Average Medicaid Pulmonary Function Test Payments in Asheville, NC: $20.14
Avg. Paid
$20.14
Range
$2.65 – $39.42
Total Claims
12,362
Providers
23
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 Asheville, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Leigh Masten Dodson
2 Medical Park Dr |
$9.50 | 15 | 13 |
|
Jennifer Nichole Osborne-Roddenberry
30 Choctaw St |
$6.98 | 22 | 12 |
|
Erin T Mcgill
14 Mcdowell St |
$15.41 | 24 | 24 |
|
David Michael Cypcar
14 Mcdowell St |
$19.19 | 28 | 25 |
|
William L Lewis
509 Biltmore Ave |
$13.07 | 37 | 29 |
|
John Edward Van Wye
14 Mcdowell St |
$22.38 | 40 | 39 |
|
Henry Avner Jenkins
14 Mcdowell St |
$24.48 | 41 | 37 |
|
Lindsey Williford
14 Mcdowell St |
$17.96 | 47 | 37 |
|
Mark A Hellreich
30 Choctaw St |
$3.77 | 58 | 36 |
|
Daniel Gutman
30 Choctaw St |
$4.45 | 89 | 51 |
|
Christopher Charles Copenhaver
14 Mcdowell St |
$20.11 | 132 | 122 |
|
Donna Ann Page
2 Medical Park Drive |
$10.87 | 143 | 131 |
|
Catherine C Cranford
14 Mcdowell St |
$20.25 | 192 | 179 |
|
Leigh Anne Schwietz
14 Mcdowell St |
$19.18 | 271 | 245 |
|
Michael Todd Cross
14 Mcdowell St |
$20.63 | 271 | 248 |
|
Robert J Pritchard
30 Choctaw St |
$5.74 | 273 | 159 |
|
Timothy Ryan Heacock
30 Choctaw St |
$3.29 | 322 | 212 |
|
Elise R Coulson
14 Mcdowell St |
$20.31 | 541 | 455 |
|
William Allen Mccann
14 Mcdowell St |
$20.63 | 804 | 747 |
|
Gregory H Campbell
30 Choctaw St |
$4.19 | 824 | 565 |
|
Gregg J Stashenko
30 Choctaw St |
$2.65 | 962 | 594 |
|
Mh Mission Hospital, Lllp
509 Biltmore Ave |
$39.42 | 3,178 | 2,853 |
|
Bruce Kenneth Bacot
11 Vanderbilt Park Dr |
$15.72 | 4,048 | 2,955 |
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 Asheville, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Asheville, NC is $20.14 per claim, based on 12,362 claims from 23 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 Asheville, NC?
There are 23 Medicaid providers offering Pulmonary Function Test related services in Asheville, NC according to public payment data.
What is the price range for Pulmonary Function Test in Asheville, NC?
Medicaid reimbursement for Pulmonary Function Test in Asheville, NC ranges from $2.65 to $39.42 per claim, with an average of $20.14. 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
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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
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