Average Medicaid Pulmonary Function Test Payments in Jersey City, NJ: $28.03
Avg. Paid
$28.03
Range
$3.53 – $68.10
Total Claims
49,181
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 Jersey City, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tanuj Bhatnagar
550 Newark Ave Ste 200 |
$20.93 | 17,913 | 17,548 |
|
Jersey City Medical Center
355 Grand Street |
$68.10 | 9,782 | 7,561 |
|
Hudson Hospital Opco Llc
176 Palisade Ave |
$3.53 | 5,584 | 2,823 |
|
Mazhar Elamir
192 Harrison Ave |
$24.23 | 5,425 | 4,839 |
|
Hemant Shah
237 Central Ave |
$13.95 | 4,134 | 3,642 |
|
Ayesha Shabbir Mahmoud
10 Exchange Pl |
$16.22 | 1,194 | 993 |
|
Melissa Mercado
176 Palisade Ave |
$23.50 | 1,051 | 1,027 |
|
George J Ciechanowski
408 Summit Avenue |
$19.33 | 984 | 890 |
|
Chaudhry Aman
216 Palisade Ave |
$26.95 | 726 | 653 |
|
John A Fritz
709 Newark Ave |
$23.06 | 644 | 622 |
|
Marwan Assaleh
591 Summit Ave |
$23.59 | 572 | 547 |
|
Jason Taiwo Elliston
935 Garfield Ave |
$5.76 | 478 | 445 |
|
Saquiba Syed
2727 John F Kennedy Blvd |
$18.51 | 402 | 389 |
|
David Flores
377 Jersey Ave |
$30.08 | 89 | 89 |
|
Jyoti S Matta
377 Jersey Ave |
$14.76 | 58 | 58 |
|
Khaleidoscope Health Care Inc.
127 Lafayette St |
$44.91 | 43 | 42 |
|
Merwin F Richard
550 Newark Ave |
$15.97 | 28 | 27 |
|
Anjum Chatha
580 Montgomery Street |
$30.30 | 27 | 26 |
|
Doney B Jain
751 Bergen Ave |
$20.16 | 19 | 19 |
|
Hudson Primary Care Professionals
709 Newark Ave |
$21.67 | 14 | 14 |
|
Carolina Maria Medrano Mendez
600 Pavonia Ave Ste 2 |
$13.32 | 14 | 13 |
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 Jersey City, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Jersey City, NJ is $28.03 per claim, based on 49,181 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 Jersey City, NJ?
There are 21 Medicaid providers offering Pulmonary Function Test related services in Jersey City, NJ according to public payment data.
What is the price range for Pulmonary Function Test in Jersey City, NJ?
Medicaid reimbursement for Pulmonary Function Test in Jersey City, NJ ranges from $3.53 to $68.10 per claim, with an average of $28.03. 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 Jersey City, NJ
Home Health Visit
Avg $87.35
4,021,509 claims
Office Visit
Avg $41.23
1,785,761 claims
Non-Emergency Medical Transportation
Avg $36.57
1,282,417 claims
Blood Work & Lab Tests
Avg $6.69
657,903 claims
Emergency Room Visit
Avg $258.37
617,176 claims
Physical Therapy
Avg $17.07
524,168 claims
Dental Cleaning & Exam
Avg $28.72
412,484 claims
Eye Exam
Avg $30.70
275,219 claims