Average Medicaid Pulmonary Function Test Payments in Durham, NC: $9.50
Avg. Paid
$9.50
Range
$0.83 – $87.00
Total Claims
27,031
Providers
30
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 Durham, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Neil Macintyre
2100 Erwin Rd |
$6.33 | 9,112 | 8,329 |
|
Yuh-Chin Tony Huang
Erwin Road |
$11.51 | 3,566 | 3,205 |
|
Donald M Rabil
4101 N Roxboro St |
$12.37 | 2,933 | 2,632 |
|
Peter Samuel Kussin
2100 Erwin Rd |
$9.06 | 2,739 | 2,463 |
|
Jeffrey S Loeb
2100 Erwin Rd |
$8.31 | 2,447 | 2,089 |
|
Susanne Meghdadpour
2100 Erwin Rd |
$22.20 | 1,393 | 1,261 |
|
Aaron Vose
2301 Erwin Rd |
$0.83 | 1,137 | 262 |
|
David Joseph Yehuda Shaz
40 Duke Medicine Cir |
$9.66 | 813 | 730 |
|
Sweta Mahesh Patel
2301 Erwin Road |
$7.95 | 621 | 584 |
|
Zachary Ryan Healy
1821 Hillandale Rd |
$9.79 | 383 | 342 |
|
Mai Kamal El Mallah
Chc Erwin Road Duke University Medical Center |
$3.77 | 299 | 262 |
|
Pamela Steele
2100 Erwin Rd |
$56.11 | 230 | 217 |
|
Duke University Health System, Inc.
2301 Erwin Road |
$2.74 | 150 | 104 |
|
Neelima Navuluri
315 Trent Dr Hanes House Room 106 |
$13.16 | 148 | 137 |
|
Harvey Edwin Marshall
40 Duke Medicine Cir |
$4.70 | 139 | 130 |
|
Joseph Govert
Duke University Medical Ctr |
$4.68 | 130 | 119 |
|
Lake Daniel Morrison
40 Duke Medicine Cir |
$4.00 | 110 | 106 |
|
Betty M Masten
1301 Fayetteville St |
$9.39 | 103 | 94 |
|
William Low
1901 Hillandale Rd |
$27.54 | 98 | 90 |
|
Erin Hower
2301 Erwin Rd |
$21.21 | 91 | 78 |
|
Eugene Friedman
234 Crooked Creek Pkwy Ste 400 |
$3.80 | 91 | 89 |
|
Alexandra Megan Jackson
6301 Herndon Road |
$9.71 | 87 | 83 |
|
Alyssa Soskis
40 Duke Medicine Cir |
$4.71 | 59 | 57 |
|
Lauren Mcrae
2645 Meridian Pkwy Ste 323 |
$13.35 | 33 | 31 |
|
Jessie Ping Gu
2301 Erwin Rd |
$4.53 | 32 | 32 |
|
Elizabeth Blyth
7011 Fayetteville Rd Ste 210 |
$15.27 | 30 | 28 |
|
Ursula Tomika White
40 Duke Medicine Cir # 2D |
$22.18 | 15 | 14 |
|
Natalie Kay Katz
3000 Erwin Rd |
$87.00 | 15 | 13 |
|
Christian L Balmadrid
3643 N Roxboro St |
$13.75 | 14 | 13 |
|
Sara Page
2100 Erwin Rd |
$10.18 | 13 | 13 |
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 Durham, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Durham, NC is $9.50 per claim, based on 27,031 claims from 30 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 Durham, NC?
There are 30 Medicaid providers offering Pulmonary Function Test related services in Durham, NC according to public payment data.
What is the price range for Pulmonary Function Test in Durham, NC?
Medicaid reimbursement for Pulmonary Function Test in Durham, NC ranges from $0.83 to $87.00 per claim, with an average of $9.50. 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
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