Average Medicaid Pulmonary Function Test Payments in Monroe, NC: $13.78
Avg. Paid
$13.78
Range
$3.94 – $27.60
Total Claims
13,398
Providers
22
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 Monroe, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kenneth H Prushik
1994 Wellness Blvd Ste 110 |
$10.18 | 12 | 12 |
|
Erin Lee Washburn
1994 Wellness Blvd Ste 110 |
$18.29 | 13 | 12 |
|
Adriance Edington
404 S Sutherland Ave |
$9.45 | 14 | 13 |
|
Anika Latonya Surratt
3193 W Highway 74 |
$10.18 | 15 | 12 |
|
Dakeya D Logan
3193 W Highway 74 |
$10.18 | 16 | 14 |
|
Heather Ann Hapeman
3193 W Highway 74 |
$8.28 | 21 | 12 |
|
Jennifer P Deese
1994 Wellness Blvd |
$10.18 | 26 | 26 |
|
Adanma Mbadinuju Okwara
404 S Sutherland Ave |
$9.65 | 27 | 24 |
|
Regina Bryant Norville
404 S Sutherland Ave |
$9.41 | 36 | 35 |
|
Michelle Marie Kerr
3193 W Highway 74 |
$7.89 | 40 | 31 |
|
Tina Grue
1640 Campus Park Dr Ste C |
$27.60 | 97 | 96 |
|
Brittany Amber Jackson
404 S Sutherland Ave |
$20.74 | 110 | 94 |
|
Connie S Kim
404 S Sutherland Ave |
$27.30 | 121 | 102 |
|
Carl Andre Smart
2000 Wellness Blvd |
$23.82 | 241 | 234 |
|
Erica Archanjo Rabold
1550 Faulk St |
$14.26 | 328 | 260 |
|
Jimi Olusegun Akingbade
1969 Wellness Blvd |
$6.75 | 329 | 319 |
|
Awawu Ekinadoese Igbinadolor
701 E Roosevelt Blvd Ste 800A |
$9.66 | 431 | 277 |
|
Grigor Badalyan
1550 Faulk St |
$11.43 | 756 | 672 |
|
Anu Rebecca Jacob
1550 Faulk St |
$11.74 | 1,144 | 1,028 |
|
Ramarao Suresh
1550 Faulk St |
$10.43 | 1,148 | 1,007 |
|
The Charlotte-Mecklenburg Hospital Authority
600 Hospital Dr |
$3.94 | 1,700 | 1,207 |
|
Benedict O Okwara
404 South Sutherland Ave. |
$17.23 | 6,773 | 5,594 |
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 Monroe, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Monroe, NC is $13.78 per claim, based on 13,398 claims from 22 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 Monroe, NC?
There are 22 Medicaid providers offering Pulmonary Function Test related services in Monroe, NC according to public payment data.
What is the price range for Pulmonary Function Test in Monroe, NC?
Medicaid reimbursement for Pulmonary Function Test in Monroe, NC ranges from $3.94 to $27.60 per claim, with an average of $13.78. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
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