Average Medicaid Pulmonary Function Test Payments in Charleston, WV: $25.91
Avg. Paid
$25.91
Range
$0.00 – $48.10
Total Claims
35,184
Providers
28
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 Charleston, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Yusr Aboushaar
5314 Maccorkle Ave Se |
$5.79 | 12 | 12 |
|
Mary C Pozega
5324 Maccorkle Ave Se |
$5.67 | 13 | 13 |
|
Sebastian Francis
3110 Maccorkle Ave Se |
$0.00 | 14 | 12 |
|
Pulmonary Services Llc
3100 Maccorkle Ave Se |
$17.56 | 16 | 14 |
|
Ronald G Rosen
600 Morris St Ste 103 |
$12.81 | 20 | 12 |
|
Samuel C Rossi
600 Tracy Way |
$23.73 | 28 | 28 |
|
Robin Fanning Darnell
4502 Maccorkle Ave Se |
$43.08 | 30 | 29 |
|
Tarake M. Aljarod
3100 Maccorkle Ave Se Ste 205 |
$1.53 | 30 | 26 |
|
Samantha B Shawver
1207 Quarrier St |
$22.79 | 32 | 32 |
|
Chandra Mohan Kumar
208 Maccorkle Ave Se |
$47.58 | 52 | 50 |
|
George Zaldivar
3100 Maccorkle Avenue Se |
$6.86 | 56 | 49 |
|
Robert James Crisalli
501 Morris St |
$9.11 | 62 | 58 |
|
Shawn Robert Blankenship
4815 Maccorkle Ave Se |
$19.42 | 86 | 86 |
|
Debra L. Parsons Pllc
314 Goff Mountain Rd |
$6.07 | 90 | 69 |
|
Mallinath Kayi
130 East Ridge Road |
$48.10 | 139 | 130 |
|
Nimish Mehta
800 Pennsylvania Ave |
$1.51 | 155 | 136 |
|
Robert B. Shin
3100 Maccorkle Ave Se |
$24.66 | 186 | 178 |
|
John Bishoy Bishara
830 Pennsylvania Ave Ste 408 |
$24.78 | 259 | 237 |
|
Ashish Koirala
3100 Maccorkle Ave Se Ste 205 |
$4.18 | 291 | 291 |
|
Kevin Harris Smith
3100 Maccorkle Ave Se Ste 205 |
$7.33 | 486 | 449 |
|
Melissa Jose Gamponia
208 Maccorkle Ave Se |
$37.60 | 961 | 889 |
|
Lo'Ay M. Al-Asadi
2335 Chesterfield Ave Ste 102 |
$34.12 | 1,122 | 1,024 |
|
Ryan Lloyd Waddell
4619 Kanawha Ave Sw |
$41.23 | 1,160 | 1,110 |
|
Rayan Elizabeth Ihle
3100 Maccorkle Ave Se Ste 205 |
$5.81 | 1,232 | 1,198 |
|
Charleston Area Medical Center, Inc.
501 Morris St |
$6.01 | 3,704 | 3,623 |
|
Wv Asthma And Allergy Centers, Inc.
208 Maccorkle Ave Se |
$19.49 | 3,737 | 3,441 |
|
Siwat Kiratiseavee
208 Maccorkle Ave Se |
$37.51 | 4,532 | 4,007 |
|
Charleston Area Medical Center Inc
501 Morris St |
$29.10 | 16,679 | 12,293 |
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 Charleston, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Charleston, WV is $25.91 per claim, based on 35,184 claims from 28 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 Charleston, WV?
There are 28 Medicaid providers offering Pulmonary Function Test related services in Charleston, WV according to public payment data.
What is the price range for Pulmonary Function Test in Charleston, WV?
Medicaid reimbursement for Pulmonary Function Test in Charleston, WV ranges from $0.00 to $48.10 per claim, with an average of $25.91. 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 Charleston, WV
Blood Work & Lab Tests
Avg $19.50
1,537,486 claims
Office Visit
Avg $41.70
1,465,982 claims
Pathology & Lab Services
Avg $20.19
1,043,744 claims
Substance Abuse Treatment
Avg $93.30
723,285 claims
Emergency Room Visit
Avg $127.35
605,148 claims
X-Ray
Avg $13.71
490,576 claims
Urinalysis & Urine Tests
Avg $10.76
438,273 claims
Physical Therapy
Avg $108.21
435,894 claims