Average Medicaid Pulmonary Function Test Payments in Columbia, SC: $36.74
Avg. Paid
$36.74
Range
$0.00 – $479.57
Total Claims
47,658
Providers
59
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 Columbia, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Prisma Health-Midlands
3301 Harden Street |
$13.04 | 7,757 | 4,949 |
|
Prisma Health-Midlands
5 Richland Medical Park Dr |
$11.99 | 5,725 | 4,620 |
|
Daniel Craig Brown
9 Richland Medical Park Dr Ste 505 |
$24.41 | 5,107 | 4,976 |
|
David Eugene Brown
9 Richland Medical Park Dr Ste 505 |
$24.92 | 4,163 | 4,011 |
|
Prisma Health-Midlands
1330 Taylor St |
$111.07 | 3,815 | 3,016 |
|
Michael J Bykowsky
1 Richland Medical Park Dr Ste 200 |
$22.26 | 2,627 | 2,577 |
|
Heather Marie Staples
9 Richland Medical Park Dr Ste 505 |
$25.19 | 2,321 | 2,238 |
|
David Joseph Amrol
2 Medical Park Rd Ste 506 |
$26.23 | 2,172 | 2,077 |
|
Jonathan Black
1 Richland Medical Park Dr |
$22.83 | 2,127 | 2,066 |
|
Carlton Gregory Cauthen
3016 Longtown Commons Dr |
$11.03 | 1,579 | 1,467 |
|
Matthew D Lee
9 Richland Medical Park Dr Ste 505 |
$18.62 | 1,228 | 1,203 |
|
Prisma Health-Midlands
1330 Taylor St |
$479.57 | 1,186 | 1,099 |
|
Medical University Hospital Authority
2435 Forest Dr |
$5.49 | 845 | 689 |
|
Medical University Hospital Authority
120 Gateway Corporate Blvd |
$0.95 | 773 | 709 |
|
David Perrick
One Richland Medical Park |
$22.81 | 519 | 513 |
|
Charles Guy Castles
14 Richland Medical Park Dr |
$10.63 | 503 | 463 |
|
Prisma Health-Midlands
400 Palmetto Health Pkwy |
$31.67 | 479 | 377 |
|
Mark James Mayson
1333 Taylor St |
$4.16 | 430 | 421 |
|
Doctors Care, Pa
1818 Henderson St |
$10.02 | 345 | 339 |
|
Mary Ford
2 Medical Park Rd Ste 506 |
$20.75 | 341 | 335 |
|
Kevin O Wessinger
1749 Marshall St |
$23.96 | 333 | 324 |
|
Providence Hospital, Llc
2435 Forest Dr |
$1.30 | 322 | 180 |
|
Jennifer R. Hucks
1 Richland Medical Park Dr |
$17.37 | 276 | 269 |
|
Morgan Kanwisher
1333 Taylor St |
$4.23 | 250 | 250 |
|
Christopher David Perry
2750 Laurel St Ste 202 |
$9.87 | 208 | 192 |
|
Brandi R Newsome
1 Richland Medical Park Dr |
$17.57 | 206 | 190 |
|
Hannah Lee Hopfensperger
9 Richland Medical Park Dr Ste 505 |
$5.26 | 174 | 174 |
|
Barry W Cabiness
601 Clemson Rd |
$21.17 | 136 | 134 |
|
Gregory J Feldman
6439 Garners Ferry Rd |
$11.49 | 125 | 109 |
|
Sharon Y Mirante
131 Wildewood Park Dr |
$18.83 | 119 | 110 |
|
Abhinav Gupta
1 Richland Medical Park Dr Ste 300 |
$15.53 | 118 | 114 |
|
Anthony Angelo Floreani
300 Palmetto Health Pkwy Ste 401 |
$1.27 | 116 | 107 |
|
Prisma Health-Midlands
400 Palmettto Health Parkway |
$8.04 | 111 | 101 |
|
Kiersten Leigh Lofton
601 Clemson Rd |
$23.13 | 104 | 103 |
|
Todd Gandy
1 Richland Medical Park Dr Ste 300 |
$5.39 | 101 | 100 |
|
Meredith Ashley Eckles Donley
1730 Henderson St Ste C |
$9.47 | 94 | 89 |
|
Syed Rahat Ali Shah Gilani
1333 Taylor St |
$5.36 | 91 | 88 |
|
Alex Jordan Warren
5 Medical Park |
$41.26 | 89 | 78 |
|
Daniel Edward Laurie
1 Richland Medical Park Dr |
$9.52 | 88 | 88 |
|
Robert A Vande Stouwe
One Richland Medical Park |
$22.38 | 87 | 82 |
|
William B Painter
140 Park Central Dr |
$10.20 | 67 | 60 |
|
Daniel Richard Troha
14 Richland Medical Park Dr Ste 350 |
$16.14 | 60 | 59 |
|
Lauren Allen Stout
14 Medical Park, Ste 400 |
$10.02 | 43 | 41 |
|
Lori L Cook
115 Blarney Dr Ste 109 |
$10.86 | 41 | 38 |
|
Laura M. Ledlie
1749 Marshall St |
$12.25 | 36 | 36 |
|
Toriah J. Caldwell
2638 Two Notch Rd |
$18.35 | 26 | 12 |
|
Justin Henry Atwood
2750 Laurel St Ste 202 |
$13.02 | 25 | 25 |
|
Nicholas Anthony Grimaldi
114 Gateway Corporate Blvd Ste 240 |
$0.00 | 19 | 13 |
|
Jennifer M Soroos
601 Clemson Rd |
$4.69 | 19 | 17 |
|
Madhuri V Juvekar
1120 Roberts Branch Pkwy Ste 300 |
$10.06 | 18 | 16 |
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 Columbia, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Columbia, SC is $36.74 per claim, based on 47,658 claims from 59 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 Columbia, SC?
There are 59 Medicaid providers offering Pulmonary Function Test related services in Columbia, SC according to public payment data.
What is the price range for Pulmonary Function Test in Columbia, SC?
Medicaid reimbursement for Pulmonary Function Test in Columbia, SC ranges from $0.00 to $479.57 per claim, with an average of $36.74. 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 Columbia, SC
Office Visit
Avg $72.57
2,249,167 claims
Blood Work & Lab Tests
Avg $34.82
1,311,438 claims
Emergency Room Visit
Avg $72.77
1,188,627 claims
Case Management Services
Avg $52.18
1,047,210 claims
Behavioral & Mental Health Therapy
Avg $63.05
790,433 claims
Dental Cleaning & Exam
Avg $34.66
777,605 claims
Psychiatric Evaluation
Avg $122.40
643,281 claims
Home Health Visit
Avg $65.66
600,597 claims