Average Medicaid Pulmonary Function Test Payments in Pinehurst, NC: $10.03
Avg. Paid
$10.03
Range
$6.56 – $33.39
Total Claims
15,449
Providers
21
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 Pinehurst, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Scott D Skibo
205 Page Rd |
$6.56 | 12 | 12 |
|
Amanda Korzep Watts
155 Memorial Dr |
$15.46 | 14 | 12 |
|
Elizabeth Univa Woodley
Po Box 3000 |
$29.44 | 21 | 18 |
|
Peter A Tucich
108 Sakonnet Trl |
$23.43 | 28 | 25 |
|
James Lewis
155 Memorial Dr |
$15.74 | 29 | 25 |
|
Julia Lynne Mabe
155 Memorial Dr |
$19.82 | 30 | 24 |
|
Diane Krane Laber
14 Regional Dr |
$33.39 | 32 | 28 |
|
Christopher James Lundberg
155 Memorial Dr |
$15.71 | 47 | 41 |
|
Jonathan Brower
155 Memorial Dr |
$23.98 | 50 | 44 |
|
Mary Peterson-Suri
155 Memorial Dr |
$14.76 | 63 | 44 |
|
Carlin Corsino
155 Memorial Dr |
$21.59 | 66 | 57 |
|
Peter Joseph Kauffman
205 Page Rd |
$11.49 | 101 | 100 |
|
Julie Verchick
155 Memorial Dr |
$20.36 | 115 | 96 |
|
Amanda Jean Fraser
14 Regional Dr |
$22.04 | 126 | 118 |
|
Katherine Newell
155 Memorial Dr |
$24.20 | 129 | 109 |
|
Scott J. Johnson
205 Page Rd |
$13.72 | 204 | 193 |
|
Mcpc-12, Llc
145 Applecross Rd |
$9.32 | 447 | 297 |
|
David C Thornton
205 Page Rd |
$12.27 | 687 | 597 |
|
Francis Farrell Collins
205 Page Rd |
$7.91 | 1,307 | 1,165 |
|
Michael A Pritchett
205 Page Road |
$7.32 | 3,749 | 3,033 |
|
Firsthealth Of The Carolinas, Inc.
155 Memorial Dr |
$10.29 | 8,192 | 5,849 |
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 Pinehurst, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Pinehurst, NC is $10.03 per claim, based on 15,449 claims from 21 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 Pinehurst, NC?
There are 21 Medicaid providers offering Pulmonary Function Test related services in Pinehurst, NC according to public payment data.
What is the price range for Pulmonary Function Test in Pinehurst, NC?
Medicaid reimbursement for Pulmonary Function Test in Pinehurst, NC ranges from $6.56 to $33.39 per claim, with an average of $10.03. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
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Bronx, NY
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Phoenix, AZ
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Los Angeles, CA
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Other Procedures in Pinehurst, NC
Blood Work & Lab Tests
Avg $11.86
397,455 claims
Office Visit
Avg $43.51
311,769 claims
Substance Abuse Treatment
Avg $23.95
305,476 claims
Emergency Room Visit
Avg $63.27
305,300 claims
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Avg $57.69
202,094 claims
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Avg $23.62
122,786 claims
Ambulance Transport
Avg $27.07
111,530 claims
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Avg $4.42
106,592 claims