claims
Physical Therapy
Avg $32.10
365,843 claims
Substance Abuse Treatment
Avg $69.54
320,699 claims
Urinalysis & Urine Tests
Avg $6.13
280,282 claims
X-Ray
Avg $17.05
261,861 claims
Emergency Room Visit
Avg $130.26
227,642 claims
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Avg $7.61
212,556 claims