Average Medicaid Blood Work & Lab Tests Payments in Berwick, PA: $9.00
Avg. Paid
$9.00
Range
$0.00 – $12.09
Total Claims
9,501
Providers
10
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.
Blood tests help diagnose diseases, check organ function, and monitor treatments. Common panels include CBC, metabolic panels, lipid panels, and thyroid tests.
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 Blood Work & Lab Tests in Berwick, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Albert J Alley
301 West Third Street |
$9.78 | 3,363 | 3,209 |
|
Michael R. Ashton
2200 W Front St |
$9.07 | 2,732 | 2,648 |
|
Grace Guerrier
2200 W Front St |
$8.98 | 1,848 | 1,794 |
|
Marvin Scott Hurley
2200 W Front St |
$6.72 | 922 | 900 |
|
Tamer Mohamed Fathy
2200 W Front St |
$9.82 | 471 | 458 |
|
Frank J Giugliano
523 Fowler Avenue |
$3.83 | 61 | 60 |
|
Jason Scotti
695 E 16Th St Ste B |
$0.00 | 51 | 51 |
|
Osman Elnour Bahar Osman
500 Fowler Ave Ste 203 |
$2.45 | 25 | 12 |
|
Berwick Hospital Company Llc
701 E 16Th St |
$1.37 | 16 | 13 |
|
Roslon Johnson
751 E 16Th St Ste 400 |
$12.09 | 12 | 12 |
What to Expect: Blood Work & Lab Tests
Blood draws take about 5-10 minutes. A phlebotomist will tie a band around your upper arm and insert a small needle into a vein, usually in the inside of your elbow. The actual draw takes less than a minute. Some tests require fasting for 8-12 hours beforehand. Results are typically available within 1-3 days.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| 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 are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Blood Work & Lab Tests cost in Berwick, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Blood Work & Lab Tests in Berwick, PA is $9.00 per claim, based on 9,501 claims from 10 providers. Typical payments fall between $1.87 and $7.91. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Blood Work & Lab Tests in Berwick, PA?
There are 10 Medicaid providers offering Blood Work & Lab Tests related services in Berwick, PA according to public payment data.
What is the price range for Blood Work & Lab Tests in Berwick, PA?
Medicaid reimbursement for Blood Work & Lab Tests in Berwick, PA ranges from $0.00 to $12.09 per claim, with an average of $9.00. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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