Average Medicaid Pulmonary Function Test Payments in Fredericksburg, VA: $43.13
Avg. Paid
$43.13
Range
$9.81 – $56.79
Total Claims
17,960
Providers
20
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 Fredericksburg, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mary Washington Hospital Inc.
1001 Sam Perry Blvd |
$56.79 | 8,287 | 5,351 |
|
Spotsylvania Medical Center Inc
4600 Spotsylvania Parkway |
$44.08 | 3,721 | 2,928 |
|
Rohit Goyal
521 Park Hill Dr |
$27.94 | 1,267 | 1,213 |
|
Linda M Purcell
10600 Spotsylvania Ave |
$12.00 | 885 | 747 |
|
Julie Therese Cooper
1300 Thornton St |
$30.89 | 670 | 582 |
|
Jeffrey R. Rehm
521 Park Hill Dr |
$29.11 | 651 | 614 |
|
Lynn Cao
1139 Heatherstone Dr |
$9.81 | 607 | 560 |
|
Ahmed Tariq Butt
1300 Thornton St |
$34.20 | 507 | 474 |
|
William B Johnson
4532 Plank Rd |
$11.70 | 372 | 347 |
|
Jonathon Brian Posthumus
511 Park Hill Dr |
$30.03 | 261 | 252 |
|
Andrew Kim
1300 Thornton St |
$32.27 | 167 | 158 |
|
Ali Hafiz
521 Park Hill Dr |
$30.03 | 136 | 136 |
|
Shahab S Virani
1300 Thornton St Ste 200 |
$34.14 | 112 | 105 |
|
Nisha K Surenderanath
605 Emancipation Hwy |
$13.49 | 111 | 103 |
|
Chelsea Sue Koskovich
521 Park Hill Dr |
$20.73 | 76 | 62 |
|
Jiyeon Kim Becker
10600 Spotsylvania Ave |
$12.40 | 42 | 37 |
|
Hina Rahman Khan
4425 Plank Rd |
$15.18 | 34 | 29 |
|
Alison M Schaefer
511 Park Hill Dr |
$30.31 | 30 | 29 |
|
Verne Elise Rochford
4604 Spotsylvania Pkwy Ste 200 |
$11.81 | 12 | 12 |
|
Jonathan Daniel Mozena
511 Park Hill Drive |
$30.63 | 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 Fredericksburg, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Fredericksburg, VA is $43.13 per claim, based on 17,960 claims from 20 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 Fredericksburg, VA?
There are 20 Medicaid providers offering Pulmonary Function Test related services in Fredericksburg, VA according to public payment data.
What is the price range for Pulmonary Function Test in Fredericksburg, VA?
Medicaid reimbursement for Pulmonary Function Test in Fredericksburg, VA ranges from $9.81 to $56.79 per claim, with an average of $43.13. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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