Average Medicaid Pulmonary Function Test Payments in Elizabeth, NJ: $18.27
Avg. Paid
$18.27
Range
$4.89 – $38.81
Total Claims
86,212
Providers
23
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 Elizabeth, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jean C Pattathil
240 Williamson St |
$38.81 | 14 | 14 |
|
Adam J. Rowen
98 W Jersey St |
$4.89 | 36 | 36 |
|
Anshu Goyal Garg
240 Williamson St |
$5.33 | 43 | 42 |
|
Alberto Lopez Silvero
240 Williamson St |
$25.11 | 50 | 49 |
|
Thressiamma M Cholankeril
100 Grove St |
$30.25 | 68 | 68 |
|
Edward Rakler
500 Westfield Ave |
$6.85 | 69 | 66 |
|
James Perez
824 Elizabeth Ave |
$18.92 | 74 | 73 |
|
Associates In Ent & Allergy Pa
470 North Avenue |
$5.66 | 93 | 46 |
|
Aparna Bhamidipati
435 Elmora Ave |
$15.47 | 164 | 154 |
|
Kenneth James Davis
701 Newark Ave |
$20.49 | 174 | 174 |
|
Kacy Eunkyung In
817 Rahway Ave |
$22.17 | 252 | 248 |
|
Jasjit Walia
1150 Dickinson St |
$10.90 | 330 | 314 |
|
Johanna Jacqueline Gonzalez Mejia
433 North Broad Street |
$9.31 | 524 | 478 |
|
Ravikiran Iyengar
817 Rahway Ave |
$22.15 | 722 | 696 |
|
Lucyamma Thalody
240 Williamson St |
$32.19 | 992 | 990 |
|
Narendra Narottamdas Saraiya
817 Rahway Ave |
$37.86 | 1,067 | 996 |
|
Usha George Thalody
240 Williamson St |
$25.69 | 1,232 | 1,177 |
|
Trinitas Regional Medical Center
225 Williamson St |
$18.34 | 1,802 | 837 |
|
Ashraf H Mansour
240 Williamson St |
$31.81 | 2,934 | 2,860 |
|
Raghunandan Sundaram
817 Rahway Ave |
$30.81 | 3,378 | 3,128 |
|
Sanjay Batta
240 Williamson St Ste 506 |
$12.41 | 9,781 | 9,630 |
|
Diego Saporta
470 North Ave |
$29.99 | 19,295 | 9,566 |
|
Vipin Garg
240 Williamson St |
$11.55 | 43,118 | 37,896 |
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 Elizabeth, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Elizabeth, NJ is $18.27 per claim, based on 86,212 claims from 23 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 Elizabeth, NJ?
There are 23 Medicaid providers offering Pulmonary Function Test related services in Elizabeth, NJ according to public payment data.
What is the price range for Pulmonary Function Test in Elizabeth, NJ?
Medicaid reimbursement for Pulmonary Function Test in Elizabeth, NJ ranges from $4.89 to $38.81 per claim, with an average of $18.27. 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 Elizabeth, NJ
Office Visit
Avg $46.75
1,054,219 claims
Home Health Visit
Avg $73.66
998,753 claims
Blood Work & Lab Tests
Avg $8.67
444,887 claims
Psychiatric Evaluation
Avg $108.09
323,822 claims
Emergency Room Visit
Avg $175.41
311,968 claims
Non-Emergency Medical Transportation
Avg $34.17
297,323 claims
Vaccines & Immunizations
Avg $12.38
217,358 claims
Dental Cleaning & Exam
Avg $27.85
185,821 claims