Average Medicaid Pulmonary Function Test Payments in Norfolk, VA: $54.47
Avg. Paid
$54.47
Range
$1.93 – $72.10
Total Claims
114,368
Providers
45
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 Norfolk, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Childrens Hospital Of The Kings Daughters Inc
601 Childrens Ln |
$72.10 | 60,173 | 43,635 |
|
Sentara Hospitals
600 Gresham Dr |
$46.13 | 18,331 | 11,863 |
|
Sentara Hospitals
830 Kempsville Rd |
$46.72 | 16,351 | 10,878 |
|
Bon Secours Depaul Medical Center Llc
150 Kingsley Ln |
$43.03 | 3,527 | 1,911 |
|
Cynthia Epstein Spoolman
601 Childrens Ln |
$6.89 | 3,045 | 2,855 |
|
Maripaz B. Morales
601 Childrens Ln |
$7.69 | 2,053 | 1,989 |
|
Jose F. Chocano
601 Childrens Ln |
$7.06 | 1,771 | 1,666 |
|
Ashlee Suzanne Law
601 Childrens Ln |
$7.92 | 1,644 | 1,590 |
|
Katherine A Nault
601 Childrens Ln |
$8.00 | 1,363 | 1,319 |
|
Angela D. Hogan
601 Childrens Ln |
$6.99 | 915 | 858 |
|
Lauren Lee Smith
601 Childrens Ln |
$7.54 | 897 | 867 |
|
Lindsey Elizabeth Moore
601 Childrens Ln Dept Of |
$7.52 | 702 | 678 |
|
Kelly M Maples
300 Riverview Ave |
$7.69 | 696 | 648 |
|
Clinton Philip Dunn
301 Riverview Ave |
$7.79 | 567 | 550 |
|
Cynthia S Kelly
601 Childrens Ln |
$7.53 | 429 | 405 |
|
Elizabeth Katherine Batchelor
301 Riverview Ave Ste 670 |
$37.87 | 260 | 251 |
|
Angela Marko
601 Childrens Ln |
$7.29 | 176 | 167 |
|
Carlos Sendon
601 Childrens Ln |
$6.31 | 159 | 147 |
|
Scott A Nottingham
171 Kempsville Rd |
$20.54 | 118 | 109 |
|
Alexandra Grace Worthington
930 Majestic Ave |
$7.57 | 105 | 96 |
|
Anthony Joseph Quaranta
850 Kempsville Rd |
$5.35 | 102 | 84 |
|
Benjamin Klick
601 Childrens Ln |
$15.40 | 94 | 63 |
|
Joshua Michael Sill
855 W Brambleton Ave |
$6.24 | 86 | 72 |
|
Michael Stewart Eggert
600 Gresham Dr Ste 8630A |
$4.27 | 76 | 58 |
|
Anirudh Aron
600 Gresham Dr Ste 8630B |
$5.32 | 74 | 62 |
|
Nina Abhay Bhatt
301 Riverview Ave |
$15.34 | 59 | 51 |
|
John T Bowers
850 Kempsville Rd |
$5.20 | 58 | 52 |
|
Paul Walker
930 Majestic Ave |
$15.53 | 57 | 53 |
|
Khalid Mohammad Saadah
600 Gresham Dr Ste 8630B |
$5.11 | 50 | 38 |
|
Zachary Pawlikowski
600 Gresham Dr Ste 8630B |
$3.93 | 44 | 28 |
|
Andrew Ndirangu Githaiga
844 Kempsville Rd Ste 212 |
$4.89 | 41 | 36 |
|
Simanta Dutta
844 Kempsville Rd Ste 212 |
$5.65 | 38 | 12 |
|
Kate N Crandley
601 Childrens Ln |
$21.08 | 35 | 29 |
|
Anthony R Russo
1326 E Little Creek Rd |
$9.24 | 33 | 26 |
|
Sherif Omar El Mahdy
600 Gresham Dr |
$3.65 | 32 | 24 |
|
Joseph Toland
924 W Little Creek Rd |
$23.62 | 31 | 30 |
|
Aileen Veronica Tiro
844 Kempsville Rd Ste 212 |
$7.21 | 28 | 26 |
|
Ginny M Marmolejos
600 Gresham Dr Ste 8630B |
$4.61 | 28 | 24 |
|
Lynelle W Slade-Byrd
171 Kempsville Rd |
$8.86 | 27 | 26 |
|
Windy J Mason-Leslie
1909 Granby St |
$17.37 | 26 | 25 |
|
Matthew Donald Bernens
600 Gresham Dr Ste 8630 |
$4.55 | 14 | 12 |
|
Lawrence M Pasquinelli
171 Kempsville Rd |
$17.70 | 14 | 12 |
|
Michael H Hooper
855 W Brambleton Ave |
$1.93 | 13 | 12 |
|
Timothy Stephen Fusiak
600 Gresham Dr |
$7.27 | 13 | 13 |
|
Latricia Baker Seusy
171 Kempsville Rd |
$12.72 | 13 | 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 Norfolk, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Norfolk, VA is $54.47 per claim, based on 114,368 claims from 45 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 Norfolk, VA?
There are 45 Medicaid providers offering Pulmonary Function Test related services in Norfolk, VA according to public payment data.
What is the price range for Pulmonary Function Test in Norfolk, VA?
Medicaid reimbursement for Pulmonary Function Test in Norfolk, VA ranges from $1.93 to $72.10 per claim, with an average of $54.47. 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 Norfolk, VA
Blood Work & Lab Tests
Avg $3.48
2,937,593 claims
Office Visit
Avg $78.63
1,771,246 claims
Emergency Room Visit
Avg $130.83
1,218,408 claims
Home Health Visit
Avg $127.59
1,198,941 claims
Physical Therapy
Avg $85.31
852,082 claims
X-Ray
Avg $14.46
677,468 claims
Urinalysis & Urine Tests
Avg $1.59
585,340 claims
Non-Emergency Medical Transportation
Avg $23.92
505,182 claims