Average Medicaid Pulmonary Function Test Payments in Neptune, NJ: $22.32
Avg. Paid
$22.32
Range
$0.00 – $82.34
Total Claims
13,846
Providers
10
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 Neptune, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Hmh Hospitals Corporation
1945 Route 33 |
$14.10 | 7,851 | 6,249 |
|
Nader John Nakhleh
19 Davis Ave Fl 5 |
$27.16 | 1,813 | 1,784 |
|
Meridian Hospitals Corporation
1945 Route 33 |
$15.49 | 1,359 | 889 |
|
Jamie Erica Ruderfer
19 Davis Ave |
$82.34 | 1,064 | 1,050 |
|
Charles K. Dadzie
19 Davis Ave Fl 5 |
$26.74 | 808 | 775 |
|
Chee Chun Tan
19 Davis Ave Fl 5 |
$24.92 | 660 | 641 |
|
Mary Yee
444 Neptune Boulevard |
$10.11 | 153 | 148 |
|
Meridian Medical Group-Retail Clinic Pc
3600 Route 66 Fl 3 |
$0.00 | 96 | 83 |
|
Susan Anne Mcgrath
51 Davis Ave |
$23.17 | 28 | 28 |
|
Jayne Young Propert
29 Albany Rd |
$7.57 | 14 | 14 |
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 Neptune, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Neptune, NJ is $22.32 per claim, based on 13,846 claims from 10 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 Neptune, NJ?
There are 10 Medicaid providers offering Pulmonary Function Test related services in Neptune, NJ according to public payment data.
What is the price range for Pulmonary Function Test in Neptune, NJ?
Medicaid reimbursement for Pulmonary Function Test in Neptune, NJ ranges from $0.00 to $82.34 per claim, with an average of $22.32. 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
467,812 claims · 307 providers
Fresno, CA
Avg $9.79
368,205 claims · 95 providers
New York, NY
Avg $26.86
328,938 claims · 255 providers
Milwaukee, WI
Avg $31.74
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Bronx, NY
Avg $23.40
241,250 claims · 156 providers
Phoenix, AZ
Avg $43.01
234,885 claims · 209 providers
Los Angeles, CA
Avg $28.44
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Detroit, MI
Avg $11.67
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Other Procedures in Neptune, NJ
Office Visit
Avg $70.63
431,267 claims
Blood Work & Lab Tests
Avg $5.23
384,628 claims
Emergency Room Visit
Avg $224.45
225,797 claims
Behavioral & Mental Health Therapy
Avg $98.04
215,215 claims
Non-Emergency Medical Transportation
Avg $29.45
181,642 claims
Ambulance Transport
Avg $6.47
155,798 claims
Ultrasound
Avg $53.47
126,133 claims
Home Health Visit
Avg $94.88
99,410 claims