Average Medicaid Pulmonary Function Test Payments in Jacksonville, NC: $15.88
Avg. Paid
$15.88
Range
$8.01 – $36.47
Total Claims
1,347
Providers
18
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 Jacksonville, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Albert F Curseen
237 White St |
$12.59 | 288 | 277 |
|
Kiem Hioe
152 Memorial Ct |
$30.26 | 221 | 187 |
|
Arnold Camacho Olegario
118 Memorial Dr |
$9.39 | 198 | 184 |
|
Benjamin C Mozie
1102 Henderson Dr |
$8.01 | 108 | 82 |
|
Richard J Guillot
152 Memorial Ct |
$19.33 | 86 | 74 |
|
Ishwar Hakumal Gopichand
118 Memorial Dr |
$9.67 | 80 | 68 |
|
Carol Sue Raynor
114 Memorial Dr Ste A |
$9.59 | 57 | 55 |
|
James C Gant
51 Office Park Dr |
$23.72 | 55 | 55 |
|
Damon Edwin Cofer
51 Office Park Dr |
$8.22 | 52 | 42 |
|
Jenna Kinner
237 White St Ste 1 |
$10.57 | 44 | 40 |
|
Hailey Joan Kilby Slattum
51 Office Park Dr |
$24.81 | 31 | 31 |
|
Madhur Mittal
118 Memorial Dr |
$10.18 | 27 | 27 |
|
Deanna Brooke Beard
51 Office Park Dr |
$23.58 | 24 | 22 |
|
Hannah Rackley Harrison
51 Office Park Dr |
$24.25 | 18 | 13 |
|
Keltsie S. Kellum
317 Western Blvd |
$21.16 | 18 | 15 |
|
Arin Piramzadian
3280 Henderson Dr |
$9.18 | 14 | 13 |
|
Ivan Christopher Patrick Friant
317 Western Blvd |
$36.47 | 14 | 13 |
|
Nancy F Melling
120 Memorial Dr |
$9.33 | 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 Jacksonville, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Jacksonville, NC is $15.88 per claim, based on 1,347 claims from 18 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 Jacksonville, NC?
There are 18 Medicaid providers offering Pulmonary Function Test related services in Jacksonville, NC according to public payment data.
What is the price range for Pulmonary Function Test in Jacksonville, NC?
Medicaid reimbursement for Pulmonary Function Test in Jacksonville, NC ranges from $8.01 to $36.47 per claim, with an average of $15.88. 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 Jacksonville, NC
Office Visit
Avg $52.35
987,055 claims
Vaccines & Immunizations
Avg $13.67
263,799 claims
Psychiatric Evaluation
Avg $63.49
168,782 claims
Substance Abuse Treatment
Avg $61.38
168,123 claims
Dental Cleaning & Exam
Avg $29.41
147,011 claims
Blood Work & Lab Tests
Avg $10.97
120,736 claims
Speech Therapy
Avg $42.93
117,418 claims
Emergency Room Visit
Avg $100.17
98,021 claims