Average Medicaid Pulmonary Function Test Payments in Wichita Falls, TX: $9.85
Avg. Paid
$9.85
Range
$2.13 – $103.45
Total Claims
754
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 Wichita Falls, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
United Regional Health Care System Inc
1600 11Th St |
$2.13 | 282 | 179 |
|
Gadam M Rao
1718 10Th St |
$13.81 | 143 | 141 |
|
North Central Texas Community Health Care Center Inc.
4420 Kimbell Dr |
$9.10 | 60 | 58 |
|
Daunne Peters
501 Midwestern Pkwy E |
$13.71 | 48 | 46 |
|
Olufemi A Lawal
1600 11Th St |
$5.06 | 42 | 42 |
|
Lauren P Hayley
501 Midwestern Pkwy E |
$13.21 | 26 | 24 |
|
Satish Chada
1208 Brook Ave |
$6.33 | 25 | 25 |
|
Cortnie H Walker
1600 11Th St |
$9.99 | 25 | 12 |
|
Jordan Matthew Terasaki
1208 Brook Ave |
$7.84 | 24 | 24 |
|
Eric A Jackson
811 Sixth Street, Suite #210 |
$3.40 | 22 | 20 |
|
Kenneth Sultemeier
501 Midwestern Pkwy E |
$13.52 | 18 | 16 |
|
Ricardo Ruiz
1600 11Th St |
$49.53 | 14 | 12 |
|
Samir Atieh
1301 3Rd St |
$103.45 | 13 | 12 |
|
Amber De'Lynne Hill
501 Midwestern Pkwy E |
$11.48 | 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 Wichita Falls, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Wichita Falls, TX is $9.85 per claim, based on 754 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 Wichita Falls, TX?
There are 14 Medicaid providers offering Pulmonary Function Test related services in Wichita Falls, TX according to public payment data.
What is the price range for Pulmonary Function Test in Wichita Falls, TX?
Medicaid reimbursement for Pulmonary Function Test in Wichita Falls, TX ranges from $2.13 to $103.45 per claim, with an average of $9.85. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
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