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Based on public Medicaid payment data.

Average Medicaid Pulmonary Function Test Payments in Charlottesville, VA: $27.01

Avg. Paid

$27.01

Range

$2.62 – $36.31

Total Claims

56,810

Providers

38

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 Charlottesville, VA

Provider Avg. Paid Claims Patients
Rector & Visitors Of The University Of Virginia

1215 Lee St Pfs

$35.62 34,557 28,059
Martha Jefferson Hospital

500 Martha Jefferson Dr

$28.79 4,350 2,661
Richard Kravitz

1204 W Main St

$31.74 2,641 2,431
Yun Shim

Uva Hospital W

$5.43 2,106 1,994
Drew A. Harris

1221 Lee St Fl 2

$5.30 1,973 1,809
Andrea S. Garrod

1204 W Main St

$8.03 1,957 1,824
Deborah K. Froh

1204 W Main St

$7.61 987 872
Dana P. Albon

1221 Lee St

$5.75 909 848
Andrew Barros

1221 Lee St

$5.78 745 709
Subodh Pandey

1221 Lee St

$7.24 559 519
Alexandra Kadl

5 Hospital Dr

$5.88 556 527
Catherine Bonham

1221 Lee St Fl 2

$5.66 513 491
Michael B. Boyd

5 Hospital Dr

$6.06 471 423
Brittany Wall

1204 W Main St

$8.55 466 447
Lindsay A. Somerville

1221 Lee

$6.13 461 447
Tessy K. Paul

Lee St Fl 2

$4.79 406 381
Numaan F. Malik

Lee St Fl 2

$5.01 367 326
Kyle B. Enfield

5 Hospital Dr

$4.87 366 325
Jeffrey M. Sturek

Lee St & 11Th St Sw

$5.30 354 337
Daniel James O'Hearn

1222 Jefferson Park Ave

$5.08 326 310
John S Kim

1300 Jefferson Park Ave

$5.13 296 286
Katarine V L Egressy

1215 Lee St

$4.93 271 248
Andrew D. Mihalek

1221 Lee St

$5.46 194 166
Eric M. Davis

1222 Jefferson Park Ave

$5.18 170 160
Hitesh Hasmukh Patel

1221 Lee St

$4.99 151 143
Jamie Macleod

1215 Lee Street - Box Number 800696

$4.47 109 107
Imre Noth

1221 Lee St Fl 2

$4.79 109 99
Margaret Elisabeth West

1204 W Main St

$9.65 99 90
Max M Weder

1300 Jefferson Park Ave

$2.62 96 71
Kristi K. Gott

1204 W Main St

$6.52 55 49
Hannah C. Mannem

1300 Jefferson Park Ave

$3.25 40 32
Arvind Madaan

1532 Insurance Ln

$25.04 40 36
Mark C Pierce

1215 Lee St

$3.02 29 26
University Of Virginia Physicians Group

4105 Lewis And Clark Dr

$16.33 28 28
Sarah K. Kilbourne

Lee St Fl 2

$3.29 16 14
Jonathan A Hemler

1204 W Main St

$36.31 13 13
Kara Coffey

1215 Lee St

$22.21 12 12
William Gerald Teague

1204 W Main St

$7.26 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 Charlottesville, VA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Charlottesville, VA is $27.01 per claim, based on 56,810 claims from 38 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 Charlottesville, VA?

There are 38 Medicaid providers offering Pulmonary Function Test related services in Charlottesville, VA according to public payment data.

What is the price range for Pulmonary Function Test in Charlottesville, VA?

Medicaid reimbursement for Pulmonary Function Test in Charlottesville, VA ranges from $2.62 to $36.31 per claim, with an average of $27.01. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Pulmonary Function Test in Other Cities

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