Average Medicaid Pulmonary Function Test Payments in Arlington, VA: $22.29
Avg. Paid
$22.29
Range
$6.76 – $45.03
Total Claims
6,598
Providers
8
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 Arlington, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Privia Medical Group, Llc
950 N Glebe Rd Ste 700 |
$7.92 | 3,711 | 3,365 |
|
Virginia Hospital Center Arlington Health System
1701 N George Mason Dr |
$45.03 | 2,463 | 1,411 |
|
Maria T. Sacoto
5555 Columbia Pike |
$16.36 | 349 | 318 |
|
Teresa Ann Kosciuk Rowe
3401 Columbia Pike Ste 200 |
$15.00 | 21 | 20 |
|
Haroon Rashid
3535 S Ball St Ste A |
$6.76 | 16 | 15 |
|
Victoria Saunders
3401 Columbia Pike Ste 200 |
$14.88 | 13 | 12 |
|
Scott A Carter
1528 N Johnson St |
$15.99 | 13 | 13 |
|
Charles E. Jackson
4600 Langston Blvd |
$17.74 | 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 Arlington, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Arlington, VA is $22.29 per claim, based on 6,598 claims from 8 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 Arlington, VA?
There are 8 Medicaid providers offering Pulmonary Function Test related services in Arlington, VA according to public payment data.
What is the price range for Pulmonary Function Test in Arlington, VA?
Medicaid reimbursement for Pulmonary Function Test in Arlington, VA ranges from $6.76 to $45.03 per claim, with an average of $22.29. 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 Arlington, VA
Office Visit
Avg $47.67
487,162 claims
Blood Work & Lab Tests
Avg $3.81
270,366 claims
Non-Emergency Medical Transportation
Avg $31.41
222,676 claims
Home Health Visit
Avg $173.48
185,067 claims
Physical Therapy
Avg $26.40
181,473 claims
Substance Abuse Treatment
Avg $508.30
164,119 claims
Emergency Room Visit
Avg $134.76
131,100 claims
Vaccines & Immunizations
Avg $10.14
125,308 claims