Average Medicaid Blood Work & Lab Tests Payments
Typical Medicaid Blood Work & Lab Tests reimbursement across 10,851 cities
Avg. Medicaid Paid
$7.81
Price Range
$0.00 – $440.52
Total Claims
1305.6M
Cities
10851
Typical Payment Range
Typical Medicaid Blood Work & Lab Tests payments fall between $1.87 and $7.91 per claim (median: $4.13). The top 10% of payments exceed $15.79.
Based on per-provider averages across all Medicaid claims in this category.
About This Procedure
Blood tests help diagnose diseases, check organ function, and monitor treatments. Common panels include CBC, metabolic panels, lipid panels, and thyroid tests.
Why do these costs look low?
These figures represent Medicaid reimbursement rates — the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.
Costs by City
| City | Avg. Paid | Min / Max | Claims | Providers |
|---|---|---|---|---|
| Raritan, NJ | $4.35 | $0.86 – $13.66 | 41,294,528 | 4 |
| Burlington, NC | $6.63 | $0.00 – $73.54 | 39,605,443 | 122 |
| West Hills, CA | $3.87 | $0.00 – $55.36 | 37,324,485 | 39 |
| San Diego, CA | $4.97 | $0.00 – $436.53 | 35,607,223 | 893 |
| Phoenix, AZ | $4.07 | $0.00 – $776.02 | 28,642,228 | 885 |
| Dublin, OH | $7.81 | $0.00 – $44.56 | 22,206,952 | 74 |
| Tampa, FL | $3.00 | $0.00 – $385.68 | 21,562,660 | 677 |
| Brooklyn, NY | $6.77 | $0.00 – $104.08 | 19,403,175 | 2318 |
| Clifton, NJ | $7.52 | $0.00 – $46.51 | 18,895,123 | 77 |
| Sacramento, CA | $3.77 | $0.00 – $458.49 | 18,102,975 | 392 |
| Elmwood Park, NJ | $5.02 | $0.01 – $5.02 | 17,465,953 | 6 |
| Marlborough, MA | $5.55 | $0.00 – $46.15 | 15,353,315 | 13 |
| Seattle, WA | $6.58 | $0.00 – $499.35 | 14,710,002 | 602 |
| Los Angeles, CA | $4.54 | $0.00 – $240.52 | 14,406,706 | 1850 |
| Cincinnati, OH | $7.16 | $0.00 – $424.58 | 12,933,390 | 1306 |
| Birmingham, AL | $7.02 | $0.00 – $50.36 | 11,525,259 | 801 |
| Wood Dale, IL | $9.40 | $6.83 – $9.40 | 11,448,883 | 2 |
| Chicago, IL | $5.03 | $0.00 – $444.56 | 10,887,691 | 1097 |
| New York, NY | $8.39 | $0.00 – $359.69 | 10,014,709 | 2218 |
| Miramar, FL | $4.51 | $0.00 – $54.40 | 9,744,590 | 37 |
| Nashville, TN | $8.25 | $0.00 – $62.45 | 7,785,390 | 1318 |
| Las Vegas, NV | $4.68 | $0.00 – $73.71 | 7,726,415 | 1048 |
| Bronx, NY | $9.72 | $0.00 – $106.32 | 7,432,399 | 1337 |
| Cleveland, OH | $5.86 | $0.00 – $242.60 | 7,265,730 | 1686 |
| Louisville, KY | $9.84 | $0.00 – $215.99 | 7,166,442 | 1228 |
| Tucker, GA | $7.29 | $0.00 – $33.24 | 6,818,488 | 11 |
| Columbus, OH | $8.64 | $0.00 – $862.87 | 6,317,089 | 1622 |
| Milwaukee, WI | $12.08 | $0.00 – $422.88 | 6,063,751 | 403 |
| Albuquerque, NM | $15.20 | $0.00 – $93.93 | 6,028,360 | 599 |
| Memphis, TN | $5.35 | $0.00 – $121.70 | 5,986,902 | 1123 |
| Pittsburgh, PA | $12.74 | $0.00 – $532.60 | 5,898,610 | 761 |
| Miami, FL | $1.65 | $0.00 – $148.98 | 5,777,945 | 893 |
| Lenexa, KS | $9.96 | $0.00 – $218.99 | 5,321,619 | 26 |
| Richmond, CA | $5.01 | $0.00 – $7.05 | 5,037,644 | 20 |
| Indianapolis, IN | $6.88 | $0.00 – $72.94 | 4,810,486 | 1915 |
| Pomona, CA | $3.21 | $0.00 – $15.59 | 4,565,012 | 97 |
| Lexington, KY | $14.22 | $0.00 – $124.54 | 4,452,973 | 495 |
| Detroit, MI | $3.68 | $0.00 – $333.08 | 4,416,700 | 274 |
| Portland, OR | $8.81 | $0.00 – $73.20 | 4,391,828 | 1456 |
| Boston, MA | $10.29 | $0.00 – $573.23 | 4,390,978 | 447 |
| New Hyde Park, NY | $9.28 | $0.00 – $134.45 | 4,134,836 | 168 |
| Austin, TX | $7.09 | $0.00 – $290.14 | 4,048,248 | 400 |
| Baltimore, MD | $9.87 | $-12.98 – $188.91 | 4,046,251 | 608 |
| Richmond, VA | $4.30 | $0.00 – $239.76 | 4,017,522 | 305 |
| Toledo, OH | $5.48 | $0.00 – $94.17 | 4,007,495 | 574 |
| Linden, NJ | $16.68 | $0.07 – $48.45 | 3,966,694 | 14 |
| Irving, TX | $8.49 | $0.00 – $55.03 | 3,578,999 | 88 |
| Tacoma, WA | $11.24 | $0.00 – $79.15 | 3,552,374 | 229 |
| Clovis, CA | $0.57 | $0.00 – $20.72 | 3,495,861 | 57 |
| Houston, TX | $9.56 | $0.00 – $325.26 | 3,408,214 | 1493 |
Cost Components
National averages for each billing code in this procedure category. Sorted by claim volume.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 85025 | Complete blood count auto diff | $4.59 | 276,124,130 | 96,348 |
| 80053 | Comprehensive metabolic panel | $8.63 | 226,139,755 | 78,029 |
| 36415 | Venipuncture | $4.16 | 224,973,443 | 140,874 |
| 80061 | Lipid panel | $6.67 | 106,349,211 | 29,713 |
| 83036 | Hemoglobin A1c | $4.73 | 97,602,740 | 40,217 |
| 84443 | Thyroid stimulating hormone | $8.26 | 88,078,797 | 24,168 |
| 80307 | Drug test presumptive chem anlzr | $35.01 | 85,461,430 | 21,596 |
| 80048 | Basic metabolic panel | $7.37 | 67,440,015 | 29,657 |
| 85027 | Complete blood count auto | $3.58 | 55,481,270 | 23,520 |
| 85610 | Prothrombin time | $2.48 | 35,132,618 | 13,272 |
| 84439 | Free thyroxine | $5.31 | 34,249,838 | 10,140 |
| 80050 | General health panel | $22.61 | 20,483,029 | 5,401 |
| 82947 | Blood glucose test | $2.88 | 19,871,564 | 10,426 |
| 85730 | Partial thromboplastin time | $2.83 | 17,928,211 | 8,001 |
| 80076 | Hepatic function panel | $5.66 | 16,548,834 | 10,280 |
| 80305 | Drug test presumptive | $7.76 | 15,758,738 | 14,175 |
| 36416 | Capillary blood collection | $2.37 | 10,729,709 | 18,498 |
| 80051 | Electrolyte panel | $5.96 | 8,028,109 | 4,054 |
| 82950 | Blood glucose post-dose | $3.48 | 5,897,432 | 3,302 |
| 80074 | Acute hepatitis panel | $22.27 | 5,300,506 | 2,478 |
| 80069 | Renal function panel | $6.72 | 4,249,522 | 3,078 |
| 80047 | Basic metabolic panel ionized | $9.90 | 2,804,998 | 2,360 |
| 80306 | Drug test presumptive instrmnt | $14.62 | 2,167,220 | 2,707 |
| 82951 | Blood glucose tolerance test | $7.35 | 1,628,490 | 1,015 |
These averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.