Average Medicaid Blood Work & Lab Tests Payments in Binghamton, NY: $11.07
Avg. Paid
$11.07
Range
$0.00 – $92.56
Total Claims
734,068
Providers
27
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 Binghamton, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
United Health Services Hospitals, Inc.
10-42 Mitchell Ave |
$12.53 | 419,615 | 376,145 |
|
Our Lady Of Lourdes Memorial Hospital Inc.
169 Riverside Dr |
$8.95 | 295,209 | 273,056 |
|
Allan M. Fernandez
35 Felters Road |
$11.89 | 3,811 | 2,846 |
|
Joseph Tsao
169 Riverside Dr |
$12.50 | 3,250 | 271 |
|
James J Lee
169 Riverside Dr |
$5.62 | 2,801 | 2,263 |
|
Madhuri Yalamanchili
169 Riverside Dr |
$4.93 | 1,879 | 1,687 |
|
Jonathan D Kloss
169 Riverside Dr |
$4.70 | 1,601 | 1,338 |
|
Jennifer Cackowski
35 Felters Rd |
$7.52 | 1,570 | 1,200 |
|
Danielle Mejias
93 Pennsylvania Ave |
$7.03 | 878 | 244 |
|
Darlene Denzien
303 Main St |
$9.45 | 726 | 676 |
|
Julia Katharine Hunter
10-42 Mitchell Ave |
$92.56 | 567 | 217 |
|
Brandy Benjamin
303 Main St |
$10.07 | 513 | 472 |
|
Joseph A Readling
169 Riverside Dr |
$0.31 | 393 | 321 |
|
Peter Ronan
40 Mitchell Ave |
$31.64 | 300 | 98 |
|
Derrick John Hoover
276-280 Robinson St |
$0.03 | 175 | 169 |
|
Stacey A Pendell
10 - 42 Mitchell Avenue |
$43.16 | 157 | 42 |
|
Lydia J Regan
275 Chenango St |
$5.53 | 134 | 116 |
|
Scott R Rosman
33 Mitchell Ave |
$6.14 | 126 | 12 |
|
Joseph F. Brunt
20-24 S Washington St |
$4.75 | 100 | 14 |
|
Jennifer Jo Ferri
305 Main St |
$3.19 | 65 | 64 |
|
Stacy Jones
10-42 Mitchell Ave |
$37.02 | 58 | 12 |
|
Habib Aminy
169 Riverside Dr |
$0.63 | 49 | 48 |
|
Toseef Javaid
40 Mitchell Ave |
$0.00 | 31 | 29 |
|
Madhukar Bhoomireddi
169 Riverside Dr |
$0.00 | 24 | 13 |
|
Paul Dura
161 Riverside Dr |
$0.94 | 12 | 12 |
|
Gregory P Scagnelli
40 Mitchell Ave |
$1.28 | 12 | 12 |
|
Thomas Oven
161 Riverside Dr |
$0.51 | 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 Binghamton, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Blood Work & Lab Tests in Binghamton, NY is $11.07 per claim, based on 734,068 claims from 27 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 Binghamton, NY?
There are 27 Medicaid providers offering Blood Work & Lab Tests related services in Binghamton, NY according to public payment data.
What is the price range for Blood Work & Lab Tests in Binghamton, NY?
Medicaid reimbursement for Blood Work & Lab Tests in Binghamton, NY ranges from $0.00 to $92.56 per claim, with an average of $11.07. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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