Average Medicaid Pulmonary Function Test Payments in Cary, NC: $13.65
Avg. Paid
$13.65
Range
$0.98 – $83.39
Total Claims
1,428
Providers
14
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 Cary, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Anil Kumar Kasula
155 Parkway Office Ct |
$9.54 | 493 | 412 |
|
Donna Nicole Anderson
2000 Regency Pkwy Ste 255 |
$11.70 | 292 | 195 |
|
Gurdev Singh Judge
401 Keisler Dr |
$20.35 | 236 | 189 |
|
Alex Yu-Chow Tse
1021 Darrington Dr Ste 101 |
$9.19 | 147 | 131 |
|
Sahba Entessari Maani
110 Kildaire Park Dr |
$6.19 | 105 | 90 |
|
Katherine Lea Fredlund
210 Towne Village Dr |
$35.65 | 34 | 33 |
|
Matthew John Heuton
210 Towne Village Dr |
$21.21 | 23 | 12 |
|
Gary P Dupuy
1001 Crescent Grn |
$9.16 | 20 | 13 |
|
Zhao Min
204 Davis Grove Circle |
$9.45 | 14 | 13 |
|
Michelle Sofia Bakardjiev
210 Towne Village Dr |
$47.22 | 13 | 13 |
|
Robert Christopher Brock
210 Towne Village Dr |
$20.64 | 13 | 13 |
|
Marshel Moore
2797 Nc 55 Hwy |
$0.98 | 13 | 12 |
|
Christopher Brian Deery
210 Towne Village Dr |
$83.39 | 13 | 12 |
|
Alexander Jay Clark
210 Towne Village Dr |
$48.09 | 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 Cary, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Cary, NC is $13.65 per claim, based on 1,428 claims from 14 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 Cary, NC?
There are 14 Medicaid providers offering Pulmonary Function Test related services in Cary, NC according to public payment data.
What is the price range for Pulmonary Function Test in Cary, NC?
Medicaid reimbursement for Pulmonary Function Test in Cary, NC ranges from $0.98 to $83.39 per claim, with an average of $13.65. 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
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Phoenix, AZ
Avg $43.01
234,885 claims · 209 providers
Los Angeles, CA
Avg $28.44
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Detroit, MI
Avg $11.67
181,938 claims · 75 providers
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