Based on public Medicaid payment data.

Average Medicaid Pulmonary Function Test Payments in Raleigh, NC: $30.34

Avg. Paid

$30.34

Range

$6.73 – $186.55

Total Claims

6,417

Providers

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 Raleigh, NC

Provider	Avg. Paid	Claims	Patients
Craig R Frater 3000 New Bern Ave	$124.81	12	12
Gurvinder K Deogun 10880 Durant Rd	$20.25	12	12
Olly C Duckett 3000 New Bern Ave	$93.46	12	12
Fadrienne H Sessions 1011 Rock Quarry Rd	$9.62	12	12
Elizabeth Bradley Cleland-Roberts 3024 New Bern Ave	$6.73	13	13
Hiren Harshadray Mehta 2605 Blue Ridge Rd Ste 190	$13.91	14	12
Mia N Armstrong 23 Sunnybrook Rd Ste 116	$9.45	14	12
Courtney H Mann 3000 New Bern Ave	$87.35	14	13
Hany Clark Ibrahim 3000 New Bern Ave	$39.57	15	15
Thomas John Zuber 11200 Governor Manly Way Ste 309	$8.20	15	15
Jonathan A Malin 3000 New Bern Ave	$39.16	16	15
Adnan Pervez 2605 Blue Ridge Rd Ste 190	$7.69	19	16
Paul Michael Swaney 10010 Falls Of Neuse Rd	$16.45	20	18
Eduardo Piqueras 3000 New Bern Ave	$81.41	20	16
Marquita Pleshette Lyons 1708 Trawick Rd	$8.85	23	17
David Henri Rosenbaum 3000 New Bern Ave	$85.96	25	24
Shannon Marie Matthews 3000 New Bern Ave	$76.99	28	26
Vincent Lawrence Firrincieli 2615 Lake Dr	$17.91	30	26
Michael David Brown 3000 New Bern Ave	$111.02	31	25
Esther Nissao 2406 Blue Ridge Rd Ste 100	$8.20	36	30
Sonia Noreen Bains 10880 Durant Rd Ste 200	$21.99	39	36
Chelsea H Okane 3000 New Bern Ave	$9.82	40	39
John Bryan Lykes 3024 New Bern Ave	$186.55	42	37
Morgan Baltrus Fowler 4420 Lake Boone Trl	$18.27	54	38
Lori Beth Bailey 4420 Lake Boone Trl	$7.45	56	48
Chinenye Uchendu 123 Sunnybrook Road, Suite 140	$48.88	62	52
Saad Saeed Khan 3000 New Bern Ave	$8.18	68	66
Heather Rivera Gutekunst 10880 Durant Rd	$20.79	98	88
Hillary Houghton 10211 Alm St # 210	$9.48	102	95
Andrew Jakubowicz 3000 New Bern Ave	$61.42	110	98
Kavitha Sravanthi R Kadumpalli 2800 Blue Ridge Road	$15.45	134	112
Amy Weigand Griffin 3000 New Bern Ave	$53.15	149	137
Naseem Jehan Masood 3214 Charles B Root Wynd	$10.41	166	120
Selam Bullock 23 Sunnybrook Rd	$9.61	195	168
Mackenzie Jeanne Davis 8841 Six Forks Rd # 102	$17.35	260	244
Scott Wesley Brown 3400 Wake Forest Rd	$38.32	291	265
Samy R Saad 3000 New Bern Ave	$78.93	305	289
Scott Vincent Connelly 3000 New Bern Ave	$76.76	360	338
Rohit Ahuja 2605 Blue Ridge Rd Ste 190	$11.00	437	397
Christopher Occhino 4513 Pitt St	$41.95	479	453
Vikas Pathak 3024 New Bern Ave	$7.22	559	548
William Brooks Hall 2605 Blue Ridge Rd Ste 190	$10.37	567	519
Susan Mary Kirwan 7205 Stonehenge Dr	$15.52	627	364
Wakemed 3000 New Bern Ave	$34.09	836	764

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 Raleigh, NC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Raleigh, NC is $30.34 per claim, based on 6,417 claims from 44 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 Raleigh, NC?

There are 44 Medicaid providers offering Pulmonary Function Test related services in Raleigh, NC according to public payment data.

What is the price range for Pulmonary Function Test in Raleigh, NC?

Medicaid reimbursement for Pulmonary Function Test in Raleigh, NC ranges from $6.73 to $186.55 per claim, with an average of $30.34. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Pulmonary Function Test Payments in Raleigh, NC: $30.34

Providers Offering Pulmonary Function Test in Raleigh, NC

What to Expect: Pulmonary Function Test

Cost Components

Frequently Asked Questions

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