Average Medicaid Pulmonary Function Test Payments in Gastonia, NC: $11.49
Avg. Paid
$11.49
Range
$0.00 – $42.39
Total Claims
11,767
Providers
17
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 Gastonia, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Margaret Lubega
2644 Court Dr |
$9.65 | 5,517 | 4,608 |
|
Emeka Michael Eziri
440 E Long Ave |
$11.35 | 2,861 | 2,116 |
|
Anup Banerjee
1021 X Ray Dr |
$13.00 | 1,882 | 1,824 |
|
Olivia Bridget Mijumbi
239 Wilmot Dr Ste A |
$14.44 | 601 | 507 |
|
William Clayton Hayes
825 Majestic Ct Ste B |
$18.70 | 452 | 329 |
|
Jayne Kendall
2525 Court Dr |
$12.80 | 96 | 87 |
|
Ian Oluremilekun Cole
2525 Court Dr |
$27.72 | 84 | 73 |
|
Jay M Hendler
2544 Court Dr |
$2.10 | 62 | 41 |
|
Laura Peno-Green
2544 Court Dr Ste D |
$42.39 | 58 | 53 |
|
Constance E Walker
1839 E Garrison Blvd |
$10.18 | 32 | 29 |
|
Narayan Neupane
2544 Court Dr Ste D |
$3.40 | 28 | 24 |
|
Karen B Bentley
2525 Court Dr |
$16.93 | 24 | 24 |
|
Austin Thomas Costa
2525 Court Dr |
$19.07 | 18 | 18 |
|
Caleb Christopher Gerhart
2525 Court Dr |
$29.07 | 14 | 12 |
|
Jessica Ivy Stevenson
3320 Robinwood Rd |
$8.67 | 13 | 12 |
|
Lauren Carter Rohrer
2544 Court Dr Ste C |
$0.00 | 13 | 12 |
|
Mikell Jenkins Jarratt
934 Cox Rd |
$6.71 | 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 Gastonia, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Gastonia, NC is $11.49 per claim, based on 11,767 claims from 17 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 Gastonia, NC?
There are 17 Medicaid providers offering Pulmonary Function Test related services in Gastonia, NC according to public payment data.
What is the price range for Pulmonary Function Test in Gastonia, NC?
Medicaid reimbursement for Pulmonary Function Test in Gastonia, NC ranges from $0.00 to $42.39 per claim, with an average of $11.49. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
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Avg $23.88
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Fresno, CA
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New York, NY
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Los Angeles, CA
Avg $28.44
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Avg $11.67
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