Average Medicaid Pulmonary Function Test Payments in West Des Moines, IA: $23.00
Avg. Paid
$23.00
Range
$1.46 – $142.26
Total Claims
5,044
Providers
21
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 West Des Moines, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Alladdin Moh. Elhadi Abosaida
2001 Westown Pkwy Ste 107 |
$11.92 | 1,492 | 1,422 |
|
Fadi H Alkhatib
2001 Westown Pkwy Ste 107 |
$42.51 | 1,130 | 1,076 |
|
Daniel Lee Dodge
5950 University Ave Ste 131 |
$19.67 | 548 | 526 |
|
Angela Sue Collins
5950 University Ave |
$15.93 | 399 | 377 |
|
Samantha Johnson Danielson-Jones
5950 University Ave Ste 131 |
$15.80 | 218 | 195 |
|
Matthew William Trump
5950 University Ave |
$14.76 | 214 | 207 |
|
James Christopher Mallen
5950 University Ave Ste 131 |
$17.36 | 182 | 177 |
|
Ryan Matthew Brimeyer
5950 University Ave Ste 131 |
$16.07 | 128 | 114 |
|
Saima Shahid
1453 Tulip Tree Ln |
$14.72 | 121 | 116 |
|
Katrina A Guest
5950 University Ave |
$15.15 | 109 | 98 |
|
Jason Mohr
5950 University Ave |
$16.65 | 85 | 85 |
|
Amerlon L Enriquez
5950 University Ave Ste 131 |
$11.13 | 76 | 67 |
|
John Harwood Scott
5950 University Ave Ste 131 |
$142.26 | 75 | 74 |
|
The Iowa Clinic Pc
5950 University Ave |
$1.46 | 47 | 41 |
|
Ryan Robert Mertens
5950 University Ave Ste 131 |
$25.26 | 41 | 38 |
|
Vuong Anh Nayima
5901 Westown Pkwy Ste 225 |
$46.94 | 37 | 37 |
|
Ravinder Kumar Agarwal
1200 Valley West Dr |
$18.61 | 33 | 28 |
|
Dustin Mccann
5950 University Ave |
$16.83 | 30 | 25 |
|
Iowa Physicians Clinic Medical Foundation
1776 W Lakes Pkwy Ste 400 |
$4.17 | 29 | 25 |
|
David Michael Agey
6000 University Ave |
$15.23 | 26 | 26 |
|
Ahmad Yasser Al-Shash
1701 22Nd St |
$15.59 | 24 | 14 |
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 West Des Moines, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in West Des Moines, IA is $23.00 per claim, based on 5,044 claims from 21 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 West Des Moines, IA?
There are 21 Medicaid providers offering Pulmonary Function Test related services in West Des Moines, IA according to public payment data.
What is the price range for Pulmonary Function Test in West Des Moines, IA?
Medicaid reimbursement for Pulmonary Function Test in West Des Moines, IA ranges from $1.46 to $142.26 per claim, with an average of $23.00. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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