Average Medicaid Pulmonary Function Test Payments in Toms River, NJ: $21.59
Avg. Paid
$21.59
Range
$0.51 – $27.75
Total Claims
15,122
Providers
15
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 Toms River, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Emad Kamel
3 Plaza Dr |
$23.27 | 2,283 | 2,046 |
|
Dhiren A Shah
3 Plaza Dr |
$24.13 | 2,198 | 2,046 |
|
Muhammad Khurram Khan
3 Plaza Dr |
$27.11 | 2,008 | 1,859 |
|
Community Medical Center Inc
99 Route 37 W |
$10.48 | 1,887 | 1,529 |
|
Patrick Joseph Alcasid
3 Plaza Dr |
$25.98 | 1,682 | 1,564 |
|
Yeshavanth P. Nayak
20 Hospital Dr |
$19.03 | 1,519 | 1,446 |
|
Lourdes R Laraya Cuasay
67 Route 37 W |
$23.71 | 852 | 796 |
|
Walter Alan Wynkoop
3 Plaza Dr |
$24.53 | 719 | 651 |
|
Brian Seth Kerr
20 Hospital Dr Ste 9 |
$24.20 | 707 | 636 |
|
Immediate Care Medical Walk-In Of Toms River
1 Route 37 W |
$0.51 | 426 | 417 |
|
Vincent Anthony Tomasuolo
552 Commons Way |
$26.12 | 290 | 266 |
|
Shrinil Patel
20 Hospital Dr Ste 9 |
$27.75 | 271 | 246 |
|
Adele A Schmool
20 Hospital Dr Ste 9 |
$10.16 | 199 | 183 |
|
Natalie T. Giannantonio
3 Plaza Drive |
$14.89 | 64 | 64 |
|
Robert Phillip Rabinowitz
462 Lakehurst Rd |
$18.79 | 17 | 13 |
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 Toms River, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Toms River, NJ is $21.59 per claim, based on 15,122 claims from 15 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 Toms River, NJ?
There are 15 Medicaid providers offering Pulmonary Function Test related services in Toms River, NJ according to public payment data.
What is the price range for Pulmonary Function Test in Toms River, NJ?
Medicaid reimbursement for Pulmonary Function Test in Toms River, NJ ranges from $0.51 to $27.75 per claim, with an average of $21.59. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Avg $39.86
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Avg $16.36
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Avg $10.60
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