Average Medicaid Blood Work & Lab Tests Payments in Scarborough, ME: $5.56
Avg. Paid
$5.56
Range
$0.12 – $7.12
Total Claims
884,343
Providers
26
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 Scarborough, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nordx
301A Us Route 1 |
$5.72 | 846,361 | 722,443 |
|
Mainehealth
300 Professional Dr |
$2.47 | 20,286 | 19,241 |
|
Mainehealth
175 Us Route 1 |
$0.12 | 6,152 | 6,013 |
|
Mainehealth
100 Campus Dr |
$0.94 | 5,139 | 4,057 |
|
Smita Sonti
153 Us Route 1 |
$3.85 | 1,803 | 1,675 |
|
Sarah Grace Baccay Alvarez
153 Us Route 1 |
$1.96 | 1,056 | 952 |
|
Sara M Hoffman
153 Us Route 1 |
$2.69 | 590 | 548 |
|
Sheri R. Clark
153 Us Route 1 |
$2.51 | 495 | 405 |
|
Colette Sharlene Stanley
100 Campus Dr Unit 107 |
$1.49 | 427 | 400 |
|
Erik N Steele
153 Us Route 1 |
$5.77 | 404 | 374 |
|
Catherine P Sexton
175 Us Route 1 |
$1.27 | 374 | 366 |
|
Kathryn Michaud
153 Us Route 1 |
$2.11 | 268 | 247 |
|
Micah Gordon Malenfant
15 Pleasant Hill Rd Ste 204 |
$7.12 | 223 | 220 |
|
Christine Louise Twining
175 Us Route 1 |
$0.99 | 163 | 163 |
|
Thomas Charles Hopkins
153 Us Route 1 |
$1.58 | 100 | 90 |
|
Alison E Cameron
15 Pleasant Hill Rd Ste 204 |
$1.52 | 89 | 82 |
|
Rahfa Kurdi Zerikly
175 Us Route 1 |
$1.67 | 85 | 83 |
|
Sean Tyler O'Sullivan
153 Us Route 1 |
$1.43 | 70 | 63 |
|
Kelsey Mcdonald
153 Us Route 1 |
$1.71 | 60 | 53 |
|
Sarah Elizabeth Gallo
144 Us Route 1 Ste 4 |
$1.10 | 54 | 51 |
|
Lillian R Mandl
Maine Comprehensive Pain Management, P.C. |
$4.53 | 45 | 36 |
|
Amelia Kristine Sponseller
153 Us Route 1 |
$1.93 | 27 | 26 |
|
Marie Masse Caldwell
175 Us Route 1 |
$5.04 | 27 | 24 |
|
Stephan P Babirak
71 Us Route 1 Ste J |
$0.29 | 17 | 14 |
|
Irwin G Brodsky
175 Us Route 1 |
$0.45 | 14 | 13 |
|
Shellie Hafer
175 Us Route 1 |
$0.45 | 14 | 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 Scarborough, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Blood Work & Lab Tests in Scarborough, ME is $5.56 per claim, based on 884,343 claims from 26 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 Scarborough, ME?
There are 26 Medicaid providers offering Blood Work & Lab Tests related services in Scarborough, ME according to public payment data.
What is the price range for Blood Work & Lab Tests in Scarborough, ME?
Medicaid reimbursement for Blood Work & Lab Tests in Scarborough, ME ranges from $0.12 to $7.12 per claim, with an average of $5.56. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Scarborough, ME
Case Management Services
Avg $59.61
154,080 claims
Home Health Visit
Avg $86.71
126,047 claims
Office Visit
Avg $47.95
105,667 claims
EKG / ECG (Electrocardiogram)
Avg $4.42
105,137 claims
Non-Emergency Medical Transportation
Avg $15.21
93,962 claims
Ambulance Transport
Avg $100.78
81,368 claims
Urinalysis & Urine Tests
Avg $2.71
48,637 claims
Culture & Microbiology Tests
Avg $4.76
40,534 claims