Average Medicaid Pulmonary Function Test Payments in Weslaco, TX: $21.46
Avg. Paid
$21.46
Range
$3.54 – $28.34
Total Claims
32,947
Providers
20
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 Weslaco, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ofelia Crombet
1408 E. 8Th Street |
$23.12 | 17,897 | 16,489 |
|
Felipe Miguel Avila
1408 E 8Th St |
$21.60 | 6,924 | 5,962 |
|
Segundo Luis Lizardo-Guzman
1010 James St Ste B |
$12.14 | 2,501 | 2,330 |
|
Adolfo Enrique Kaplan
1604 E 8Th St |
$25.10 | 1,660 | 1,638 |
|
Amanda Aguilar Smith
1408 E 8Th St |
$21.25 | 867 | 843 |
|
Catarina Posada
2004 E Expressway 83 |
$11.57 | 854 | 776 |
|
Umesh K Pathak
1010 S Airport Dr |
$21.81 | 772 | 740 |
|
Mario Gomez Delgado De La Flor
1604 E 8Th St Ste A |
$17.08 | 406 | 405 |
|
Sivakumari Nandipaty
1620 E 8Th St # 1 |
$13.29 | 298 | 281 |
|
Ricardo Abreu
1604 E 8Th St |
$18.86 | 195 | 191 |
|
Jeanne L Wiegand
1010 S Airport Dr |
$23.36 | 165 | 160 |
|
Isabelle Salinas
1408 E 8Th St |
$20.65 | 105 | 101 |
|
Josefa Marquez
3301 Fern Dr |
$20.65 | 86 | 83 |
|
Patricia Espinoza Capetillo
1010 S Airport Dr |
$22.88 | 58 | 57 |
|
Alfredo Renzo Arauco Brown
1604 E 8Th St |
$28.34 | 54 | 52 |
|
Hildegardo Costa
1010 James St |
$3.54 | 36 | 32 |
|
Victoria V Gomez
1412 E 8Th St |
$19.86 | 26 | 26 |
|
Rachel Tsai
1408 E 8Th St |
$20.65 | 16 | 16 |
|
Pedro J Penalo
906 S Bridge Ave |
$7.80 | 15 | 13 |
|
Jose Lares
902 S Airport Dr Suite 4 |
$8.83 | 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 Weslaco, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Weslaco, TX is $21.46 per claim, based on 32,947 claims from 20 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 Weslaco, TX?
There are 20 Medicaid providers offering Pulmonary Function Test related services in Weslaco, TX according to public payment data.
What is the price range for Pulmonary Function Test in Weslaco, TX?
Medicaid reimbursement for Pulmonary Function Test in Weslaco, TX ranges from $3.54 to $28.34 per claim, with an average of $21.46. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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