Average Medicaid Pulmonary Function Test Payments in Morgantown, WV: $28.01
Avg. Paid
$28.01
Range
$0.00 – $212.79
Total Claims
24,895
Providers
20
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 Morgantown, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
West Virginia University Hospitals, Inc
1 Medical Center Drive |
$39.35 | 12,732 | 10,247 |
|
West Virginia University Medical Corporation
1 Medical Center Drive |
$6.52 | 6,214 | 5,700 |
|
Monongalia County General Hospital Company
1200 Jd Anderson Drive |
$34.52 | 1,772 | 775 |
|
Peter Varkey Kochupura
1000 Mon Health Medical Park Avenue |
$6.25 | 1,362 | 1,356 |
|
Monongalia County General Hospital Company
2000 Mon Health Medical Park Dr Ste 2300 |
$11.50 | 643 | 566 |
|
Cardinal Pediatrics Pllc
1247 Suncrest Towne Centre |
$6.48 | 580 | 528 |
|
William Thomas Corder
165 Scott Ave |
$44.47 | 567 | 512 |
|
Zebula Michael Reed
One Medical Center Drive, Hsc |
$133.63 | 139 | 119 |
|
Kyle Davis Chapman
1 Medical Center Dr |
$7.85 | 112 | 111 |
|
Talia B Sotomayor
1100 Fort Pierpont Dr Ste 102 |
$65.32 | 109 | 88 |
|
Casandra Arevalo-Marcano
1 Medical Center Dr |
$9.76 | 99 | 79 |
|
Sarah Hadique
1 Medical Center Drive |
$13.09 | 97 | 93 |
|
Luis Teba
1 Stadium Drive |
$9.45 | 90 | 86 |
|
Brian A Braxton
284 Palisades Dr |
$212.79 | 72 | 68 |
|
Rachel Ann Leonard
1 Medical Center Dr |
$9.93 | 71 | 71 |
|
Robert C Stansbury
205 Bakers Ridge Rd |
$10.29 | 67 | 67 |
|
Erin Marie Polak
201 Bakers Ridge Rd |
$46.84 | 58 | 58 |
|
Andrew Wall
1 Medical Center Dr |
$10.53 | 58 | 36 |
|
Rafia Zulfikar
1 Medical Center Dr |
$4.28 | 29 | 29 |
|
Damian Hegsted
1 Medical Center Drive, Room 7400 |
$0.00 | 24 | 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 Morgantown, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Morgantown, WV is $28.01 per claim, based on 24,895 claims from 20 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 Morgantown, WV?
There are 20 Medicaid providers offering Pulmonary Function Test related services in Morgantown, WV according to public payment data.
What is the price range for Pulmonary Function Test in Morgantown, WV?
Medicaid reimbursement for Pulmonary Function Test in Morgantown, WV ranges from $0.00 to $212.79 per claim, with an average of $28.01. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Avg $57.74
1,496,546 claims
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Avg $20.32
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599,513 claims
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