Average Medicaid Pulmonary Function Test Payments in South Charleston, WV: $34.29
Avg. Paid
$34.29
Range
$5.93 – $49.52
Total Claims
18,281
Providers
13
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 South Charleston, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Herbert J. Thomas Memorial Hospital Association
4605 Maccorkle Ave Sw |
$46.18 | 3,879 | 2,766 |
|
Pulmonary Associates Of Char Llc
4619 Kanawha Ave., Sw |
$26.45 | 2,856 | 2,668 |
|
Urgent Care, Inc.- West Virginia
4812 Maccorkle Avenue Sw |
$24.60 | 2,361 | 2,066 |
|
Ths Physician Partners Inc
4605 Maccorkle Ave Sw |
$6.67 | 1,904 | 1,704 |
|
Robby L Keith
4619 Kanawha Avenue, Se |
$48.76 | 1,479 | 1,420 |
|
Phillip Cox
4619 Kanawha Ave Sw |
$40.07 | 1,400 | 1,344 |
|
William Alexander Wade
4619 Kanawha Ave., Sw |
$44.06 | 1,225 | 1,188 |
|
James D. Perry
4619 Kanawha Ave Sw |
$35.56 | 973 | 922 |
|
Nasim Ahmad Sheikh
4502 Maccorkle Ave Sw |
$28.49 | 868 | 796 |
|
Kevin L Eggleston
4619 Kanawha Ave., Sw |
$47.92 | 839 | 815 |
|
Tamejiro Takubo
4619 Kanawha Ave Sw |
$40.18 | 438 | 412 |
|
Ricky Mcdaniels
4607 Maccorkle Ave Sw Ste 300 |
$49.52 | 42 | 36 |
|
Gilbert Goliath Md Pllc
4607 Maccorkle Ave Sw Suite 400 |
$5.93 | 17 | 17 |
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 South Charleston, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in South Charleston, WV is $34.29 per claim, based on 18,281 claims from 13 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 South Charleston, WV?
There are 13 Medicaid providers offering Pulmonary Function Test related services in South Charleston, WV according to public payment data.
What is the price range for Pulmonary Function Test in South Charleston, WV?
Medicaid reimbursement for Pulmonary Function Test in South Charleston, WV ranges from $5.93 to $49.52 per claim, with an average of $34.29. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
Brooklyn, NY
Avg $23.88
467,812 claims · 307 providers
Fresno, CA
Avg $9.79
368,205 claims · 95 providers
New York, NY
Avg $26.86
328,938 claims · 255 providers
Milwaukee, WI
Avg $31.74
271,694 claims · 80 providers
Bronx, NY
Avg $23.40
241,250 claims · 156 providers
Phoenix, AZ
Avg $43.01
234,885 claims · 209 providers
Los Angeles, CA
Avg $28.44
186,761 claims · 157 providers
Detroit, MI
Avg $11.67
181,938 claims · 75 providers
Other Procedures in South Charleston, WV
Office Visit
Avg $57.79
745,810 claims
Blood Work & Lab Tests
Avg $17.69
253,168 claims
Personal Care Services
Avg $366.81
143,455 claims
X-Ray
Avg $15.64
115,267 claims
Urinalysis & Urine Tests
Avg $10.20
108,673 claims
Emergency Room Visit
Avg $104.71
98,390 claims
Durable Medical Equipment (DME)
Avg $39.77
69,766 claims
Vaccines & Immunizations
Avg $12.72
64,090 claims