Average Medicaid Pulmonary Function Test Payments in Tupelo, MS: $47.16
Avg. Paid
$47.16
Range
$1.96 – $60.98
Total Claims
29,616
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 Tupelo, MS
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
North Mississippi Medical Center, Inc.
830 S Gloster St |
$60.98 | 19,984 | 14,835 |
|
Matthew Lee Oswalt
811 Garfield St |
$22.96 | 3,436 | 3,106 |
|
Karen Ashmore Maltby
811 Garfield St |
$23.33 | 3,282 | 2,995 |
|
Paul Marion Perry
860 S Madison St |
$7.11 | 730 | 655 |
|
North Mississippi Medical Center, Inc.
860 S Madison St |
$1.96 | 522 | 414 |
|
Kevin Clark Harbour
860 S Madison St |
$5.68 | 454 | 410 |
|
North Mississippi Medical Center Inc.
199 Grandstand Place |
$17.73 | 313 | 265 |
|
Anna Danielle Woodruff
499 Gloster Creek Vlg Ste H3 |
$12.20 | 134 | 123 |
|
Jaime Ungo
860 S Madison St |
$7.03 | 120 | 108 |
|
Rhonda Leigh Hickman
Pulmonary Consultants |
$6.18 | 103 | 98 |
|
Kelli Mcgee Plunk
830 S Gloster St |
$6.08 | 100 | 96 |
|
William R Edmonson
860 South Madison |
$6.96 | 92 | 87 |
|
North Mississippi Allergy And Asthma Center Pllc
811 Garfield St |
$11.21 | 75 | 62 |
|
Justin Campbell
860 S Madison St |
$8.27 | 59 | 58 |
|
Robert Foster
845 S Madison St |
$28.84 | 55 | 42 |
|
Megan Williams
830 S Gloster St |
$3.63 | 39 | 38 |
|
Amy S Price
1573 Medical Park Cir |
$7.49 | 31 | 27 |
|
Maria Veronica Masilungan Valdez
1573 Medical Park Cir |
$14.50 | 30 | 28 |
|
Angela Blake Bandre
495 S Gloster St Ste 201 |
$2.39 | 24 | 24 |
|
Lauren Parrish
1573 Medical Park Circle |
$5.12 | 19 | 13 |
|
North Mississippi Medical Clinics Inc
808 Varsity Dr |
$10.65 | 14 | 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 Tupelo, MS?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Tupelo, MS is $47.16 per claim, based on 29,616 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 Tupelo, MS?
There are 21 Medicaid providers offering Pulmonary Function Test related services in Tupelo, MS according to public payment data.
What is the price range for Pulmonary Function Test in Tupelo, MS?
Medicaid reimbursement for Pulmonary Function Test in Tupelo, MS ranges from $1.96 to $60.98 per claim, with an average of $47.16. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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