Average Medicaid Pulmonary Function Test Payments in York, PA: $12.82
Avg. Paid
$12.82
Range
$0.00 – $119.49
Total Claims
4,165
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 York, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mark A. Gonzales
1001 S George St |
$23.32 | 12 | 12 |
|
Creston M Tate
2149 S Queen St |
$0.00 | 12 | 12 |
|
Lum Frundi
2050 S Queen St Ste 100 |
$20.02 | 13 | 12 |
|
Daniel T Goodberry
1001 S George St |
$27.64 | 14 | 14 |
|
Karen Jean Dipasquale
1001 S George St |
$0.00 | 17 | 17 |
|
Shubhra Ray
2350 Freedom Way |
$7.17 | 26 | 24 |
|
David Allan Konopka
1001 S George St |
$119.49 | 61 | 43 |
|
Jessica Lenai Riley
1001 S George St |
$71.10 | 74 | 74 |
|
Cristian Dumitrescu
2350 Freedom Way Ste 202 |
$7.21 | 102 | 102 |
|
Richard Murray
2350 Freedom Way |
$7.09 | 117 | 105 |
|
Rumon Chakravarty
2350 Freedom Way Ste 202 |
$7.47 | 118 | 115 |
|
Jeffrey D Lazar
1001 S George St |
$84.09 | 130 | 126 |
|
Madan R Joshi
2350 Freedom Way Ste 202 |
$7.73 | 131 | 129 |
|
Peter Pace
2350 Freedom Way |
$7.27 | 137 | 136 |
|
Leon W Sweer
2350 Freedom Way Ste 202 |
$7.36 | 156 | 151 |
|
Samantha Pelletier
2350 Freedom Way Ste 202 |
$7.72 | 261 | 251 |
|
Elizabeth Azubike
2350 Freedom Way |
$8.37 | 274 | 271 |
|
Gilboa Lombardi
2350 Freedom Way |
$7.33 | 322 | 313 |
|
George R Robinson
2350 Freedom Way |
$7.93 | 414 | 412 |
|
Jeffrey Carl Lazar
2350 Freedom Way |
$7.81 | 470 | 462 |
|
Lloyd G Goldfarb
2350 Freedom Way |
$7.36 | 1,304 | 1,279 |
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 York, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in York, PA is $12.82 per claim, based on 4,165 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 York, PA?
There are 21 Medicaid providers offering Pulmonary Function Test related services in York, PA according to public payment data.
What is the price range for Pulmonary Function Test in York, PA?
Medicaid reimbursement for Pulmonary Function Test in York, PA ranges from $0.00 to $119.49 per claim, with an average of $12.82. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
Brooklyn, NY
Avg $23.88
467,812 claims · 307 providers
Fresno, CA
Avg $9.79
368,205 claims · 95 providers
New York, NY
Avg $26.86
328,938 claims · 255 providers
Milwaukee, WI
Avg $31.74
271,694 claims · 80 providers
Bronx, NY
Avg $23.40
241,250 claims · 156 providers
Phoenix, AZ
Avg $43.01
234,885 claims · 209 providers
Los Angeles, CA
Avg $28.44
186,761 claims · 157 providers
Detroit, MI
Avg $11.67
181,938 claims · 75 providers
Other Procedures in York, PA
Office Visit
Avg $45.53
564,277 claims
Emergency Room Visit
Avg $105.26
391,152 claims
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Avg $6.24
244,668 claims
EKG / ECG (Electrocardiogram)
Avg $7.41
133,884 claims
Dental Cleaning & Exam
Avg $31.70
118,055 claims
X-Ray
Avg $9.34
115,801 claims
Case Management Services
Avg $77.66
115,052 claims
Eye Exam
Avg $43.75
80,786 claims