Average Medicaid Blood Work & Lab Tests Payments in Sheboygan, WI: $9.48
Avg. Paid
$9.48
Range
$0.00 – $47.24
Total Claims
200,473
Providers
48
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 Sheboygan, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Aurora Health Care Central, Inc.
3400 Union Ave |
$10.41 | 107,237 | 81,957 |
|
St. Nicholas Hospital-Sisters Of The Third Order Of St Francis
3100 Superior Ave |
$10.38 | 43,622 | 34,941 |
|
David J Sterner
2629 N 7Th St |
$1.21 | 15,460 | 10,572 |
|
St. Nicholas Hospital-Sisters Of The Third Order Of St. Francis
3100 Superior Ave |
$9.12 | 14,890 | 13,210 |
|
H Marshall Matthews
1621 N Taylor Dr |
$5.96 | 3,077 | 1,679 |
|
Pamela A Mentink
3400 Union Ave |
$21.64 | 2,908 | 1,901 |
|
St Nicholas Hospital-Sisters Of The Third Order Of St. Francis
2925 Saemann Ave |
$0.12 | 2,040 | 1,882 |
|
Steven Mark Bettag
1621 N Taylor Dr |
$4.74 | 1,592 | 979 |
|
Bryan T Schmitt
2414 Kohler Memorial Dr |
$2.59 | 1,068 | 772 |
|
Mary J Gentine
1703 N Taylor Dr |
$0.27 | 933 | 802 |
|
Donna Buechner
510 S 8Th St |
$0.37 | 929 | 824 |
|
Nour Sinno
2629 N 7Th St |
$4.36 | 907 | 863 |
|
Scott A Kunkel
2629 N 7Th St |
$26.26 | 876 | 857 |
|
Laura Ann Ernster
2707 S Business Dr |
$47.24 | 614 | 345 |
|
Sharesea Busser
1221 N 26Th St |
$8.35 | 533 | 345 |
|
Sheboygan County Health & Human Services
1011 N 8Th St |
$2.23 | 438 | 417 |
|
Jeffrey W Britton
2414 Kohler Memorial Dr |
$2.12 | 410 | 398 |
|
John Hernandez
2414 Kohler Memorial Dr |
$0.36 | 272 | 231 |
|
Kristin Marie Balthazor
2124 Kohler Memorial Dr |
$31.52 | 267 | 207 |
|
William L Trager
2920 Superior Avenue |
$1.46 | 254 | 244 |
|
Jennifer Leigh Zastrow
3113 Saemann Ave |
$2.45 | 248 | 233 |
|
Julie A Roehrborn
2920 Superior Avenue |
$2.04 | 211 | 195 |
|
Frank M Baur
2414 Kohler Memorial Dr |
$1.63 | 199 | 188 |
|
Sonya R Hollingsworth
1703 N Taylor Dr |
$1.09 | 199 | 190 |
|
Robert D Wenberg
2414 Kohler Memorial Dr |
$0.29 | 159 | 154 |
|
Brant Michael Balthazor
2124 Kohler Memorial Dr |
$37.33 | 135 | 118 |
|
Jessica Marie Mattia-Barry
1721 Saemann Ave |
$0.00 | 134 | 108 |
|
Alexandra Huml Boll
2414 Kohler Memorial Dr |
$2.14 | 117 | 94 |
|
Michael D Johnson
2920 Superior Ave |
$7.90 | 114 | 99 |
|
Christina L Sarchet
2414 Kohler Memorial Dr |
$3.11 | 113 | 104 |
|
Bio-Medical Applications Of Wisconsin, Inc.
2925 Saemann Ave |
$0.00 | 65 | 56 |
|
Atit Shah
2124 Kohler Memorial Dr Ste 110 |
$32.39 | 49 | 40 |
|
Dean A Mancheski
1703 N Taylor Dr |
$0.07 | 45 | 41 |
|
Chinenye Alozie Jude Ochiobi
1414 N Taylor Dr |
$12.14 | 41 | 36 |
|
Ngaruiya Kariuki
2414 Kohler Memorial Dr |
$5.03 | 39 | 38 |
|
Emmanuel Olawusi
2414 Kohler Memorial Dr |
$4.86 | 36 | 36 |
|
Sahil Gupta
1411 N Taylor Dr |
$0.37 | 34 | 33 |
|
Jeremy Ashton Scarlett
2124 Kohler Memorial Dr Ste 110 |
$32.25 | 32 | 25 |
|
James R Pawlak
1703 N Taylor Dr |
$3.37 | 25 | 25 |
|
Ajhani Kesavan
1411 N Taylor Dr |
$0.37 | 25 | 24 |
|
Kathryn M Lilly
2414 Kohler Memorial Dr |
$2.56 | 25 | 25 |
|
Brandon Phelps
1813 Ashland Ave |
$21.10 | 18 | 13 |
|
Raymond Seth Sohn
2124 Kohler Memorial Dr Ste 110 |
$26.61 | 18 | 13 |
|
Oludamilola Salami
3400 Union Ave |
$0.94 | 15 | 12 |
|
Diane C Lamm
2414 Kohler Memorial Dr |
$7.21 | 14 | 13 |
|
Joshua D Handbury
2414 Kohler Memorial Dr |
$1.22 | 12 | 12 |
|
Amy J. Harms
2920 Superior Ave |
$0.85 | 12 | 12 |
|
Jenny K Brault
2920 Superior Ave |
$0.94 | 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 Sheboygan, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Blood Work & Lab Tests in Sheboygan, WI is $9.48 per claim, based on 200,473 claims from 48 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 Sheboygan, WI?
There are 48 Medicaid providers offering Blood Work & Lab Tests related services in Sheboygan, WI according to public payment data.
What is the price range for Blood Work & Lab Tests in Sheboygan, WI?
Medicaid reimbursement for Blood Work & Lab Tests in Sheboygan, WI ranges from $0.00 to $47.24 per claim, with an average of $9.48. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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