Average Medicaid Pulmonary Function Test Payments in Roanoke, VA: $39.64
Avg. Paid
$39.64
Range
$0.00 – $59.96
Total Claims
31,766
Providers
31
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 Roanoke, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Carilion Medical Center
1906 Belleview Ave Se |
$57.48 | 15,776 | 13,385 |
|
Christina Marie Abraham
1117 S Jefferson St |
$22.42 | 3,297 | 3,060 |
|
Joseph Tamez
4348 Electric Rd |
$30.80 | 3,142 | 3,041 |
|
Praneet Sivaramakrishnan Iyer
2001 Crystal Spring Ave Sw Ste 300 |
$18.05 | 2,876 | 2,677 |
|
Natalie Hayes
4348 Electric Rd |
$22.85 | 1,782 | 1,728 |
|
Saju Sebastian Eapen
1505 Franklin Rd Sw |
$25.43 | 1,009 | 900 |
|
Andre Muelenaer
102 Highland Ave Se |
$33.75 | 674 | 643 |
|
Erin Worthington
4348 Electric Rd |
$24.99 | 567 | 555 |
|
Carilion Emergency Services, Inc.
1906 Belleview Ave Se |
$8.25 | 390 | 362 |
|
Sameh Aziz
2001 Crystal Spring Ave Sw Ste 300 |
$6.51 | 384 | 366 |
|
Susanti Rahaju Ie
2001 Crystal Spring Ave Sw |
$6.15 | 363 | 350 |
|
Mahtab Banej Foroozesh
2001 Crystal Spring Ave Sw Ste 300 |
$6.56 | 238 | 236 |
|
Rebecca S Schapira
4348 Electric Rd |
$23.37 | 166 | 161 |
|
Alison Ensor Dunn
4348 Electric Rd |
$11.19 | 120 | 99 |
|
Maria Del Mar Cirino-Marcano
2001 Crystal Spring Ave Sw Ste 300 |
$6.46 | 120 | 117 |
|
Umar Sofi
2001 Crystal Spring Ave Sw Ste 300 |
$5.95 | 99 | 88 |
|
Lana Yaroslava Flippo
1906 Belleview Ave Se |
$0.00 | 94 | 88 |
|
Edmundo Raul Rubio
2001 Crystal Spring Ave Sw |
$5.97 | 93 | 92 |
|
Frank Hugo Biscardi
1906 Belleview Ave Se |
$6.50 | 81 | 81 |
|
Dane C Mcbride
1505 Franklin Rd Sw |
$26.54 | 76 | 65 |
|
Roanoke Valley Healthcare Partners, Llc
602 Brandon Ave Sw |
$6.11 | 66 | 54 |
|
Rachelle Ann Dykstra
1906 Belleview Ave Se |
$59.96 | 61 | 41 |
|
Badri Giri
2001 Crystal Spring Ave Sw Ste 300 |
$6.75 | 53 | 52 |
|
Anthony Lukas Loschner
2001 Crystal Spring Ave Sw Ste 300 |
$6.21 | 43 | 42 |
|
Mohammad Taajwar Khan
2001 Crystal Spring Ave Sw Ste 300 |
$5.63 | 41 | 37 |
|
Daniel Frank Pauly
2001 Crystal Spring Ave Sw Ste 203 |
$26.24 | 38 | 25 |
|
Moises Rimmer Cossio
2001 Crystal Spring Ave Sw |
$5.75 | 36 | 36 |
|
Carilion Healthcare Corporation
213 S Jefferson St Ste 416 |
$6.91 | 26 | 25 |
|
Patrick Robinson
1906 Belleview Ave Se |
$11.70 | 26 | 26 |
|
Farahaba Lakhdir
4348 Electric Rd |
$16.94 | 15 | 13 |
|
Nicole M Carroll
1505 Franklin Rd Sw |
$34.63 | 14 | 14 |
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 Roanoke, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Roanoke, VA is $39.64 per claim, based on 31,766 claims from 31 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 Roanoke, VA?
There are 31 Medicaid providers offering Pulmonary Function Test related services in Roanoke, VA according to public payment data.
What is the price range for Pulmonary Function Test in Roanoke, VA?
Medicaid reimbursement for Pulmonary Function Test in Roanoke, VA ranges from $0.00 to $59.96 per claim, with an average of $39.64. 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
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Avg $63.08
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Avg $44.31
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Avg $113.17
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