Average Medicaid Pulmonary Function Test Payments in Chapel Hill, NC: $58.26
Avg. Paid
$58.26
Range
$0.00 – $149.57
Total Claims
10,531
Providers
34
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 Chapel Hill, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Christina Marie Dodds
101 Manning Dr |
$23.36 | 12 | 12 |
|
Olivia Kathryn Giddings
130 Mason Farm Rd |
$6.76 | 13 | 12 |
|
Amanda Rosemarie Saad
101 Manning Dr |
$11.63 | 13 | 12 |
|
Aaron Michael Schott
101 Manning Dr |
$0.00 | 14 | 14 |
|
Kevin Alan Paduchowski
170 Manning Dr |
$12.66 | 15 | 14 |
|
David Carroll Henke
101 Manning Dr |
$3.03 | 16 | 15 |
|
Robert Sackmann
101 Manning Dr |
$59.11 | 16 | 12 |
|
Joseph Guthrie
1407 E Franklin St |
$8.82 | 16 | 15 |
|
Jeremy Keith Smith
170 Manning Dr |
$43.54 | 16 | 14 |
|
Brendan Michael Decenso
170 Manning Dr # 7594 |
$63.04 | 22 | 19 |
|
Robert M Aris
101 Manning Dr |
$19.71 | 26 | 24 |
|
Barbara Lee Levarge
100 Eastowne Dr |
$3.71 | 27 | 27 |
|
Brian N Julich
Physicians Office Building 170 Manning Dr |
$24.85 | 30 | 28 |
|
Jennifer Lynn Goralski
Cb 7020 130 Mason Farm Rd |
$7.44 | 32 | 27 |
|
William Stoudemire
Pediatric Education Ofc |
$123.38 | 37 | 33 |
|
Jaymin J Modi
170 Manning Drive |
$16.27 | 40 | 31 |
|
Mary Leigh Anne Daniels
300 Meadowmont Village Cir Ste 203 |
$6.42 | 42 | 39 |
|
Nathaniel Steven Miller
101 Manning Dr |
$23.10 | 43 | 39 |
|
Theresa Marie Pitassi
590 Manning Dr |
$5.81 | 57 | 42 |
|
Patrick Carlsen Smith
590 Manning Dr |
$0.00 | 59 | 56 |
|
Nadeem Y Modan
170 Manning Dr |
$17.32 | 77 | 58 |
|
Terry Noah
101 Manning Dr |
$106.18 | 78 | 72 |
|
Aaron Dorian Baugh
170 Manning Dr |
$7.86 | 110 | 109 |
|
Charles R Esther
101 Manning Dr |
$6.33 | 133 | 124 |
|
Marianne S Muhlebach
101 Manning Dr |
$29.36 | 216 | 199 |
|
Jason Robert Mock
101 Manning Dr |
$4.61 | 370 | 357 |
|
Andrew Thompson Barber
450 Macnider Building Cb#7217 321 S Columbia St |
$6.46 | 521 | 462 |
|
Timothy John Vece
450 Macnider, Cb # 7217 |
$49.17 | 633 | 573 |
|
Thomas William Ferkol
101 Manning Dr |
$39.75 | 726 | 697 |
|
Philip A Bromberg
101 Manning Dr |
$4.89 | 1,043 | 950 |
|
Ceila Loughlin
101 Manning Dr |
$85.28 | 1,067 | 952 |
|
Marianna M Henry
101 Manning Dr |
$70.82 | 1,267 | 1,171 |
|
Leonard Lobo
415 Lakeshore Ln |
$23.35 | 1,801 | 1,601 |
|
Elisabeth Dellon
101 Manning Dr |
$149.57 | 1,943 | 1,843 |
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 Chapel Hill, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Chapel Hill, NC is $58.26 per claim, based on 10,531 claims from 34 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 Chapel Hill, NC?
There are 34 Medicaid providers offering Pulmonary Function Test related services in Chapel Hill, NC according to public payment data.
What is the price range for Pulmonary Function Test in Chapel Hill, NC?
Medicaid reimbursement for Pulmonary Function Test in Chapel Hill, NC ranges from $0.00 to $149.57 per claim, with an average of $58.26. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
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Avg $28.44
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Avg $11.67
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