Average Medicaid Pulmonary Function Test Payments in Cartersville, GA: $17.44
Avg. Paid
$17.44
Range
$15.45 – $21.05
Total Claims
3,984
Providers
5
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 Cartersville, GA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cody Daniel Klette
962 Joe Frank Harris Pkwy Se Ste 105 |
$18.21 | 19 | 19 |
|
Anu R Mongia
100 Market Place Blvd |
$21.05 | 101 | 89 |
|
Melissa B Rhodes
21 Pointe North Dr |
$18.84 | 745 | 647 |
|
Timothy Lin
21 Pointe North Dr |
$20.61 | 930 | 800 |
|
Suzette Chin
21 Pointe North Dr |
$15.45 | 2,189 | 1,834 |
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 Cartersville, GA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Cartersville, GA is $17.44 per claim, based on 3,984 claims from 5 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 Cartersville, GA?
There are 5 Medicaid providers offering Pulmonary Function Test related services in Cartersville, GA according to public payment data.
What is the price range for Pulmonary Function Test in Cartersville, GA?
Medicaid reimbursement for Pulmonary Function Test in Cartersville, GA ranges from $15.45 to $21.05 per claim, with an average of $17.44. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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