Average Medicaid Pulmonary Function Test Payments in Hagerstown, MD: $18.31
Avg. Paid
$18.31
Range
$0.87 – $183.59
Total Claims
11,713
Providers
21
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 Hagerstown, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nikhil K. Mehta
251 E Antietam St |
$183.59 | 13 | 13 |
|
Atchuthanand Budi
1141 Opal Court |
$11.26 | 17 | 14 |
|
Vanessa Lynn Geyer
319 E Antietam St |
$10.44 | 34 | 32 |
|
Saqib Masood
319 E Antietam St |
$11.81 | 34 | 34 |
|
Michelle Walker
1150 Omega Dr Ste 107 |
$26.02 | 46 | 40 |
|
Justina Workman
1125 Diamond Dr |
$28.80 | 74 | 66 |
|
Jamy Adelina Batdorff
11116 Medical Campus Rd |
$12.23 | 84 | 42 |
|
Chukwuemeka Obidi
303 Memorial Blvd W |
$5.27 | 148 | 45 |
|
Mudusar I Raza
12821 Oak Hill Ave |
$40.41 | 190 | 155 |
|
Shaheen Iqbal
12821 Oak Hill Ave |
$44.30 | 203 | 193 |
|
Medexpress Urgent Care, Pc - Maryland
1741 Dual Hwy Ste A |
$9.13 | 205 | 157 |
|
Mohammad Tariq
334 Mill St |
$9.91 | 242 | 201 |
|
Kalim Ahmed
12821 Oak Hill Ave |
$37.90 | 344 | 310 |
|
Mahmoud Ahmad Mustafa
1409 Pennsylvania Ave |
$11.53 | 439 | 400 |
|
Thomas Gilbert
11116 Medical Campus Rd |
$12.03 | 460 | 437 |
|
Meritus Urgent Care, Llc
13620 Crayton Blvd |
$12.16 | 761 | 629 |
|
Meritus Medical Center Inc
11116 Medical Campus Rd |
$0.87 | 779 | 678 |
|
Imtiaz Khurshid
12821 Oak Hill Avenue |
$40.79 | 942 | 881 |
|
Pajman Alexander Danai
12821 Oak Hill Ave |
$41.84 | 1,114 | 1,004 |
|
Medical Practices Of Antietam, Llc
11110 Medical Campus Road |
$3.81 | 2,712 | 2,429 |
|
Drs. Waheed Alencherry And Iqbal Pa
12821 Oak Hill Ave |
$19.52 | 2,872 | 2,601 |
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 Hagerstown, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Hagerstown, MD is $18.31 per claim, based on 11,713 claims from 21 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 Hagerstown, MD?
There are 21 Medicaid providers offering Pulmonary Function Test related services in Hagerstown, MD according to public payment data.
What is the price range for Pulmonary Function Test in Hagerstown, MD?
Medicaid reimbursement for Pulmonary Function Test in Hagerstown, MD ranges from $0.87 to $183.59 per claim, with an average of $18.31. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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