Average Medicaid Pulmonary Function Test Payments in Newport News, VA: $35.70
Avg. Paid
$35.70
Range
$5.59 – $60.83
Total Claims
33,108
Providers
23
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 Newport News, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Riverside Hospital Inc
500 J Clyde Morris Blvd |
$41.44 | 22,248 | 19,025 |
|
Mary Immaculate Hospital Llc
2 Bernardine Dr |
$60.83 | 3,053 | 2,003 |
|
Som Nath Chalise
12200 Warwick Blvd Ste 290 |
$7.47 | 2,160 | 2,096 |
|
Eric A Weiner
12200 Warwick Blvd |
$6.58 | 2,013 | 1,906 |
|
Timothy A Queen
11842 Rock Landing Dr Ste 100 |
$21.59 | 932 | 871 |
|
Oladunni Modinat Enilari
12200 Warwick Blvd Ste 290 |
$6.79 | 845 | 833 |
|
Kaushal Kantibhai Patel
12200 Warwick Blvd Ste 290 |
$10.95 | 720 | 677 |
|
Adam Purdy
12200 Warwick Blvd Ste 290 |
$6.07 | 299 | 297 |
|
Connie Swartz Ketten
680 Oyster Point Rd |
$12.69 | 181 | 105 |
|
Tien Vanden Hoek
1405 Kiln Creek Pkwy |
$9.51 | 138 | 131 |
|
Muhammad Z Rizwan
12200 Warwick Blvd Ste 290 |
$6.48 | 132 | 121 |
|
Dejie John
680 Oyster Point Rd Ste 200 |
$10.12 | 105 | 72 |
|
Kevin Wayne Hynes
680 Oyster Point Rd |
$8.81 | 40 | 30 |
|
Sherin Amiri
11760 Rock Landing Dr |
$16.30 | 35 | 31 |
|
Brian K Butcher
11835 Fishing Point Dr |
$15.08 | 34 | 28 |
|
Stacey Ann Hinderliter
10510 Jefferson Ave |
$16.58 | 29 | 28 |
|
Elisa Joy Malpass
12997 Warwick Blvd |
$14.19 | 29 | 28 |
|
Curtis Delp Givens
12200 Warwick Blvd |
$6.38 | 27 | 25 |
|
Tokunbo James Matthews
12200 Warwick Blvd Ste 290 |
$5.59 | 24 | 24 |
|
Katherine Kaeppler Garling
680 Oyster Point Rd |
$9.84 | 20 | 13 |
|
Na'Zae Athena Clark
680 Oyster Point Rd Ste 200 |
$8.39 | 16 | 13 |
|
Anil Patel
11848 Rock Landing Dr Ste 402 |
$35.93 | 15 | 13 |
|
Henry Arakaky
12997 Warwick Blvd |
$15.13 | 13 | 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 Newport News, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Newport News, VA is $35.70 per claim, based on 33,108 claims from 23 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 Newport News, VA?
There are 23 Medicaid providers offering Pulmonary Function Test related services in Newport News, VA according to public payment data.
What is the price range for Pulmonary Function Test in Newport News, VA?
Medicaid reimbursement for Pulmonary Function Test in Newport News, VA ranges from $5.59 to $60.83 per claim, with an average of $35.70. 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
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Fresno, CA
Avg $9.79
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New York, NY
Avg $26.86
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Milwaukee, WI
Avg $31.74
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Bronx, NY
Avg $23.40
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Phoenix, AZ
Avg $43.01
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Los Angeles, CA
Avg $28.44
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Avg $11.67
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Avg $114.88
1,277,645 claims
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Avg $4.17
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Avg $48.32
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Office Visit
Avg $58.44
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Avg $22.47
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Avg $11.00
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Avg $241.14
414,774 claims
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Avg $133.31
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