Average Medicaid Pulmonary Function Test Payments in Red Bank, NJ: $10.98
Avg. Paid
$10.98
Range
$0.00 – $18.03
Total Claims
1,928
Providers
4
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 Red Bank, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Luisa Rita Del Castillo
225 Route 35 Ste 102 |
$12.37 | 12 | 12 |
|
Urgent Care Physicians Of New Jersey, Llc
46 Newman Springs Rd E Ste F |
$0.00 | 125 | 124 |
|
Meridian Hospitals Corporation
1 Riverview Plz |
$18.03 | 300 | 243 |
|
Hmh Hospitals Corporation
1 Riverview Plz |
$10.47 | 1,491 | 1,273 |
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 Red Bank, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Red Bank, NJ is $10.98 per claim, based on 1,928 claims from 4 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 Red Bank, NJ?
There are 4 Medicaid providers offering Pulmonary Function Test related services in Red Bank, NJ according to public payment data.
What is the price range for Pulmonary Function Test in Red Bank, NJ?
Medicaid reimbursement for Pulmonary Function Test in Red Bank, NJ ranges from $0.00 to $18.03 per claim, with an average of $10.98. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
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Other Procedures in Red Bank, NJ
Office Visit
Avg $45.66
216,539 claims
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Avg $34.32
150,465 claims
Behavioral & Mental Health Therapy
Avg $32.62
143,476 claims
Blood Work & Lab Tests
Avg $5.57
115,937 claims
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Avg $38.37
99,847 claims
Home Health Visit
Avg $124.29
73,970 claims
Emergency Room Visit
Avg $208.20
71,589 claims
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Avg $13.87
36,152 claims