Average Medicaid Pulmonary Function Test Payments in Sevierville, TN: $17.48
Avg. Paid
$17.48
Range
$0.00 – $19.84
Total Claims
6,208
Providers
11
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 Sevierville, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Zeke Oliver
742 Middle Creek Rd |
$2.19 | 14 | 12 |
|
Elizabeth J Hull
742 Middle Creek Rd |
$0.00 | 15 | 13 |
|
Sarah Kamp
629 Middle Creek Rd |
$14.16 | 32 | 29 |
|
Loryn C Hoskins
502 Winfield Dunn Pkwy |
$17.71 | 72 | 67 |
|
Meredith Cromer
1115 Blanton Dr |
$16.49 | 85 | 71 |
|
Steven C. Dronen
709 Middle Creek Rd |
$2.08 | 112 | 102 |
|
Jerry Wayne Bradley
709 Middle Creek Rd |
$0.64 | 120 | 113 |
|
Anthony Heath Trent
709 Middle Creek Rd |
$7.33 | 136 | 106 |
|
Brandon D Brown
744 Middle Creek Rd Ste 108 |
$17.01 | 536 | 508 |
|
Pamela F Wright
744 Middle Creek Rd |
$10.80 | 659 | 623 |
|
Melissa Renea Blair
707 Dolly Parton Pkwy |
$19.84 | 4,427 | 4,179 |
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 Sevierville, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Sevierville, TN is $17.48 per claim, based on 6,208 claims from 11 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 Sevierville, TN?
There are 11 Medicaid providers offering Pulmonary Function Test related services in Sevierville, TN according to public payment data.
What is the price range for Pulmonary Function Test in Sevierville, TN?
Medicaid reimbursement for Pulmonary Function Test in Sevierville, TN ranges from $0.00 to $19.84 per claim, with an average of $17.48. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Avg $41.69
296,351 claims
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Avg $116.03
161,635 claims
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Avg $4.40
129,519 claims
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Avg $29.79
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Avg $17.34
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Avg $2.42
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