Average Medicaid Pulmonary Function Test Payments in Silver Spring, MD: $28.54
Avg. Paid
$28.54
Range
$5.03 – $164.28
Total Claims
5,036
Providers
17
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 Silver Spring, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tahmina K Ahmed
831 University Blvd E |
$26.15 | 12 | 12 |
|
Kathryn Beaulieu Fournier
13407 Lydia St |
$23.45 | 12 | 12 |
|
Janice Evelyn Vasquez
1500 Forest Glen Rd |
$8.42 | 32 | 31 |
|
Jesus A Burbano
8615 Ramsey Ave |
$11.48 | 34 | 30 |
|
Angela Renae Canady
2101 Medical Park Dr Ste 305 |
$25.21 | 44 | 38 |
|
Luis Antonio Gonzalez
1015 Spring St |
$5.04 | 53 | 18 |
|
Puneet Singh Garcha
1040 Spring St |
$164.28 | 60 | 44 |
|
Vilma Ines Dobbs
8401 Colesville Rd Ste 15 |
$12.71 | 71 | 65 |
|
Edward Stanley Yanowitz
10801 Lockwood Dr Ste 180 |
$24.59 | 83 | 69 |
|
Holy Cross Health, Inc
1500 Forest Glen Rd |
$27.38 | 151 | 136 |
|
Anthony Peter Macarthy
10230 New Hampshire Ave |
$10.21 | 181 | 155 |
|
Patient First Maryland Medical Group Pllc
8206 Georgia Ave |
$5.03 | 208 | 196 |
|
Amisha Jain
1401 Blair Mill Rd |
$33.40 | 343 | 338 |
|
Giovanni Impeduglia
11161 New Hampshire Ave |
$16.25 | 389 | 315 |
|
Adventist Healthcare, Inc.
11890 Healing Way |
$55.24 | 478 | 320 |
|
Norman M Balog
15504 Williston Rd |
$18.33 | 1,433 | 1,269 |
|
Martin R. Correa
10301 Georgia Ave Ste 306 |
$35.00 | 1,452 | 1,344 |
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 Silver Spring, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Silver Spring, MD is $28.54 per claim, based on 5,036 claims from 17 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 Silver Spring, MD?
There are 17 Medicaid providers offering Pulmonary Function Test related services in Silver Spring, MD according to public payment data.
What is the price range for Pulmonary Function Test in Silver Spring, MD?
Medicaid reimbursement for Pulmonary Function Test in Silver Spring, MD ranges from $5.03 to $164.28 per claim, with an average of $28.54. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
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Fresno, CA
Avg $9.79
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New York, NY
Avg $26.86
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Milwaukee, WI
Avg $31.74
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Bronx, NY
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Phoenix, AZ
Avg $43.01
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Los Angeles, CA
Avg $28.44
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Avg $11.67
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