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Based on public Medicaid payment data.

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
Martin R. Correa

10301 Georgia Ave Ste 306

$35.00 1,452 1,344
Norman M Balog

15504 Williston Rd

$18.33 1,433 1,269
Adventist Healthcare, Inc.

11890 Healing Way

$55.24 478 320
Giovanni Impeduglia

11161 New Hampshire Ave

$16.25 389 315
Amisha Jain

1401 Blair Mill Rd

$33.40 343 338
Patient First Maryland Medical Group Pllc

8206 Georgia Ave

$5.03 208 196
Anthony Peter Macarthy

10230 New Hampshire Ave

$10.21 181 155
Holy Cross Health, Inc

1500 Forest Glen Rd

$27.38 151 136
Edward Stanley Yanowitz

10801 Lockwood Dr Ste 180

$24.59 83 69
Vilma Ines Dobbs

8401 Colesville Rd Ste 15

$12.71 71 65
Puneet Singh Garcha

1040 Spring St

$164.28 60 44
Luis Antonio Gonzalez

1015 Spring St

$5.04 53 18
Angela Renae Canady

2101 Medical Park Dr Ste 305

$25.21 44 38
Jesus A Burbano

8615 Ramsey Ave

$11.48 34 30
Janice Evelyn Vasquez

1500 Forest Glen Rd

$8.42 32 31
Kathryn Beaulieu Fournier

13407 Lydia St

$23.45 12 12
Tahmina K Ahmed

831 University Blvd E

$26.15 12 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 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.

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