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Based on public Medicaid payment data.

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
The Nemours Foundation

1600 Rockland Rd

 $79.66 3,268 3,014
The Nemours Foundation

1600 Rockland Rd

 $231.29 2,348 2,165
Christiana Care Health Services, Inc.

501 W 14Th St

 $52.65 741 417
Masood A Siddiqui

5509 Kirkwood Hwy Ste 6

 $0.79 412 281
Vandna Passi

1600 Rockland Rd

 $207.05 371 350
Iman Sharif

1600 Rockland Road

 $56.58 283 119
Michael Wydila

1403 Silverside Rd Ste 4B

 $0.00 275 208
Christiana Care Health Services Inc.

501 West 14Th Street

 $1.09 233 192
Richard Hong Wan Kim

1941 Limestone Rd

 $1.01 137 97
Kathleen M. Palmer

A.I. Dupont Hospital For Children

 $255.25 135 119
Medexpress, Inc - Delaware

2722 Concord Pike

 $0.10 130 80
St. Francis Hospital Inc.

701 N Clayton St

 $109.84 107 85
Francis Njeuma Mase

700 W Lea Blvd

 $0.19 98 89
Domingo C Singson

1021 Gilpin Avenue

 $0.00 83 70
Nelson R. Santos

Nemours Pediatrics St. Francis

 $249.50 77 69
Abigail Rea Strang

1600 Rockland Rd

 $200.28 70 66
Thomas E Stephens

1802 W 4Th St

 $0.00 63 45
Ronald M. Goodman

405 Silverside Rd

 $1.66 62 48
Pasquale Fucci

1815 W 13Th St

 $0.32 51 29
Singson Medical Group Pa

1021 Gilpin Avenue

 $38.94 44 36
Delaware Pediatrics

1202 Foulk Rd

 $5.27 44 26
David Peter Wien

708 Greenbank Rd

 $0.00 30 28
Matthew Cully

1600 Rockland Rd

 $34.45 20 16
Robert K. Palandjian

405 Silverside Rd Ste 111

 $0.00 20 15
Seema Rani

1600 Rockland Rd

 $213.37 16 16
Jean Louise Binkley

4515 Griffin Dr

 $28.53 15 15
Sonia S Cheng

1600 Rockland Rd

 $270.76 13 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 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.

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 Wilmington, DE

Personal Care Services

Avg $113.14

1,523,473 claims

Office Visit

Avg $55.68

1,174,146 claims

Substance Abuse Treatment

Avg $14.51

1,110,493 claims

Vaccines & Immunizations

Avg $9.43

497,265 claims

Dental Cleaning & Exam

Avg $47.53

375,713 claims

Emergency Room Visit

Avg $187.07

346,985 claims

Physical Therapy

Avg $30.41

305,435 claims

Psychiatric Evaluation

Avg $47.31

297,416 claims