Average Medicaid Blood Work & Lab Tests Payments in Ephrata, PA: $6.04
Avg. Paid
$6.04
Range
$0.22 – $62.71
Total Claims
27,959
Providers
37
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 Ephrata, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Adam Batog
169 Martin Ave |
$6.38 | 4,372 | 4,220 |
|
Nick Orachukwu Onyemeke
460 N Reading Rd |
$5.46 | 2,960 | 2,400 |
|
Cynthia F Gessler
169 Martin Ave |
$5.54 | 2,530 | 2,426 |
|
Kristen Sandel
169 Martin Ave |
$5.60 | 2,464 | 2,359 |
|
Michael Stengel
169 Martin Ave |
$5.47 | 2,396 | 2,322 |
|
Steven Zebert
169 Martin Ave |
$4.64 | 1,829 | 1,703 |
|
Kevin Sweeney
169 Martin Ave |
$4.38 | 1,770 | 1,728 |
|
Brian David Debaun
169 Martin Ave |
$5.30 | 1,312 | 1,288 |
|
Ephrata Community Hospital
169 Martin Ave |
$10.71 | 1,236 | 993 |
|
Amy Nicole Gunnells
169 Martin Ave |
$5.06 | 1,098 | 1,072 |
|
Kathryn Fenton Nowlan
169 Martin Ave |
$5.40 | 1,056 | 1,014 |
|
Ericka L Powell
169 Martin Ave |
$6.22 | 951 | 927 |
|
Sheena Elizabeth Tadikonda
169 Martin Ave |
$4.43 | 844 | 814 |
|
Peter S Oh
4131A Oregon Pike |
$9.59 | 536 | 521 |
|
Giuseppe Lancellotti
159 North Reading Rd |
$10.26 | 487 | 459 |
|
David M Weber
169 Martin Ave |
$5.06 | 329 | 322 |
|
Obinna Nwosu
169 Martin Ave |
$3.71 | 322 | 308 |
|
Danica Beebe
175 Martin Ave |
$8.57 | 318 | 315 |
|
Jonathan Musyt
101 Larkspur Ln |
$11.52 | 243 | 214 |
|
Kaitlyn Garnto
460 N Reading Rd |
$5.68 | 149 | 129 |
|
Jonathan H Griner
175 Martin Ave |
$5.37 | 124 | 108 |
|
Abigail Lee Eby
169 Martin Ave |
$6.92 | 98 | 98 |
|
Paul G Avadanian
136 A&B Lake Street |
$19.92 | 78 | 63 |
|
John Carini
175 Martin Ave |
$0.48 | 62 | 52 |
|
Jason B Snavely
136 Lake St |
$6.56 | 59 | 54 |
|
Darya Heim
136 Lake St, Brossman Center For Health |
$8.29 | 49 | 49 |
|
Shivani Bista
175 Martin Ave Ste 125 |
$3.21 | 42 | 40 |
|
Ashlie Heitzman
4150 Barrett Blvd |
$11.99 | 39 | 39 |
|
Steven Jordan Kleinman
169 Martin Ave |
$4.73 | 36 | 34 |
|
Dirk Strasser
175 Martin Ave Ste 125 |
$6.49 | 32 | 27 |
|
Joseph J Irwin
207 W Fulton St |
$4.29 | 27 | 26 |
|
Mandy R Fannin
136 Lake St |
$6.99 | 26 | 24 |
|
Brian Taylor Lockhart
808 Pleasantview Dr |
$56.94 | 24 | 24 |
|
Harris Baderak
169 Martin Ave |
$5.16 | 24 | 24 |
|
Nicole Denise Zimmerman
44 Lancaster Ave |
$0.22 | 13 | 13 |
|
Carl Richard Hankel
4237 Oregon Pike |
$62.71 | 12 | 12 |
|
John T. Coates
4131A Oregon Pike |
$6.64 | 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 Ephrata, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Blood Work & Lab Tests in Ephrata, PA is $6.04 per claim, based on 27,959 claims from 37 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 Ephrata, PA?
There are 37 Medicaid providers offering Blood Work & Lab Tests related services in Ephrata, PA according to public payment data.
What is the price range for Blood Work & Lab Tests in Ephrata, PA?
Medicaid reimbursement for Blood Work & Lab Tests in Ephrata, PA ranges from $0.22 to $62.71 per claim, with an average of $6.04. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Ephrata, PA
Office Visit
Avg $39.20
74,582 claims
Emergency Room Visit
Avg $114.31
46,599 claims
Physical Therapy
Avg $16.87
33,733 claims
X-Ray
Avg $9.33
23,657 claims
Speech Therapy
Avg $14.32
18,558 claims
Home Health Visit
Avg $27.31
12,251 claims
Durable Medical Equipment (DME)
Avg $91.80
9,389 claims
EKG / ECG (Electrocardiogram)
Avg $8.21
7,934 claims