Average Medicaid Pulmonary Function Test Payments in Morehead City, NC: $15.27
Avg. Paid
$15.27
Range
$3.98 – $69.28
Total Claims
683
Providers
9
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 Morehead City, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sajeev P Vettichira
147 Hwy 24 |
$4.39 | 371 | 281 |
|
Jessica Weresnick
3004 Bridges St |
$27.62 | 105 | 96 |
|
Joseph C Dell'Aria
3500 Arendell St |
$12.59 | 62 | 50 |
|
Charles W Stafford
3004 Bridges St |
$69.28 | 61 | 59 |
|
Barbara Jo Bizub
3722 Bridges St |
$3.98 | 29 | 28 |
|
Jennifer Deann Benton
810 Arendell St |
$24.08 | 17 | 17 |
|
Andrew Kenneth Kiluk
3701 John Platt Drive |
$8.61 | 13 | 12 |
|
Jada Fields Taylor
511 Penny Lane |
$10.18 | 13 | 12 |
|
Phinizy Sheets
3604 Medical Park Ct |
$10.18 | 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 Morehead City, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Morehead City, NC is $15.27 per claim, based on 683 claims from 9 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 Morehead City, NC?
There are 9 Medicaid providers offering Pulmonary Function Test related services in Morehead City, NC according to public payment data.
What is the price range for Pulmonary Function Test in Morehead City, NC?
Medicaid reimbursement for Pulmonary Function Test in Morehead City, NC ranges from $3.98 to $69.28 per claim, with an average of $15.27. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Office Visit
Avg $56.61
268,481 claims
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Avg $122.35
98,392 claims
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Avg $75.74
90,024 claims
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Avg $51.83
80,197 claims
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Avg $5.37
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Avg $17.30
75,063 claims
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Avg $30.56
58,112 claims
Ambulance Transport
Avg $26.72
37,473 claims