Average Medicaid Pulmonary Function Test Payments in Newark, DE: $15.34
Avg. Paid
$15.34
Range
$0.00 – $28.47
Total Claims
3,539
Providers
14
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 Newark, DE
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ent And Allergy Of Delaware Llc
700 Prides Xing Ste 200 |
$21.57 | 1,507 | 1,305 |
|
Christiana Care Health Services, Inc
200 Hygeia Dr Ste 1360 |
$5.71 | 969 | 659 |
|
Delaware Medical Care Associates Llc
537 Stanton Christiana Rd |
$28.47 | 500 | 432 |
|
Hummayun Ismail
550 Stanton Christiana Rd Ste 103 |
$1.22 | 162 | 126 |
|
Quan Chung Nguyen
700 Prides Xing Ste 200 |
$0.00 | 101 | 89 |
|
Mark D Jones
4745 Ogletown Stanton Rd |
$0.81 | 89 | 55 |
|
Junfang Jiao
700 Prides Xing Ste 200 |
$0.21 | 69 | 42 |
|
Scott Gary Schmidt
4755 Ogletown Stanton Rd |
$15.56 | 31 | 30 |
|
Colleen L. Allen
620 Stanton Christiana Rd Ste 301 |
$21.68 | 25 | 22 |
|
Jennifer Brown
4745 Ogletown Stanton Rd |
$9.92 | 23 | 15 |
|
Christiana Care Quality Partners
200 Hygeia Dr |
$0.00 | 19 | 13 |
|
Premier Medical Associates
620 Stanton Christiana Rd Ste 101 |
$25.11 | 15 | 15 |
|
Kathryn Kelly Benson
200 Hygeia Dr |
$7.62 | 15 | 13 |
|
Lynnanne Kasarda
200 Hygeia Dr |
$0.00 | 14 | 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 Newark, DE?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Newark, DE is $15.34 per claim, based on 3,539 claims from 14 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 Newark, DE?
There are 14 Medicaid providers offering Pulmonary Function Test related services in Newark, DE according to public payment data.
What is the price range for Pulmonary Function Test in Newark, DE?
Medicaid reimbursement for Pulmonary Function Test in Newark, DE ranges from $0.00 to $28.47 per claim, with an average of $15.34. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
Brooklyn, NY
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
271,694 claims · 80 providers
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
186,761 claims · 157 providers
Detroit, MI
Avg $11.67
181,938 claims · 75 providers
Other Procedures in Newark, DE
Office Visit
Avg $54.53
707,386 claims
Emergency Room Visit
Avg $90.00
560,932 claims
Blood Work & Lab Tests
Avg $7.81
179,528 claims
Psychiatric Evaluation
Avg $65.22
160,800 claims
Case Management Services
Avg $89.93
131,261 claims
Personal Care Services
Avg $156.34
122,111 claims
EKG / ECG (Electrocardiogram)
Avg $9.07
116,745 claims
Physical Therapy
Avg $18.74
112,611 claims