Average Medicaid Pulmonary Function Test Payments in Williamsburg, VA: $34.96
Avg. Paid
$34.96
Range
$2.66 – $43.97
Total Claims
7,930
Providers
10
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 Williamsburg, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sentara Hospitals
100 Sentara Cir |
$43.97 | 3,973 | 2,209 |
|
Doctors' Hospital Of Williamsburg
1500 Commonwealth Avenue |
$36.21 | 1,721 | 1,346 |
|
Velocity Urgent Care, Llc
4374 New Town Ave |
$11.78 | 672 | 593 |
|
Eric Matthew Karlin
1144 Professional Dr |
$27.71 | 425 | 391 |
|
Michumi Pllc
120 Monticello Ave |
$14.40 | 396 | 362 |
|
Carolyn Marie Fleming Fruci
400 Sentara Cir Ste 320 |
$13.89 | 237 | 191 |
|
Timothy John Campbell
1144 Professional Dr |
$28.11 | 222 | 206 |
|
Leah Meister Childress
1144 Professional Dr |
$26.72 | 129 | 118 |
|
Asser A El-Atfy
120 Kings Way |
$2.66 | 99 | 75 |
|
Stephen Wyatt Shield
1144 Professional Dr |
$28.75 | 56 | 49 |
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 Williamsburg, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Williamsburg, VA is $34.96 per claim, based on 7,930 claims from 10 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 Williamsburg, VA?
There are 10 Medicaid providers offering Pulmonary Function Test related services in Williamsburg, VA according to public payment data.
What is the price range for Pulmonary Function Test in Williamsburg, VA?
Medicaid reimbursement for Pulmonary Function Test in Williamsburg, VA ranges from $2.66 to $43.97 per claim, with an average of $34.96. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Williamsburg, VA
Office Visit
Avg $67.00
378,404 claims
Emergency Room Visit
Avg $107.16
233,118 claims
Blood Work & Lab Tests
Avg $5.36
175,412 claims
Substance Abuse Treatment
Avg $62.47
173,307 claims
Physical Therapy
Avg $75.04
101,940 claims
Non-Emergency Medical Transportation
Avg $35.14
92,166 claims
Urinalysis & Urine Tests
Avg $1.70
78,948 claims
Psychiatric Evaluation
Avg $80.69
62,585 claims