Average Medicaid Pulmonary Function Test Payments in Youngstown, OH: $63.83
Avg. Paid
$63.83
Range
$5.41 – $203.09
Total Claims
12,798
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 Youngstown, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mercy Health Youngstown Llc
1044 Belmont Ave |
$98.71 | 3,762 | 2,389 |
|
Mercy Health Youngstown Llc
8401 Market St |
$96.41 | 2,566 | 1,725 |
|
Asif Iqbal Khan
3040 Belmont Ave |
$35.63 | 1,509 | 1,442 |
|
Timothy J Barreiro
1044 Belmont Ave |
$5.41 | 1,368 | 1,293 |
|
Kowriah N Amirthalingam
4694 Belmont Ave Ste 2 |
$6.57 | 752 | 730 |
|
Alberta S Kemper
107 Javit Ct |
$15.26 | 636 | 615 |
|
Ghazaleh Bigdeli
925 Trailwood Dr |
$12.74 | 520 | 491 |
|
Niraj Niraula
4694 Belmont Ave |
$22.01 | 399 | 386 |
|
Amy Marie Petrunak
500 Gypsy Ln |
$179.77 | 344 | 229 |
|
Molly M. Howsare
1001 Covington St |
$6.41 | 255 | 236 |
|
Ryan Gregory Toolson
925 Trailwood Dr |
$14.96 | 194 | 191 |
|
Quick Med Urgent Care Llc
3499 Belmont Ave |
$9.53 | 127 | 123 |
|
Philip B Howren
500 Gypsy Lane |
$134.85 | 118 | 102 |
|
Yazan K Jadallah
1044 Belmont Avenue |
$155.85 | 73 | 66 |
|
Anthony Michael Boulos
960 Windham Ct Ste 1 |
$5.63 | 48 | 48 |
|
James Phillip D'Apolito
4531 Belmont Ave |
$10.40 | 32 | 28 |
|
Robert Gershkowitz
1044 Belmont Ave |
$131.91 | 29 | 25 |
|
Theodore Spirtos
527 N Meridian Rd |
$71.08 | 27 | 13 |
|
Mary Ellen Barringer
8401 Market St |
$203.09 | 27 | 27 |
|
Tony Thomas Deramo
5701 Market St |
$22.17 | 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 Youngstown, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Youngstown, OH is $63.83 per claim, based on 12,798 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 Youngstown, OH?
There are 20 Medicaid providers offering Pulmonary Function Test related services in Youngstown, OH according to public payment data.
What is the price range for Pulmonary Function Test in Youngstown, OH?
Medicaid reimbursement for Pulmonary Function Test in Youngstown, OH ranges from $5.41 to $203.09 per claim, with an average of $63.83. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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