Average Medicaid Pulmonary Function Test Payments in Anniston, AL: $10.09
Avg. Paid
$10.09
Range
$4.49 – $22.30
Total Claims
7,298
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 Anniston, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Naresh Purohit
516 Quintard Ave |
$11.23 | 1,693 | 1,548 |
|
Holly Flanagan Mays
3312 Henry Rd |
$9.46 | 1,477 | 1,409 |
|
Charles E Thomas
3312 Henry Rd |
$11.57 | 1,086 | 1,036 |
|
Blaire Crabtree Smith
1010 Christine Ave |
$7.13 | 492 | 475 |
|
Elizabeth Taylor Tucker
516 Quintard Ave |
$7.51 | 429 | 395 |
|
Makenzie Kramer Shadrick
1001 Leighton Ave |
$7.04 | 408 | 374 |
|
Rohit G Patel
901 Keith Ave |
$5.23 | 368 | 365 |
|
John R Loper
3312 Henry Rd |
$7.84 | 368 | 349 |
|
Pediatrics Plus, P.C.
3312 Henry Rd |
$22.30 | 257 | 238 |
|
Gizelle Stevens
1425 Greenbrier Dear Rd |
$14.73 | 153 | 145 |
|
Mary Elizabeth Patrenos
3312 Henry Rd |
$21.58 | 121 | 117 |
|
Joseph Henry Mitchell
731 Leighton Ave |
$5.31 | 106 | 86 |
|
Linda Ruth Gordon
516 Quintard Ave Ste B |
$6.27 | 79 | 37 |
|
Mohammed Shubair
1900 Leighton Ave Ste 205 |
$6.40 | 78 | 78 |
|
Tiffany Waugh
1001 Leighton Ave |
$7.30 | 71 | 64 |
|
Kevin A Sells
301 E 18Th St |
$4.49 | 30 | 24 |
|
David Thompson Sleeth
400 E 10Th St |
$11.41 | 26 | 25 |
|
Lewis Doggett
1001 Leighton Avenue |
$7.80 | 15 | 12 |
|
Susanne Smith Matthews
1001 Leighton Ave |
$9.64 | 14 | 14 |
|
Amy M Matson
516B Quintard Ave |
$17.83 | 14 | 14 |
|
Larry Thomas
701 Leighton Ave |
$6.65 | 13 | 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 Anniston, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Anniston, AL is $10.09 per claim, based on 7,298 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 Anniston, AL?
There are 21 Medicaid providers offering Pulmonary Function Test related services in Anniston, AL according to public payment data.
What is the price range for Pulmonary Function Test in Anniston, AL?
Medicaid reimbursement for Pulmonary Function Test in Anniston, AL ranges from $4.49 to $22.30 per claim, with an average of $10.09. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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