Average Medicaid Pulmonary Function Test Payments in Rogersville, TN: $10.69
Avg. Paid
$10.69
Range
$1.57 – $15.74
Total Claims
3,137
Providers
8
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 Rogersville, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kristen Dykes
4307 Highway 66 S |
$14.52 | 15 | 14 |
|
Connie A Manz Hinkle
851 Locust St |
$1.57 | 32 | 26 |
|
Dana Wright Mccoy
4307 Highway 66 S |
$11.43 | 63 | 55 |
|
Rolyn Paster Te
851 Locust St |
$5.68 | 113 | 55 |
|
Alexandria Grace-Mary Holder
4307 Highway 66 S |
$14.52 | 115 | 106 |
|
Camellia Bell Williams
4307 Highway 66 S |
$14.59 | 164 | 140 |
|
Richard Scott Mcgill
4307 Highway 66 S |
$15.74 | 203 | 181 |
|
Lata Shah
Lung And Sleep Clinic |
$10.14 | 2,432 | 1,606 |
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 Rogersville, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Rogersville, TN is $10.69 per claim, based on 3,137 claims from 8 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 Rogersville, TN?
There are 8 Medicaid providers offering Pulmonary Function Test related services in Rogersville, TN according to public payment data.
What is the price range for Pulmonary Function Test in Rogersville, TN?
Medicaid reimbursement for Pulmonary Function Test in Rogersville, TN ranges from $1.57 to $15.74 per claim, with an average of $10.69. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Rogersville, TN
Office Visit
Avg $44.29
199,047 claims
Ambulance Transport
Avg $48.79
45,196 claims
Blood Work & Lab Tests
Avg $3.71
39,662 claims
Vaccines & Immunizations
Avg $10.37
37,232 claims
Eye Exam
Avg $36.85
24,054 claims
Physical Therapy
Avg $17.20
23,254 claims
Psychiatric Evaluation
Avg $39.09
22,661 claims
Durable Medical Equipment (DME)
Avg $15.39
17,357 claims