Average Medicaid Pulmonary Function Test Payments in Sumter, SC: $15.36
Avg. Paid
$15.36
Range
$4.39 – $26.35
Total Claims
10,283
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 Sumter, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jason M Leonard
325 Broad St |
$17.33 | 15 | 14 |
|
Edward Julian Meyers
325 Broad St Ste 100 |
$26.35 | 27 | 27 |
|
John Mark Mitchiner
237 Church St |
$12.45 | 53 | 52 |
|
Thomas Lawman Lucas
325 Broad St |
$15.41 | 59 | 59 |
|
Melissa W Arscott
237 Church St |
$11.47 | 68 | 65 |
|
Jason Brooks Grier
237 Church St |
$11.01 | 93 | 79 |
|
Michele Renee Easler
237 Church St |
$12.52 | 128 | 119 |
|
Ike Christopher Stewart
308 W Wesmark Blvd |
$25.21 | 151 | 134 |
|
Timothy L Key
237 Church St |
$12.80 | 172 | 166 |
|
David Glenn Whaley
325 Broad St |
$20.01 | 243 | 224 |
|
Renuka Rajagopal
115 N Sumter St Ste 315 |
$4.39 | 329 | 329 |
|
James M Durant
237 Church St |
$12.43 | 1,709 | 1,548 |
|
Prisma Health-Midlands
129 N. Washington Street |
$16.37 | 7,236 | 5,363 |
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 Sumter, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Sumter, SC is $15.36 per claim, based on 10,283 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 Sumter, SC?
There are 13 Medicaid providers offering Pulmonary Function Test related services in Sumter, SC according to public payment data.
What is the price range for Pulmonary Function Test in Sumter, SC?
Medicaid reimbursement for Pulmonary Function Test in Sumter, SC ranges from $4.39 to $26.35 per claim, with an average of $15.36. 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 Sumter, SC
Office Visit
Avg $76.88
592,225 claims
Blood Work & Lab Tests
Avg $12.51
300,851 claims
Dental Cleaning & Exam
Avg $34.02
167,492 claims
Vaccines & Immunizations
Avg $19.55
162,920 claims
Emergency Room Visit
Avg $38.43
157,791 claims
Urinalysis & Urine Tests
Avg $21.60
129,948 claims
Speech Therapy
Avg $38.90
125,766 claims
Home Health Visit
Avg $44.33
116,753 claims