Based on public Medicaid payment data.

Average Medicaid Blood Work & Lab Tests Payments in Rochester, NY: $13.58

Avg. Paid

$13.58

Range

$0.00 – $64.58

Total Claims

3,406,771

Providers

289

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 Rochester, NY

Provider	Avg. Paid	Claims	Patients
University Of Rochester 601 Elmwood Ave	$10.54	997,720	917,569
Acm Medical Laboratory Inc 160 Elmgrove Park	$21.46	746,446	538,235
Rochester General Hospital-Lab 1425 Portland Ave	$13.13	492,219	467,701
Rochester General Hospital 1425 Portland Ave	$11.57	480,691	436,472
U Of R Neurology Department 601 Elmwood Ave	$10.91	267,373	236,535
Highland Hospital Of Rochester 1000 South Ave	$15.53	97,966	86,917
The Unity Hospital Of Rochester 1555 Long Pond Rd	$14.99	74,408	65,063
Alexander W Vanamerongen 1555 Long Pond Rd	$4.84	27,966	23,392
Sapna S Patel 601 Elmwood Ave	$0.03	16,422	12,316
Thomas J Belt 1555 Long Pond Rd	$6.20	10,833	9,284
Rickey Herrmann 2870 Buffalo Rd	$10.36	6,162	5,460
Planned Parenthood Of Central And Western New York, Inc 114 University Ave	$6.02	6,147	5,639
Katherine Fitzpatrick Ready 601 Elmwood Ave.	$0.01	6,062	5,131
Telva E Olivares 601 Elmwood Ave	$5.78	5,274	751
Rochester General Hospital 370 Ridge Rd E	$11.84	4,745	4,588
Sarah Akram Janjua 1425 Portland Ave	$14.88	4,109	704
Benjamin Ostrovsky 601 Elmwood Ave	$7.59	3,778	281
Seth S Charatz 224 Alexander St	$19.30	3,715	881
Austin Lee Tenney 601 Elmwood Ave	$8.17	3,605	3,452
Laura J Markwick 1815 S Clinton Ave Ste 440	$9.88	3,599	3,128
Resika Ubayawardena 222 Alexander St, Ste 5000	$14.13	3,526	620
Andrew James Kretovic 158 Sawgrass Dr Fl 2	$11.73	3,502	3,243
Chao-Yu Yu Hsu 370 E Ridge Rd	$9.19	3,445	384
Joseph Robert Pereira 601 Elmwood Ave	$11.61	3,303	245
Charles Ippolito 222 Alexander St	$15.06	3,157	512
Berthollet M Bavibidila 1425 Portland Ave	$7.32	3,149	381
Peter Crane 601 Elmwood Ave	$9.97	3,105	221
Diana Vinodhini Thangathurai 1425 Portland Ave	$8.87	3,045	421
Adam Sykes 601 Elmwood Ave	$0.93	2,975	2,531
Sarah Jane Bolduc 89 Genesee St	$18.81	2,843	2,672
Rebecca Lowy 601 Elmwood Ave	$17.12	2,701	234
Fatma Akmese 293 Upper Falls Blvd	$14.15	2,695	424
Tracey Demino 1000 South Ave	$0.21	2,613	2,317
Michael S Steinberg 601 Elmwood Ave	$4.82	2,601	1,866
Suven Cooper 601 Elmwood Ave Box 655	$33.51	2,558	209
Pierre Maxime Jean Charles 293 Upper Falls Blvd	$18.93	2,555	557
Emily Ummer 1425 Portland Ave	$6.17	2,183	1,772
Devon Flynn Schara 1000 South Ave	$0.06	2,125	1,911
Cheryl A Herrmann 2870 Buffalo Rd	$9.67	2,119	1,930
Kayleigh Marie Reeder 222 Alexander St Fl 4	$4.35	2,020	1,991
Andrew Tisser 1425 Portland Ave	$11.57	1,941	512
Jose E Lopez 1425 Portland Ave	$10.79	1,888	308
Brian Blyth 601 Elmwood Ave	$11.71	1,834	130
Shuchi Talwar 1425 Portland Ave	$6.44	1,821	1,670
Samantha Shojaie 2561 Lac De Ville Blvd Ste 202	$12.23	1,680	465
Ashley Marie Carroll 2655 Ridgeway Ave Ste 480	$5.35	1,664	1,633
Tai Nguyen 222 Alexander St	$12.94	1,660	463
Fabiola Enriquez 601 Elmwood Ave	$5.51	1,653	1,330
Robert L Weisman 601 Elmwood Ave	$50.93	1,620	283
Kevin Paul Brazill 2613 W Henrietta Rd	$4.35	1,600	220

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 Rochester, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Blood Work & Lab Tests in Rochester, NY is $13.58 per claim, based on 3,406,771 claims from 289 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 Rochester, NY?

There are 289 Medicaid providers offering Blood Work & Lab Tests related services in Rochester, NY according to public payment data.

What is the price range for Blood Work & Lab Tests in Rochester, NY?

Medicaid reimbursement for Blood Work & Lab Tests in Rochester, NY ranges from $0.00 to $64.58 per claim, with an average of $13.58. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Blood Work & Lab Tests Payments in Rochester, NY: $13.58

Providers Offering Blood Work & Lab Tests in Rochester, NY

What to Expect: Blood Work & Lab Tests

Cost Components

Frequently Asked Questions

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