Average Medicaid Pulmonary Function Test Payments in Macon, GA: $24.17
Avg. Paid
$24.17
Range
$8.86 – $64.52
Total Claims
1,934
Providers
16
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 Macon, GA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kaleigh S Cowart
840 Pine St Ste 780 |
$21.92 | 485 | 466 |
|
Jamie K Polk
3951 Ridge Ave Ste C |
$22.38 | 363 | 360 |
|
Robert Jonathan Dean
840 Pine Street Suite 780 |
$20.89 | 211 | 201 |
|
Jeffrey W. Langford
6501 Peake Rd Ste 1000 |
$29.13 | 182 | 178 |
|
Lyra O Ratmeyer
550 Professional Dr |
$23.52 | 127 | 125 |
|
Jason Smith
550 Professional Dr |
$17.63 | 105 | 103 |
|
Raja Muhammad Khan
535 Coliseum Dr |
$64.52 | 104 | 46 |
|
Stephanie Anne Wilcox
550 Professional Dr |
$20.84 | 78 | 76 |
|
Gabriella Kacsoh
550 Professional Dr |
$22.42 | 75 | 70 |
|
Dana Lindsey Mayo
550 Professional Dr |
$17.39 | 73 | 62 |
|
Avinesh Singh Bhar Jaswindar Singh
1140 S Jackson Springs Rd |
$8.86 | 38 | 38 |
|
Victor Tabi Enoh
777 Hemlock St |
$23.01 | 28 | 16 |
|
Christopher Jackson Cawley
550 Professional Dr |
$16.51 | 26 | 26 |
|
Lance E Slade
550 Professional Dr |
$20.52 | 14 | 13 |
|
Rhonda Coker
777 Hemlock St |
$17.48 | 13 | 13 |
|
Lindsay Shea Kinnebrew
550 Professional Dr |
$18.92 | 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 Macon, GA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Macon, GA is $24.17 per claim, based on 1,934 claims from 16 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 Macon, GA?
There are 16 Medicaid providers offering Pulmonary Function Test related services in Macon, GA according to public payment data.
What is the price range for Pulmonary Function Test in Macon, GA?
Medicaid reimbursement for Pulmonary Function Test in Macon, GA ranges from $8.86 to $64.52 per claim, with an average of $24.17. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
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Avg $23.88
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Fresno, CA
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New York, NY
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
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Avg $28.44
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Avg $11.67
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