Average Medicaid Blood Work & Lab Tests Payments in Madison, WI: $11.76
Avg. Paid
$11.76
Range
$0.00 – $104.70
Total Claims
1,154,690
Providers
188
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 Madison, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
University Of Wisconsin Hospitals And Clinics Authority
600 Highland Ave |
$13.07 | 566,868 | 447,687 |
|
Meriter Hospital, Inc.
202 S Park St |
$10.63 | 171,568 | 132,068 |
|
Ssm Health Care Of Wisconsin, Inc.
700 S. Park St. |
$13.80 | 108,067 | 87,811 |
|
Ssm Health Care Of Wisconsin, Inc
700 S. Park St. |
$9.87 | 93,550 | 84,160 |
|
Meriter Health Enterprises Inc.
36 S Brooks St |
$7.25 | 49,772 | 43,149 |
|
Rakesh Mandal
600 Highland Ave |
$4.27 | 29,419 | 24,123 |
|
Matthew O'Connor
Uw Hospitals And Clinics |
$4.13 | 15,670 | 13,465 |
|
Jaime Lynn Kremer
313 Price Pl Ste 208 |
$33.98 | 8,867 | 4,192 |
|
Christine J Butts
600 Highland Ave |
$4.12 | 8,592 | 6,741 |
|
Trisha E Schimek
701 Dane St |
$0.01 | 6,133 | 5,157 |
|
Joseph N Blustein
2232 W Lawn Ave |
$33.98 | 5,897 | 1,749 |
|
Zenia Sarker
2601 W Beltline Hwy |
$20.25 | 4,877 | 3,083 |
|
Jordan Carl Imoehl
600 Highland Ave |
$0.04 | 4,051 | 3,716 |
|
Nicholas Wilkie
Uw Hospital And Clinics |
$5.72 | 3,920 | 3,633 |
|
Brian Paul Jennett
600 Highland Ave |
$0.07 | 3,792 | 3,532 |
|
Therese Rowe
1 Point Pl Ste 200 |
$37.74 | 3,564 | 2,068 |
|
Jeanette Di Everson
5249 E Terrace Dr |
$11.11 | 3,421 | 3,303 |
|
Yohualli Balderas-Medina Anaya
1102 S Park St |
$0.00 | 2,926 | 2,743 |
|
Adam S. Morgan
700 S Park St |
$3.68 | 2,890 | 2,038 |
|
Nicholas Lepa
2550 University Ave |
$0.01 | 2,866 | 2,533 |
|
Fresenius Kidney Care Madison, Llc
4600 American Pkwy Ste 102 |
$0.00 | 2,772 | 2,328 |
|
John Davis
Uw Hospital And Clinics |
$6.21 | 2,578 | 2,516 |
|
Laboratory Corporation Of America
2202 S Park St |
$5.00 | 2,570 | 2,132 |
|
Craig Franz Tschautscher
600 Highland Ave |
$1.96 | 2,383 | 2,213 |
|
Randi L Kent
115 W Doty St |
$41.61 | 2,328 | 1,128 |
|
Laboratory Corporation Of America
3434 E Washington Ave |
$5.58 | 2,300 | 1,829 |
|
Jesse L Lloyd
600 Highland Ave |
$0.39 | 2,100 | 1,540 |
|
Karen K Milner
25 Kessel Ct Ste 105 |
$10.76 | 1,841 | 1,087 |
|
Maggie Williams
1102 S Park St |
$40.42 | 1,810 | 831 |
|
Jessica Seidel
521 E Washington Ave |
$41.66 | 1,625 | 761 |
|
Lisa M Vangemert
2550 University Ave |
$4.19 | 1,536 | 1,452 |
|
Joanie E Klemme
600 Highland Ave |
$3.74 | 1,481 | 1,376 |
|
Maureen C Payant Mckenna
3033 Irvington Way |
$2.60 | 1,450 | 1,260 |
|
Theresa Kinney Payant Mckenna
3033 Irvington Way |
$2.74 | 1,283 | 1,182 |
|
Nguyet-Anh Thi Tran
1821 S Stoughton Rd |
$2.11 | 1,200 | 1,065 |
|
Jamie Rae Santistevan
600 Highland Ave |
$6.22 | 1,153 | 1,139 |
|
Maria Analisa Sandoval
600 Highland Ave |
$6.58 | 1,103 | 1,086 |
|
Andrew O'Donnell Coyle
2402 Winnebago St |
$9.98 | 1,050 | 155 |
|
Kelly Ruse
2202 S Park St |
$2.89 | 964 | 880 |
|
Justin Paul Purnell
619 N Segoe Rd Apt 509 |
$1.26 | 841 | 713 |
|
Sorin Cantaragiu Herscovici
451 Junction Rd |
$5.03 | 753 | 752 |
|
Anne M Marsh
1675 Highland Ave |
$11.01 | 660 | 542 |
|
Gerard S Doyle
600 Highland Ave |
$0.49 | 659 | 637 |
|
Janna Swearingen
600 Highland Ave |
$47.02 | 642 | 383 |
|
Emelia B Hakes
600 Highland Ave |
$6.63 | 628 | 621 |
|
Walker B Shapiro
3209 Dryden Dr |
$0.40 | 605 | 531 |
|
Michael James Eckrich
1675 Highland Ave |
$26.96 | 594 | 273 |
|
Brittany Kay Gerovac
5618 Odana Rd |
$27.57 | 590 | 251 |
|
Douglas Gregory Olk
2402 Winnebago St |
$3.97 | 554 | 483 |
|
Kyle Andrew Schoppel
600 Highland Ave |
$5.96 | 515 | 482 |
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 Madison, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Blood Work & Lab Tests in Madison, WI is $11.76 per claim, based on 1,154,690 claims from 188 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 Madison, WI?
There are 188 Medicaid providers offering Blood Work & Lab Tests related services in Madison, WI according to public payment data.
What is the price range for Blood Work & Lab Tests in Madison, WI?
Medicaid reimbursement for Blood Work & Lab Tests in Madison, WI ranges from $0.00 to $104.70 per claim, with an average of $11.76. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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