Based on public Medicaid payment data.

Average Medicaid Pulmonary Function Test Payments in Worcester, MA: $24.30

Avg. Paid

$24.30

Range

$0.00 – $43.85

Total Claims

28,428

Providers

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 Worcester, MA

Provider	Avg. Paid	Claims	Patients
Umass Memorial Medical Center, Inc. 55 Lake Avenue	$43.34	8,830	7,195
John Mark Madison 55 Lake Ave N	$5.41	8,352	8,311
Vhs Acquisition Subsidiary Number 7 Inc 123 Summer St	$43.85	4,154	2,603
Yaron R. Goldman 123 Summer St	$23.81	1,092	1,047
Kevin B Martin 123 Summer Street	$6.59	736	699
Family Health Center Of Worcester, Inc. 26 Queen St	$0.02	609	535
Ted M Kremer 55 Lake Ave N	$6.14	550	546
Daniel M Steigman 123 Summer Street	$28.21	547	519
Richard A Rosiello 123 Summer Street	$8.59	495	476
Oren Schaefer 33 Oak Avenue	$6.27	440	316
Erin E O'Shea Paudel 55 Lake Ave N	$7.59	358	352
Kyle T. Halligan 55 Lake Ave N	$4.19	330	329
Mayuko Ito Fukunaga 55 Lake Ave N	$4.15	195	194
Fei Jamie Dy 55 Lake Ave N	$6.28	195	187
Emil L Tigas 55 Lake Ave N	$4.44	194	190
Benjamin Adam Nelson 55 Lake Ave N	$38.26	181	178
Edward M. Kennedy Community Health Center, Inc 19 Tacoma St	$0.00	179	160
Christine Lynn Bielick Kotkowski 55 Lake Ave N	$5.42	159	159
Anna G. Rudnicki 55 Lake Ave N	$4.07	149	149
Himabindu Muddana 10 Winthrop St	$14.90	128	112
Callie M Stone 55 Lake Ave N	$23.75	92	86
Steven M Davis 85 Prescott St	$3.88	51	51
Allan J Walkey 55 Lake Ave N	$5.59	49	49
Sahdev R Passey 10 Winthrop St	$15.26	45	41
Michelle K Trivedi 55 Lake Ave N	$6.53	41	41
Stephen Mark Summers 55 Lake Ave N	$3.83	41	41
Jared T Mickelson 55 Lake Ave N	$5.09	38	37
Peter J Murphy 55 Lake Ave N	$21.20	29	26
Lisa A Mcniff 44 W Boylston St	$14.54	26	24
Thomas C Beltz 366 Shrewsbury St	$19.31	25	24
Melissa H Tukey 55 Lake Ave N	$10.18	24	24
Mohsina Alom 366 Shrewsbury St	$18.47	18	18
Ian A Harding 45 Oak Ave	$14.17	14	13
Kristen R Richard 55 Lake Ave N	$5.97	13	13
Paulette R Kimball-Wren 10 Winthrop St	$15.26	13	13
Keivan Zandinejad 119 Belmont St	$3.57	12	12
Allyson Marie Alting 366 Shrewsbury St	$12.26	12	12
Rosemary A Kirousis 366 Shrewsbury St Apt 3	$20.07	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 Worcester, MA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Worcester, MA is $24.30 per claim, based on 28,428 claims from 38 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 Worcester, MA?

There are 38 Medicaid providers offering Pulmonary Function Test related services in Worcester, MA according to public payment data.

What is the price range for Pulmonary Function Test in Worcester, MA?

Medicaid reimbursement for Pulmonary Function Test in Worcester, MA ranges from $0.00 to $43.85 per claim, with an average of $24.30. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Pulmonary Function Test Payments in Worcester, MA: $24.30

Providers Offering Pulmonary Function Test in Worcester, MA

What to Expect: Pulmonary Function Test

Cost Components

Frequently Asked Questions

Pulmonary Function Test in Other Cities

Brooklyn, NY

Fresno, CA

New York, NY

Milwaukee, WI

Bronx, NY

Phoenix, AZ

Los Angeles, CA

Detroit, MI

Other Procedures in Worcester, MA

Substance Abuse Treatment

Office Visit

Psychiatric Evaluation

Non-Emergency Medical Transportation

Home Health Visit

Dental Cleaning & Exam

Blood Work & Lab Tests

Behavioral & Mental Health Therapy