Average Medicaid Pulmonary Function Test Payments in High Point, NC: $15.73
Avg. Paid
$15.73
Range
$8.36 – $31.91
Total Claims
24,629
Providers
27
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 High Point, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Brian W Doss
601 N Elm St |
$31.91 | 12 | 12 |
|
Andrew Christopher Maier
4515 Premier Dr Ste 300 |
$9.82 | 13 | 12 |
|
Kathryn Elisabeth Fuller
3610 Peters Ct |
$22.62 | 14 | 12 |
|
Racquel Marie Tonuzi
1814 Westchester Dr |
$9.50 | 15 | 14 |
|
Christine Hufnagel
2805 S Main St |
$19.36 | 15 | 12 |
|
Lindsey Kathryn Grist
2805 S Main St |
$20.98 | 16 | 13 |
|
Kelley Lowery
601 N Elm St |
$11.20 | 20 | 16 |
|
Michele Teresa Jedlica
404 Westwood Ave |
$9.84 | 30 | 29 |
|
Melissa Joy Shelton
1580 Skeet Club Rd Ste 112 |
$18.82 | 35 | 27 |
|
Sohail Bazel
507 N Lindsay St |
$22.36 | 44 | 37 |
|
John Bond Murphy
507 N Lindsay St |
$18.26 | 59 | 45 |
|
Leigh Elizabeth Johnson
4515 Premier Dr Ste 203 |
$9.74 | 70 | 63 |
|
Sonya Fleming
507 N Lindsay St |
$24.74 | 78 | 63 |
|
Phalan Larese Bolden
507 N Lindsay St |
$17.14 | 91 | 80 |
|
Katelin Starre
507 N Lindsay St |
$20.80 | 113 | 80 |
|
Easwar Ramadoss
624 Quaker Ln Ste 200D |
$9.81 | 131 | 120 |
|
Krishnamani Chinnasamy
1580 Skeet Club Rd |
$21.27 | 193 | 167 |
|
Ndofunsu M Badika
601 N Elm St |
$18.72 | 242 | 224 |
|
Moogali M Arvind
3604 Peters Ct |
$8.36 | 316 | 282 |
|
Evelyn Lomasney
400 N Elm St |
$21.78 | 614 | 542 |
|
Fernando Alberto Sanchez-Brugal
507 N Lindsay St |
$12.55 | 629 | 515 |
|
Amanda T Taylor
507 N Lindsay St |
$16.93 | 921 | 778 |
|
Erin Dennis
100 Westwood Ave |
$23.20 | 1,126 | 964 |
|
Jose Antonio Bardelas
100 Westwood Avenue |
$20.80 | 1,292 | 1,112 |
|
Karla Rene Smith
1580 Skeet Club Rd |
$14.91 | 1,309 | 1,066 |
|
Muhammad Shakir Ejaz
1814 Westchester Dr |
$15.60 | 1,459 | 1,339 |
|
Wayne Beauford
507 N Lindsay St |
$14.67 | 15,772 | 13,203 |
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 High Point, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in High Point, NC is $15.73 per claim, based on 24,629 claims from 27 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 High Point, NC?
There are 27 Medicaid providers offering Pulmonary Function Test related services in High Point, NC according to public payment data.
What is the price range for Pulmonary Function Test in High Point, NC?
Medicaid reimbursement for Pulmonary Function Test in High Point, NC ranges from $8.36 to $31.91 per claim, with an average of $15.73. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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