Average Medicaid Pulmonary Function Test Payments in Waterbury, CT: $14.63
Avg. Paid
$14.63
Range
$0.00 – $37.81
Total Claims
63,463
Providers
26
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 Waterbury, CT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Saint Mary'S Hospital, Inc.
56 Franklin St |
$37.81 | 13,176 | 12,089 |
|
Jameel Uddeen
170 Grandview Ave |
$12.42 | 5,425 | 3,986 |
|
Richard S. Silverman
170 Grandview Avenue |
$7.13 | 5,208 | 3,428 |
|
Robert J Mcdonald
170 Grandview Avenue |
$8.06 | 5,149 | 3,459 |
|
Prospect Waterbury, Inc.
64 Robbins St |
$0.94 | 4,820 | 3,694 |
|
Christopher Cronin Randolph
171 Grandview Ave Ste 201 |
$13.07 | 4,737 | 3,363 |
|
Ferdinando Urbano
170 Grandview Ave |
$8.60 | 4,121 | 2,870 |
|
Sheila Jane Tan Zanoria
170 Grandview Ave |
$11.97 | 3,919 | 3,060 |
|
Elizabeth A Mirabile Levens
170 Grandview Avenue |
$7.47 | 3,843 | 2,544 |
|
David G. Hill
170 Grandview Avenue |
$8.88 | 3,559 | 2,511 |
|
Carl B Sherter
170 Grandview Avenue |
$7.39 | 2,337 | 1,330 |
|
Vanessa Yap
170 Grandview Ave |
$8.49 | 2,212 | 1,233 |
|
Rohit Beri
56 Franklin St |
$3.11 | 1,280 | 888 |
|
Rex L Mahnensmith
80 Phoenix Ave |
$11.63 | 1,059 | 1,009 |
|
Matthew L Balanda
1389 W Main St Ste 205 |
$14.06 | 1,037 | 927 |
|
He Zhang
133 Scovill St |
$4.26 | 777 | 725 |
|
Ashish Arora
133 Scovill St Ste 104 |
$4.04 | 334 | 310 |
|
Angela M Barrows
95 Scovill St |
$0.00 | 178 | 170 |
|
Karen D Rosen
56 Franklin St |
$6.86 | 92 | 84 |
|
Philip A. Mongelluzzo
2247 East Main Street |
$23.19 | 51 | 50 |
|
Danielle P Federico
56 Franklin St |
$8.16 | 43 | 41 |
|
Angela D Quatrocelli
56 Franklin St |
$7.22 | 32 | 30 |
|
Melvyn Ranish
475 Chase Pkwy |
$20.10 | 29 | 29 |
|
Sonnel J Patrick
475 Chase Pkwy |
$20.39 | 18 | 17 |
|
Jenna Elizabeth Langello
500 Chase Pkwy |
$18.04 | 14 | 14 |
|
Karen E Kennedy
56 Franklin St |
$9.22 | 13 | 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 Waterbury, CT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Waterbury, CT is $14.63 per claim, based on 63,463 claims from 26 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 Waterbury, CT?
There are 26 Medicaid providers offering Pulmonary Function Test related services in Waterbury, CT according to public payment data.
What is the price range for Pulmonary Function Test in Waterbury, CT?
Medicaid reimbursement for Pulmonary Function Test in Waterbury, CT ranges from $0.00 to $37.81 per claim, with an average of $14.63. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
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