Average Medicaid Pulmonary Function Test Payments in Warren, MI: $5.74
Avg. Paid
$5.74
Range
$0.87 – $21.74
Total Claims
17,821
Providers
11
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 Warren, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Henry Ford Health Macomb Oakland Hospital
11800 E 12 Mile Rd |
$0.87 | 10,267 | 6,996 |
|
Hoover Urgent Care Of Warren Pllc
26000 Hoover Rd |
$5.90 | 3,407 | 3,092 |
|
Barry S. Meyer,D.O., P.C.
23423 Ryan Rd |
$21.47 | 1,372 | 1,352 |
|
Pulmonary And Medicine Associates
27472 Schoenherr Rd Ste 100 |
$14.23 | 1,135 | 1,102 |
|
Macomb Pediatric Associatea P.C
29703 Hoover Rd |
$16.70 | 639 | 628 |
|
Bg Tricounty Neurology& Sleep Clinic Pc
31150 Hoover Rd |
$21.74 | 577 | 574 |
|
Northpointe Pediatrics, P.C.
30061 Schoenherr Rd |
$8.64 | 192 | 187 |
|
Warren Urgent Care Pc
31700 Van Dyke Ave |
$3.08 | 75 | 65 |
|
Ascension Medical Group Michigan
11900 E 12 Mile Rd Ste 210 |
$18.02 | 72 | 67 |
|
Ascension Medical Group Michigan
28000 Dequindre Road |
$15.19 | 72 | 69 |
|
Husain Arastu
28771 Hoover Rd |
$9.39 | 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 Warren, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Warren, MI is $5.74 per claim, based on 17,821 claims from 11 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 Warren, MI?
There are 11 Medicaid providers offering Pulmonary Function Test related services in Warren, MI according to public payment data.
What is the price range for Pulmonary Function Test in Warren, MI?
Medicaid reimbursement for Pulmonary Function Test in Warren, MI ranges from $0.87 to $21.74 per claim, with an average of $5.74. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
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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
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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 Warren, MI
Office Visit
Avg $59.97
1,025,133 claims
Blood Work & Lab Tests
Avg $5.64
410,849 claims
Ambulance Transport
Avg $110.25
375,004 claims
Dental Cleaning & Exam
Avg $34.33
266,180 claims
Physical Therapy
Avg $24.46
257,050 claims
X-Ray
Avg $12.32
240,339 claims
Vaccines & Immunizations
Avg $7.51
224,312 claims
Emergency Room Visit
Avg $188.70
203,746 claims