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Based on public Medicaid payment data.

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
University Hospital

150 Bergen St

 $69.74 17,705 15,551
Newark Beth Israel Medical Center Inc

201 Lyons Ave

 $172.99 14,835 13,085
Prime Healthcare Services - St Michaels Llc

111 Central Ave

 $66.14 8,748 6,480
Richard A. Miller

268 -306 Martin Luther King Blvd

 $6.50 3,984 3,445
Khalil William Savary

90 Bergen St Ste 5200

 $33.79 3,030 2,948
Andrew R Berman

90 Bergen St

 $13.67 529 523
Suzanne Zemel

50 Park Pl

 $33.84 496 418
Maria Ramirez

796 Mount Prospect Ave

 $17.52 452 438
Vidya Ramachandraiah

201 Lyons Ave

 $5.20 440 410
Folashade Farri

201 Lyons Avenue

 $22.02 301 264
Samir Vinodkumar Joshi

201 Lyons Ave

 $28.29 214 164
Amee Shirish Patrawalla

150 Bergen Street, Room I-354

 $13.29 181 181
Marc Adelman

268-306 Martin Luther King Blvd

 $18.33 167 161
Yonatan Yosef Greenstein

150 Bergen St Rm I-354

 $15.19 161 154
Marc Preston Roberts

559 Broad St

 $4.36 148 144
Irene Hao

150 Bergen Street Uh I Level-354

 $5.60 111 108
Anne Kathleen Sutherland

150 Bergen St

 $11.97 104 100
Sarah M Abbassi

150 Bergen St

 $31.35 67 62
Dennis A. Digiacomo

1072 S Orange Ave

 $39.93 66 62
Claudia Alcindor-Sparman

90 Bergen St # 4300

 $13.95 63 58
Neha Bhanabhai Patel

201 Lyons Ave # L5

 $21.81 58 57
Rene B. Esquerre

644 Mount Prospect Ave

 $6.67 45 43
Keith Poscablo Guevarra

201 Lyons Ave

 $21.12 42 42
Thomas R Ortiz

465 Mt. Prospect Ave.

 $1.98 25 25
Luis Garay

495 N 13Th St

 $4.88 16 14
Joshua Lee

201 Lyons Ave

 $42.30 14 14
Yazan Abdeen

111 Central Ave

 $17.08 13 13
Norman L Lim

148 South St

 $22.78 12 12
Nizar Souayah

90 Bergen St

 $57.79 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 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