Average Medicaid Pulmonary Function Test Payments in Johnson City, TN: $14.77
Avg. Paid
$14.77
Range
$1.61 – $134.61
Total Claims
6,654
Providers
34
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 Johnson City, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Maria Carmina Castillo Garcia
310 N State Of Franklin Rd |
$6.54 | 1,070 | 877 |
|
Amanda Kay Vanlandingham
310 N State Of Franklin Rd Ste 303 |
$9.03 | 931 | 798 |
|
Lisa Sue Robinson
400 N State Of Franklin Rd Rm 2746 |
$13.54 | 575 | 419 |
|
Jeff R Farrow
310 N State Of Franklin Road |
$7.04 | 495 | 438 |
|
Barbara Elaine Pate Pugh
101 Med Tech Pkwy |
$5.07 | 459 | 390 |
|
William Clever
1009 Novus Dr Ste 1A |
$11.80 | 419 | 382 |
|
Phillip Wayne Jones
2428 Knob Creek Rd |
$19.57 | 416 | 339 |
|
Leon Charles Bass
400 N State Of Franklin Rd |
$25.62 | 407 | 378 |
|
Wendy K. Zouras
400 N State Of Franklin Rd |
$23.05 | 337 | 281 |
|
Mountain States Health Alliance
400 N State Of Franklin Rd |
$48.68 | 250 | 205 |
|
Celso T Ebeo
310 N State Of Franklin Rd Ste 303 |
$9.65 | 199 | 145 |
|
Mohamed Y Ahmed
408 N State Of Franklin Rd Ste 31G |
$18.35 | 198 | 186 |
|
Melissa A Robbins
2428 Knob Creek Rd |
$23.61 | 176 | 164 |
|
Casey Lynn Davis
208 Sunset Dr Ste 340 |
$9.74 | 125 | 110 |
|
Garik T Misenar
400 N State Of Franklin Rd |
$33.96 | 84 | 79 |
|
Janice F Ewing
2428 Knob Creek Rd |
$25.50 | 83 | 69 |
|
Sheena L Tullock
2428 Knob Creek Rd Ste 102 |
$26.52 | 54 | 49 |
|
April Michelle Lambert-Drwiega
310 N State Of Franklin Rd |
$4.10 | 52 | 50 |
|
Steven T. Haywood
1120 Skyline Dr |
$134.61 | 40 | 39 |
|
Caitlen M Petschke
101 Med Tech Pkwy |
$7.67 | 37 | 27 |
|
Illuri Radhika Reddy
101 Med Tech Pkwy |
$1.61 | 30 | 25 |
|
Charity Helton
325 N. State Of Franklin Road |
$5.18 | 29 | 28 |
|
Andrew Townsend
301 Med Tech Pkwy Ste 180 |
$7.72 | 27 | 27 |
|
Thatcher Lee Card
1009 Novus Dr Ste 1A |
$5.43 | 21 | 14 |
|
Michael Eugene Sutherland
325 N. State Of Franklin |
$1.86 | 18 | 15 |
|
Eddie Gene Hughes
3980 Bristol Hwy |
$4.62 | 16 | 14 |
|
Daniel Wayne Ross
1408 Lake Ridge Sq |
$5.12 | 16 | 12 |
|
Demetrio Rebano Macariola
325 N State Of Franklin Rd |
$17.86 | 14 | 13 |
|
Gayatri Bala Jaishankar
325 N State Of Franklin Rd |
$16.56 | 13 | 13 |
|
Randall L Belt
378 Marketplace Dr |
$2.89 | 13 | 12 |
|
Aeroflow Inc
5 Worth Circle |
$23.07 | 13 | 12 |
|
Mayank Shah
325 N State Of Franklin Rd |
$72.46 | 13 | 13 |
|
Mark B Mchaney
400 N State Of Franklin Rd |
$7.31 | 12 | 12 |
|
Clifford G Williamson
325 N State Of Franklin Rd |
$4.18 | 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 Johnson City, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Johnson City, TN is $14.77 per claim, based on 6,654 claims from 34 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 Johnson City, TN?
There are 34 Medicaid providers offering Pulmonary Function Test related services in Johnson City, TN according to public payment data.
What is the price range for Pulmonary Function Test in Johnson City, TN?
Medicaid reimbursement for Pulmonary Function Test in Johnson City, TN ranges from $1.61 to $134.61 per claim, with an average of $14.77. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
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Avg $26.86
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Milwaukee, WI
Avg $31.74
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Bronx, NY
Avg $23.40
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Phoenix, AZ
Avg $43.01
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Los Angeles, CA
Avg $28.44
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Avg $11.67
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Other Procedures in Johnson City, TN
Office Visit
Avg $41.00
1,254,454 claims
Blood Work & Lab Tests
Avg $6.13
810,124 claims
Ambulance Transport
Avg $19.77
356,576 claims
Non-Emergency Medical Transportation
Avg $5.44
345,590 claims
Emergency Room Visit
Avg $90.83
331,961 claims
Psychiatric Evaluation
Avg $39.41
315,792 claims
Home Health Visit
Avg $80.06
306,249 claims
Nursing Facility Care
Avg $9.59
243,361 claims