Average Medicaid Pulmonary Function Test Payments in Spartanburg, SC: $14.50
Avg. Paid
$14.50
Range
$0.88 – $178.26
Total Claims
25,195
Providers
21
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 Spartanburg, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Spartanburg Medical Center
101 E Wood St |
$13.61 | 16,359 | 10,263 |
|
Robin Ong Go
1330 Boiling Springs Rd |
$25.14 | 1,723 | 1,701 |
|
Ikenna F Onyebueke
2030 N Church Street Pl |
$7.99 | 1,357 | 1,282 |
|
Rico V I Mendoza
2030 N Church Place |
$6.41 | 1,212 | 1,156 |
|
John Douglas Clark
2030 North Church Place |
$6.98 | 1,067 | 995 |
|
Joseph A Boscia
151 Harold Fleming Court |
$12.14 | 772 | 736 |
|
David R Erb
151 Harold Fleming Court |
$12.28 | 709 | 677 |
|
Mary Black Health System Llc
1700 Skylyn Dr |
$0.88 | 631 | 498 |
|
Jaime Andres Lagos
98 Willow Ln |
$22.16 | 381 | 371 |
|
Wilson P Smith
2030 N Church Place |
$10.58 | 370 | 346 |
|
John N Jewell
101 E Wood St |
$178.26 | 214 | 196 |
|
Ifekan-Shango Simon
853 N Church St |
$9.75 | 158 | 97 |
|
Farhan Siddiqui
151 Harold Fleming Ct |
$12.31 | 74 | 68 |
|
Supinder Channa
151 Harold Fleming Ct |
$8.50 | 67 | 65 |
|
Bernard Augustus Corbett
151 Peachwood Centre Dr |
$15.29 | 19 | 12 |
|
Ralph Haygood Johns
451A E Saint John St |
$9.65 | 16 | 16 |
|
Amy E. Rush
2430 Reidville Rd |
$14.25 | 14 | 12 |
|
Angel Sheng Yang
151 Harold Fleming Ct |
$3.72 | 14 | 14 |
|
Elizabeth Everette
151 Harold Fleming Ct |
$13.94 | 13 | 12 |
|
Jeffrey Lynn Morgan
201 E Broad St |
$9.84 | 13 | 13 |
|
Luis De La Cruz
151 Harold Fleming Court |
$11.17 | 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 Spartanburg, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Spartanburg, SC is $14.50 per claim, based on 25,195 claims from 21 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 Spartanburg, SC?
There are 21 Medicaid providers offering Pulmonary Function Test related services in Spartanburg, SC according to public payment data.
What is the price range for Pulmonary Function Test in Spartanburg, SC?
Medicaid reimbursement for Pulmonary Function Test in Spartanburg, SC ranges from $0.88 to $178.26 per claim, with an average of $14.50. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
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