Skip to content
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

26

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
Khadijia D Tribie

925 N 4Th St

 $11.36 12 12
Eduardo Sanmiguel

4402 Shipyard Blvd

 $28.75 12 12
Anna Paylor

1202 Medical Center Dr

 $24.72 12 12
Michael Robert Ott

4402 Shipyard Blvd

 $41.09 13 12
John Mearns

4402 Shipyard Blvd

 $35.84 14 13
Carrie Ann Fales

4402 Shipyard Blvd

 $38.60 18 15
Jacqueline M Cowell

1911 S 17Th St

 $0.57 19 18
Hector Ivan Sanchez

1202 Medical Center Dr

 $12.93 24 24
Holly Ann Kilian

2421 Silver Stream Ln

 $6.52 25 18
Maria Mastoras Finch

1202 Medical Center Dr

 $14.99 29 25
Nicole Evangeline Aristy

5710 Oleander Dr Ste 200

 $9.83 29 26
Todd C. Snyder

4402 Shipyard Blvd

 $33.22 42 38
Holly Campbell Smith

1202 Medical Center Dr

 $19.37 45 45
Brianna Christine Wesley

2131 S 17Th St

 $3.52 52 33
Erin Riley Graves

510 Carolina Bay Dr Ste 200

 $5.99 57 53
Katherine Laura Tison

1017 Ashes Dr Ste 206

 $20.12 57 50
Michael Chukwuma Odibo

1215 Medical Center Dr

 $4.55 62 39
Nasar Ahmad Siddiqi

1090 Medical Center Dr

 $4.26 92 82
Kenneth William Myers

1017 Ashes Dr

 $16.39 134 115
Alex Garhoe Yip

1017 Ashes Dr

 $20.69 180 170
Brian Michael Legere

1090 Medical Center Dr

 $17.61 331 274
Caryn Ann Bowden

2421 Silver Stream Ln

 $18.01 372 301
Sean R. Lucas

1017 Ashes Dr

 $18.30 870 727
Carter J Childs

1090 Medical Center Dr

 $13.49 1,108 906
Jack Kevin Sharp

2131 S 17Th St

 $61.87 1,115 1,054
Marzena E Krawiec

2131 S 17Th St

 $42.33 4,358 3,905

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.

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, NC

Office Visit

Avg $55.56

1,298,205 claims

Speech Therapy

Avg $55.85

566,290 claims

Emergency Room Visit

Avg $138.32

511,613 claims

Psychiatric Evaluation

Avg $41.28

438,201 claims

Blood Work & Lab Tests

Avg $11.72

431,588 claims

Substance Abuse Treatment

Avg $59.14

392,292 claims

Dental Cleaning & Exam

Avg $31.04

328,640 claims

Physical Therapy

Avg $63.02

316,863 claims