Average Medicaid Pulmonary Function Test Payments in Newark, NJ: $87.92
Avg. Paid
$87.92
Range
$1.98 – $172.99
Total Claims
52,039
Providers
29
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, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Norman L Lim
148 South St |
$22.78 | 12 | 12 |
|
Nizar Souayah
90 Bergen St |
$57.79 | 12 | 12 |
|
Yazan Abdeen
111 Central Ave |
$17.08 | 13 | 13 |
|
Joshua Lee
201 Lyons Ave |
$42.30 | 14 | 14 |
|
Luis Garay
495 N 13Th St |
$4.88 | 16 | 14 |
|
Thomas R Ortiz
465 Mt. Prospect Ave. |
$1.98 | 25 | 25 |
|
Keith Poscablo Guevarra
201 Lyons Ave |
$21.12 | 42 | 42 |
|
Rene B. Esquerre
644 Mount Prospect Ave |
$6.67 | 45 | 43 |
|
Neha Bhanabhai Patel
201 Lyons Ave # L5 |
$21.81 | 58 | 57 |
|
Claudia Alcindor-Sparman
90 Bergen St # 4300 |
$13.95 | 63 | 58 |
|
Dennis A. Digiacomo
1072 S Orange Ave |
$39.93 | 66 | 62 |
|
Sarah M Abbassi
150 Bergen St |
$31.35 | 67 | 62 |
|
Anne Kathleen Sutherland
150 Bergen St |
$11.97 | 104 | 100 |
|
Irene Hao
150 Bergen Street Uh I Level-354 |
$5.60 | 111 | 108 |
|
Marc Preston Roberts
559 Broad St |
$4.36 | 148 | 144 |
|
Yonatan Yosef Greenstein
150 Bergen St Rm I-354 |
$15.19 | 161 | 154 |
|
Marc Adelman
268-306 Martin Luther King Blvd |
$18.33 | 167 | 161 |
|
Amee Shirish Patrawalla
150 Bergen Street, Room I-354 |
$13.29 | 181 | 181 |
|
Samir Vinodkumar Joshi
201 Lyons Ave |
$28.29 | 214 | 164 |
|
Folashade Farri
201 Lyons Avenue |
$22.02 | 301 | 264 |
|
Vidya Ramachandraiah
201 Lyons Ave |
$5.20 | 440 | 410 |
|
Maria Ramirez
796 Mount Prospect Ave |
$17.52 | 452 | 438 |
|
Suzanne Zemel
50 Park Pl |
$33.84 | 496 | 418 |
|
Andrew R Berman
90 Bergen St |
$13.67 | 529 | 523 |
|
Khalil William Savary
90 Bergen St Ste 5200 |
$33.79 | 3,030 | 2,948 |
|
Richard A. Miller
268 -306 Martin Luther King Blvd |
$6.50 | 3,984 | 3,445 |
|
Prime Healthcare Services - St Michaels Llc
111 Central Ave |
$66.14 | 8,748 | 6,480 |
|
Newark Beth Israel Medical Center Inc
201 Lyons Ave |
$172.99 | 14,835 | 13,085 |
|
University Hospital
150 Bergen St |
$69.74 | 17,705 | 15,551 |
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, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Newark, NJ is $87.92 per claim, based on 52,039 claims from 29 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, NJ?
There are 29 Medicaid providers offering Pulmonary Function Test related services in Newark, NJ according to public payment data.
What is the price range for Pulmonary Function Test in Newark, NJ?
Medicaid reimbursement for Pulmonary Function Test in Newark, NJ ranges from $1.98 to $172.99 per claim, with an average of $87.92. 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, NJ
Office Visit
Avg $61.77
2,237,116 claims
Blood Work & Lab Tests
Avg $7.22
2,053,105 claims
Emergency Room Visit
Avg $253.51
1,339,209 claims
Dental Cleaning & Exam
Avg $21.79
974,768 claims
X-Ray
Avg $29.87
603,867 claims
Ambulance Transport
Avg $87.48
530,189 claims
Vaccines & Immunizations
Avg $14.38
499,308 claims
Substance Abuse Treatment
Avg $117.53
456,003 claims