Average Medicaid Pulmonary Function Test Payments in Shelby, NC: $15.20
Avg. Paid
$15.20
Range
$5.40 – $24.31
Total Claims
1,431
Providers
15
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 Shelby, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Victor Zuniga
216 N Morgan St |
$16.34 | 429 | 302 |
|
Michael L Adix
419 Earl Road |
$8.06 | 295 | 246 |
|
Jonathan Leake
201 E Grover St |
$16.39 | 110 | 105 |
|
Lindsay Gould Crenshaw
201 E Grover St |
$22.78 | 105 | 97 |
|
Paul Munoz
201 E Grover St |
$17.82 | 100 | 95 |
|
James Watkins Lowry
201 E Grover St |
$17.15 | 99 | 94 |
|
Richard K Hughlett
201 E Grover St |
$18.27 | 62 | 62 |
|
Michael C. Dearment
1010 E Dixon Blvd |
$16.36 | 51 | 51 |
|
Gideon Besson
711 N Dekalb St |
$8.19 | 42 | 28 |
|
Matthew Edwin Dean
201 E Grover St |
$20.51 | 34 | 31 |
|
Mitchell Warren
201 E Grover St |
$24.31 | 33 | 29 |
|
Gina Michelle Merritt
1010 E Dixon Blvd |
$18.56 | 26 | 24 |
|
Paul M Peindl
201 E Grover St |
$10.65 | 18 | 17 |
|
Nancy Moose Hendrix
709 N Dekalb St |
$9.45 | 14 | 13 |
|
The Charlotte-Mecklenburg Hospital Authority
201 E Grover St |
$5.40 | 13 | 12 |
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 Shelby, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Shelby, NC is $15.20 per claim, based on 1,431 claims from 15 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 Shelby, NC?
There are 15 Medicaid providers offering Pulmonary Function Test related services in Shelby, NC according to public payment data.
What is the price range for Pulmonary Function Test in Shelby, NC?
Medicaid reimbursement for Pulmonary Function Test in Shelby, NC ranges from $5.40 to $24.31 per claim, with an average of $15.20. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
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Milwaukee, WI
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Bronx, NY
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Phoenix, AZ
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Los Angeles, CA
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Office Visit
Avg $53.83
515,145 claims
Emergency Room Visit
Avg $133.41
262,166 claims
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Avg $9.90
247,172 claims
Non-Emergency Medical Transportation
Avg $23.83
188,405 claims
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Avg $14.32
184,078 claims
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Avg $48.33
86,190 claims
Personal Care Services
Avg $91.66
81,254 claims
Dental Cleaning & Exam
Avg $30.72
80,888 claims