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 |
|---|---|---|---|
|
William Gerald Teague
1204 W Main St |
$7.26 | 12 | 12 |
|
Kara Coffey
1215 Lee St |
$22.21 | 12 | 12 |
|
Jonathan A Hemler
1204 W Main St |
$36.31 | 13 | 13 |
|
Sarah K. Kilbourne
Lee St Fl 2 |
$3.29 | 16 | 14 |
|
University Of Virginia Physicians Group
4105 Lewis And Clark Dr |
$16.33 | 28 | 28 |
|
Mark C Pierce
1215 Lee St |
$3.02 | 29 | 26 |
|
Arvind Madaan
1532 Insurance Ln |
$25.04 | 40 | 36 |
|
Hannah C. Mannem
1300 Jefferson Park Ave |
$3.25 | 40 | 32 |
|
Kristi K. Gott
1204 W Main St |
$6.52 | 55 | 49 |
|
Max M Weder
1300 Jefferson Park Ave |
$2.62 | 96 | 71 |
|
Margaret Elisabeth West
1204 W Main St |
$9.65 | 99 | 90 |
|
Imre Noth
1221 Lee St Fl 2 |
$4.79 | 109 | 99 |
|
Jamie Macleod
1215 Lee Street - Box Number 800696 |
$4.47 | 109 | 107 |
|
Hitesh Hasmukh Patel
1221 Lee St |
$4.99 | 151 | 143 |
|
Eric M. Davis
1222 Jefferson Park Ave |
$5.18 | 170 | 160 |
|
Andrew D. Mihalek
1221 Lee St |
$5.46 | 194 | 166 |
|
Katarine V L Egressy
1215 Lee St |
$4.93 | 271 | 248 |
|
John S Kim
1300 Jefferson Park Ave |
$5.13 | 296 | 286 |
|
Daniel James O'Hearn
1222 Jefferson Park Ave |
$5.08 | 326 | 310 |
|
Jeffrey M. Sturek
Lee St & 11Th St Sw |
$5.30 | 354 | 337 |
|
Kyle B. Enfield
5 Hospital Dr |
$4.87 | 366 | 325 |
|
Numaan F. Malik
Lee St Fl 2 |
$5.01 | 367 | 326 |
|
Tessy K. Paul
Lee St Fl 2 |
$4.79 | 406 | 381 |
|
Lindsay A. Somerville
1221 Lee |
$6.13 | 461 | 447 |
|
Brittany Wall
1204 W Main St |
$8.55 | 466 | 447 |
|
Michael B. Boyd
5 Hospital Dr |
$6.06 | 471 | 423 |
|
Catherine Bonham
1221 Lee St Fl 2 |
$5.66 | 513 | 491 |
|
Alexandra Kadl
5 Hospital Dr |
$5.88 | 556 | 527 |
|
Subodh Pandey
1221 Lee St |
$7.24 | 559 | 519 |
|
Andrew Barros
1221 Lee St |
$5.78 | 745 | 709 |
|
Dana P. Albon
1221 Lee St |
$5.75 | 909 | 848 |
|
Deborah K. Froh
1204 W Main St |
$7.61 | 987 | 872 |
|
Andrea S. Garrod
1204 W Main St |
$8.03 | 1,957 | 1,824 |
|
Drew A. Harris
1221 Lee St Fl 2 |
$5.30 | 1,973 | 1,809 |
|
Yun Shim
Uva Hospital W |
$5.43 | 2,106 | 1,994 |
|
Richard Kravitz
1204 W Main St |
$31.74 | 2,641 | 2,431 |
|
Martha Jefferson Hospital
500 Martha Jefferson Dr |
$28.79 | 4,350 | 2,661 |
|
Rector & Visitors Of The University Of Virginia
1215 Lee St Pfs |
$35.62 | 34,557 | 28,059 |
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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Fresno, CA
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Avg $26.86
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Avg $31.74
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Avg $23.40
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Phoenix, AZ
Avg $43.01
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Los Angeles, CA
Avg $28.44
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