Average Medicaid Pulmonary Function Test Payments in Winston Salem, NC: $14.30
Avg. Paid
$14.30
Range
$0.00 – $99.13
Total Claims
10,904
Providers
63
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 Winston Salem, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Thomas Riley Hinson
3001 Lyndhurst Ave |
$10.95 | 2,010 | 1,784 |
|
Karl William Thomas
Medical Center Blvd |
$12.36 | 677 | 606 |
|
Cody Adam Myrick
5093 University Pkwy |
$14.35 | 601 | 508 |
|
Haley Jordan Mccune
186 Kimel Park Dr |
$16.23 | 490 | 374 |
|
Sean Michael Murphy
3001 Lyndhurst Ave |
$8.90 | 482 | 351 |
|
Elizabeth Rose Scannell
1372 Westgate Center Dr |
$20.57 | 429 | 394 |
|
Joel Michael Hartman
1372 Westgate Center Dr |
$19.61 | 405 | 359 |
|
Carrie C. Delong
1372 Westgate Center Dr |
$22.38 | 367 | 350 |
|
Kent Joseph Nastasi
1372 Westgate Center Dr |
$20.05 | 336 | 323 |
|
David Defeo
3001 Lyndhurst Ave |
$8.97 | 320 | 267 |
|
Miriam Patterson Dineen
1372 Westgate Center Dr |
$21.03 | 307 | 285 |
|
Farhan Ahmed
3001 Lyndhurst Ave |
$9.57 | 299 | 245 |
|
Chad David Mccalla
Medical Center Blvd |
$27.03 | 278 | 223 |
|
Lawrence H. Potter
1372 Westgate Center Dr |
$27.66 | 273 | 246 |
|
Kapilkumar Nalinbhai Patel
Medical Center Blvd |
$9.72 | 246 | 179 |
|
Christina R Bellinger
Medical Center Blvd |
$4.52 | 238 | 228 |
|
Travis Lee Dotson
Medical Center Blvd |
$4.43 | 236 | 226 |
|
Jason William White Thomason
3001 Lyndhurst Ave |
$11.77 | 219 | 182 |
|
Matthew Charles Miles
Medical Center Blvd |
$8.04 | 215 | 203 |
|
Milan Dattatam Nadkarni
Medical Center Blvd |
$27.77 | 198 | 179 |
|
Maggie Elizabeth Foster
390 W Salem Ave |
$18.53 | 171 | 126 |
|
Holly Murrell Mcpherson
1372 Westgate Center Dr |
$19.74 | 158 | 142 |
|
Shana Alexander Crabtree
Medical Center Blvd |
$6.58 | 133 | 126 |
|
Scott William Sutton
Medical Center Blvd |
$20.07 | 127 | 98 |
|
Adam Barrett Johnson
Medical Center Blvd |
$15.17 | 108 | 95 |
|
Arjun Bijoy Chatterjee
Medical Center Boulevard |
$3.30 | 106 | 92 |
|
Andrew Michael Namen
Medical Center Blvd |
$3.88 | 91 | 75 |
|
Hassan Yousaf
3001 Lyndhurst Ave |
$9.20 | 86 | 70 |
|
Brent Edward Heideman
Medical Center Blvd |
$3.23 | 84 | 78 |
|
Chad Ryan Marion
Medical Center Blvd |
$3.04 | 75 | 67 |
|
Jill M Ohar
Medical Center Blvd |
$3.94 | 75 | 72 |
|
Marilyn Kay Mullane
390 W Salem Ave |
$8.88 | 70 | 56 |
|
Ingrid Margarete Hoffmann
1372 Westgate Center Dr |
$19.63 | 67 | 65 |
|
Kevin Gibbs
Medical Center Blvd |
$3.16 | 65 | 59 |
|
Benjamin Joseph Bregman
3001 Lyndhurst Ave |
$6.97 | 63 | 58 |
|
Lauren Bradford
Medical Center Blvd |
$99.13 | 63 | 61 |
|
Christopher Bradley Watkins
Medical Center Blvd |
$19.67 | 59 | 40 |
|
Charles J. Gainor
5093 University Pkwy |
$7.37 | 48 | 46 |
|
John Lee Turner
2337 Winterhaven Ln |
$8.29 | 43 | 43 |
|
William I Mariencheck
Medical Center Blvd |
$3.91 | 38 | 36 |
|
Kaliyann Te
Medical Center Blvd |
$9.64 | 38 | 34 |
|
William Dustin Sellers
2808 Maplewood Ave |
$11.83 | 37 | 29 |
|
Jason Mesner
Medical Center Blvd |
$12.12 | 36 | 29 |
|
Aaron William Pickens
Medical Center Blvd |
$5.00 | 36 | 36 |
|
Letlhogonolo Benny Tlhabano
Medical Center Blvd |
$2.75 | 33 | 27 |
|
James C O'Neill
Medical Center Blvd |
$23.29 | 32 | 32 |
|
Ariana Pauline Papier
1 Medical Center Blvd |
$11.00 | 32 | 25 |
|
Fuzail Ul Haq
5093 University Pkwy |
$23.42 | 31 | 29 |
|
Nicole Marie Lawing Koutlas
1372 Westgate Center Dr |
$19.22 | 29 | 29 |
|
Michael S Mitchell
Medical Center Blvd |
$21.07 | 29 | 26 |
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 Winston Salem, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Winston Salem, NC is $14.30 per claim, based on 10,904 claims from 63 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 Winston Salem, NC?
There are 63 Medicaid providers offering Pulmonary Function Test related services in Winston Salem, NC according to public payment data.
What is the price range for Pulmonary Function Test in Winston Salem, NC?
Medicaid reimbursement for Pulmonary Function Test in Winston Salem, NC ranges from $0.00 to $99.13 per claim, with an average of $14.30. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
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Los Angeles, CA
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Other Procedures in Winston Salem, NC
Office Visit
Avg $56.55
2,112,661 claims
Blood Work & Lab Tests
Avg $9.95
1,100,364 claims
Emergency Room Visit
Avg $152.58
1,052,025 claims
Dental Cleaning & Exam
Avg $30.19
626,976 claims
Speech Therapy
Avg $48.12
581,644 claims
X-Ray
Avg $8.19
523,133 claims
Vaccines & Immunizations
Avg $16.89
496,876 claims
Personal Care Services
Avg $105.36
383,584 claims