Average Medicaid Blood Work & Lab Tests Payments in Macungie, PA: $4.18
Avg. Paid
$4.18
Range
$0.76 – $10.10
Total Claims
8,909
Providers
11
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 Macungie, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Marc Stuart Kolpon
3369 State Route 100 |
$5.73 | 1,928 | 1,890 |
|
Basil M Harris
3369 State Route 100 |
$0.99 | 1,710 | 1,601 |
|
Claudia Ferran
3371 Route 100 |
$2.12 | 1,346 | 1,329 |
|
Duc Dang
3369 State Route 100 |
$6.08 | 869 | 831 |
|
Mark A. Notash
3369 State Route 100 |
$7.66 | 697 | 538 |
|
Andrew William Mulvey
3369 State Route 100 |
$4.81 | 643 | 501 |
|
Ryan B Taylor
3369 State Route 100 |
$1.79 | 639 | 542 |
|
James A Caffrey
3369 State Route 100 |
$7.69 | 549 | 461 |
|
Marina Domatova
3369 Route 100 |
$10.10 | 222 | 211 |
|
Marcin Ciesla
3369 State Route 100 |
$1.44 | 156 | 151 |
|
Valerie Diane Johnson
3295 Route 100 # Pa |
$0.76 | 150 | 139 |
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 Macungie, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Blood Work & Lab Tests in Macungie, PA is $4.18 per claim, based on 8,909 claims from 11 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 Macungie, PA?
There are 11 Medicaid providers offering Blood Work & Lab Tests related services in Macungie, PA according to public payment data.
What is the price range for Blood Work & Lab Tests in Macungie, PA?
Medicaid reimbursement for Blood Work & Lab Tests in Macungie, PA ranges from $0.76 to $10.10 per claim, with an average of $4.18. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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