Average Medicaid Pulmonary Function Test Payments in Sanford, NC: $55.26
Avg. Paid
$55.26
Range
$2.15 – $71.84
Total Claims
981
Providers
9
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 Sanford, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Samantha Gordon
1811 Phillips Dr |
$3.63 | 12 | 12 |
|
Tammy Lynn Morris Lloyd
1801 Doctors Dr |
$10.18 | 13 | 12 |
|
Samantha E Borden
1301 Central Dr |
$4.34 | 14 | 12 |
|
Akef S. Rahman
1135 Carthage St |
$47.99 | 15 | 14 |
|
Jeja Bushra Syeda
1135 Carthage St |
$12.00 | 22 | 21 |
|
Alfred Sidney B Bunao
409 Carthage St |
$2.15 | 27 | 22 |
|
Yousif Alkadhi
1135 Carthage St |
$18.96 | 28 | 24 |
|
Daniel Burleson
1212 Central Dr Ste 103 |
$12.12 | 145 | 99 |
|
William Adam Gower
1301 Central Dr |
$71.84 | 705 | 676 |
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 Sanford, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Sanford, NC is $55.26 per claim, based on 981 claims from 9 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 Sanford, NC?
There are 9 Medicaid providers offering Pulmonary Function Test related services in Sanford, NC according to public payment data.
What is the price range for Pulmonary Function Test in Sanford, NC?
Medicaid reimbursement for Pulmonary Function Test in Sanford, NC ranges from $2.15 to $71.84 per claim, with an average of $55.26. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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