Average Medicaid Pulmonary Function Test Payments in Wilmington, DE: $112.13
Avg. Paid
$112.13
Range
$0.00 – $270.76
Total Claims
9,146
Providers
27
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 Wilmington, DE
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sonia S Cheng
1600 Rockland Rd |
$270.76 | 13 | 13 |
|
Jean Louise Binkley
4515 Griffin Dr |
$28.53 | 15 | 15 |
|
Seema Rani
1600 Rockland Rd |
$213.37 | 16 | 16 |
|
Matthew Cully
1600 Rockland Rd |
$34.45 | 20 | 16 |
|
Robert K. Palandjian
405 Silverside Rd Ste 111 |
$0.00 | 20 | 15 |
|
David Peter Wien
708 Greenbank Rd |
$0.00 | 30 | 28 |
|
Singson Medical Group Pa
1021 Gilpin Avenue |
$38.94 | 44 | 36 |
|
Delaware Pediatrics
1202 Foulk Rd |
$5.27 | 44 | 26 |
|
Pasquale Fucci
1815 W 13Th St |
$0.32 | 51 | 29 |
|
Ronald M. Goodman
405 Silverside Rd |
$1.66 | 62 | 48 |
|
Thomas E Stephens
1802 W 4Th St |
$0.00 | 63 | 45 |
|
Abigail Rea Strang
1600 Rockland Rd |
$200.28 | 70 | 66 |
|
Nelson R. Santos
Nemours Pediatrics St. Francis |
$249.50 | 77 | 69 |
|
Domingo C Singson
1021 Gilpin Avenue |
$0.00 | 83 | 70 |
|
Francis Njeuma Mase
700 W Lea Blvd |
$0.19 | 98 | 89 |
|
St. Francis Hospital Inc.
701 N Clayton St |
$109.84 | 107 | 85 |
|
Medexpress, Inc - Delaware
2722 Concord Pike |
$0.10 | 130 | 80 |
|
Kathleen M. Palmer
A.I. Dupont Hospital For Children |
$255.25 | 135 | 119 |
|
Richard Hong Wan Kim
1941 Limestone Rd |
$1.01 | 137 | 97 |
|
Christiana Care Health Services Inc.
501 West 14Th Street |
$1.09 | 233 | 192 |
|
Michael Wydila
1403 Silverside Rd Ste 4B |
$0.00 | 275 | 208 |
|
Iman Sharif
1600 Rockland Road |
$56.58 | 283 | 119 |
|
Vandna Passi
1600 Rockland Rd |
$207.05 | 371 | 350 |
|
Masood A Siddiqui
5509 Kirkwood Hwy Ste 6 |
$0.79 | 412 | 281 |
|
Christiana Care Health Services, Inc.
501 W 14Th St |
$52.65 | 741 | 417 |
|
The Nemours Foundation
1600 Rockland Rd |
$231.29 | 2,348 | 2,165 |
|
The Nemours Foundation
1600 Rockland Rd |
$79.66 | 3,268 | 3,014 |
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 Wilmington, DE?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Wilmington, DE is $112.13 per claim, based on 9,146 claims from 27 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 Wilmington, DE?
There are 27 Medicaid providers offering Pulmonary Function Test related services in Wilmington, DE according to public payment data.
What is the price range for Pulmonary Function Test in Wilmington, DE?
Medicaid reimbursement for Pulmonary Function Test in Wilmington, DE ranges from $0.00 to $270.76 per claim, with an average of $112.13. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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