Average Medicaid Blood Work & Lab Tests Payments in San Sebastian, PR: $9.35
Avg. Paid
$9.35
Range
$0.55 – $12.59
Total Claims
256,101
Providers
21
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 San Sebastian, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Laboratorio Clinico Irizarry Guasch Inc
1 Calle Providencia Barrero |
$7.99 | 90,926 | 82,111 |
|
Migrant Health Center Western Region, Inc.
Ave. Emerito Estrada Rivera #424 |
$9.69 | 23,907 | 22,640 |
|
Laboratorio Clinico Anexo Irizarry Guasch Inc
Carr Pr 111 Km 18 |
$7.27 | 23,027 | 20,180 |
|
Centro De Diagnostico Y Tratamiento De San Sebastian Inc
3 Jose Mendez Cardona Ave |
$10.87 | 19,819 | 18,813 |
|
Juan M Llorens Fosse
Calle Andres Mendez Liciaga 13 |
$10.20 | 19,682 | 17,032 |
|
Laboratorio Clinico Lebron, Inc.
Ave Emerito Estrada |
$10.13 | 12,771 | 10,920 |
|
Laboratorio Clinico El Cruce
Carretera 435 Km 0.1 |
$11.63 | 10,274 | 9,624 |
|
Medlab,Corp
Pr 109 Km 26.4 Int 497 Bo Culebrina |
$8.85 | 10,258 | 9,446 |
|
Pepino Health Group Inc
126 Calle Pavia Fernandez |
$12.59 | 10,128 | 8,869 |
|
Laboratorio Clinico San Antonio
1488 Ave Emerito Estrada Rivera |
$11.27 | 8,449 | 8,009 |
|
Laboratorio Clinico Pujols, Inc.
Carr. 111 Km. 17.0 |
$10.14 | 6,726 | 6,271 |
|
Laboratorio Clinico Hato Arriba
Carretera 111 Km 14 5 |
$11.55 | 6,417 | 6,230 |
|
Laboratorio Clinico Hoyamala
Bo. Hoyamala |
$11.20 | 5,582 | 5,216 |
|
Ismael Perez Ptr
424 Ave Emerito Estrada Ste 1 |
$11.45 | 3,086 | 2,891 |
|
Kimberly M Soto Mieles
Calle 111 Km 27.6 |
$11.88 | 2,677 | 2,596 |
|
Jeannette Serrano Torres
Road 446 Km 3.5 Barrio Robles |
$10.45 | 1,508 | 1,377 |
|
Rios Laboratory Inc.
Bo. Sonador |
$0.55 | 544 | 523 |
|
Laboratorio Clinico Padua Llc
Carr 125 Km 16.2 Bo. Guatemala |
$7.32 | 208 | 158 |
|
Mendez Laboratory Clinic Inc
Plaza Anidem Local 4 |
$11.77 | 58 | 58 |
|
Luz E Martinez
21 Calle Severo Arana |
$10.59 | 42 | 40 |
|
Kimberly M Soto Mieles
Carretera 111 Km 27.6 Barrio Juncal |
$2.10 | 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 San Sebastian, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Blood Work & Lab Tests in San Sebastian, PR is $9.35 per claim, based on 256,101 claims from 21 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 San Sebastian, PR?
There are 21 Medicaid providers offering Blood Work & Lab Tests related services in San Sebastian, PR according to public payment data.
What is the price range for Blood Work & Lab Tests in San Sebastian, PR?
Medicaid reimbursement for Blood Work & Lab Tests in San Sebastian, PR ranges from $0.55 to $12.59 per claim, with an average of $9.35. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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