Based on public Medicaid payment data.

Average Medicaid Pulmonary Function Test Payments in Wilmington, NC: $34.26

Avg. Paid

$34.26

Range

$0.57 – $61.87

Total Claims

9,082

Providers

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, NC

Provider	Avg. Paid	Claims	Patients
Marzena E Krawiec 2131 S 17Th St	$42.33	4,358	3,905
Jack Kevin Sharp 2131 S 17Th St	$61.87	1,115	1,054
Carter J Childs 1090 Medical Center Dr	$13.49	1,108	906
Sean R. Lucas 1017 Ashes Dr	$18.30	870	727
Caryn Ann Bowden 2421 Silver Stream Ln	$18.01	372	301
Brian Michael Legere 1090 Medical Center Dr	$17.61	331	274
Alex Garhoe Yip 1017 Ashes Dr	$20.69	180	170
Kenneth William Myers 1017 Ashes Dr	$16.39	134	115
Nasar Ahmad Siddiqi 1090 Medical Center Dr	$4.26	92	82
Michael Chukwuma Odibo 1215 Medical Center Dr	$4.55	62	39
Katherine Laura Tison 1017 Ashes Dr Ste 206	$20.12	57	50
Erin Riley Graves 510 Carolina Bay Dr Ste 200	$5.99	57	53
Brianna Christine Wesley 2131 S 17Th St	$3.52	52	33
Holly Campbell Smith 1202 Medical Center Dr	$19.37	45	45
Todd C. Snyder 4402 Shipyard Blvd	$33.22	42	38
Maria Mastoras Finch 1202 Medical Center Dr	$14.99	29	25
Nicole Evangeline Aristy 5710 Oleander Dr Ste 200	$9.83	29	26
Holly Ann Kilian 2421 Silver Stream Ln	$6.52	25	18
Hector Ivan Sanchez 1202 Medical Center Dr	$12.93	24	24
Jacqueline M Cowell 1911 S 17Th St	$0.57	19	18
Carrie Ann Fales 4402 Shipyard Blvd	$38.60	18	15
John Mearns 4402 Shipyard Blvd	$35.84	14	13
Michael Robert Ott 4402 Shipyard Blvd	$41.09	13	12
Anna Paylor 1202 Medical Center Dr	$24.72	12	12
Khadijia D Tribie 925 N 4Th St	$11.36	12	12
Eduardo Sanmiguel 4402 Shipyard Blvd	$28.75	12	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 Wilmington, NC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Wilmington, NC is $34.26 per claim, based on 9,082 claims from 26 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, NC?

There are 26 Medicaid providers offering Pulmonary Function Test related services in Wilmington, NC according to public payment data.

What is the price range for Pulmonary Function Test in Wilmington, NC?

Medicaid reimbursement for Pulmonary Function Test in Wilmington, NC ranges from $0.57 to $61.87 per claim, with an average of $34.26. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Pulmonary Function Test Payments in Wilmington, NC: $34.26

Providers Offering Pulmonary Function Test in Wilmington, NC

What to Expect: Pulmonary Function Test

Cost Components

Frequently Asked Questions

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