Average Medicaid Blood Work & Lab Tests Payments in Somerset, PA: $16.00
Avg. Paid
$16.00
Range
$0.00 – $59.22
Total Claims
4,840
Providers
18
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 Somerset, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Charles E Camacho
126 E Church St |
$5.90 | 790 | 680 |
|
John Nicholson
329 S Pleasant Ave |
$59.22 | 782 | 569 |
|
Adam W Turinsky
329 S Pleasant Ave |
$9.67 | 585 | 578 |
|
Lauren Catherine Mathias
329 S Pleasant Ave |
$9.37 | 459 | 428 |
|
Natalie Kukucka
600 Aberdeen Dr |
$6.88 | 457 | 409 |
|
David R Battista
225 S Center Ave |
$10.76 | 384 | 284 |
|
Upmc Somerset
225 S Center Ave |
$1.84 | 329 | 254 |
|
Lee Teresa Dirienzo
4324 Glades Pike |
$7.88 | 268 | 253 |
|
Marlo H Marcheleovich
229 S Kimberly Ave |
$1.87 | 239 | 225 |
|
Tanya Jean Sargent
4324 Glades Pike |
$6.90 | 228 | 213 |
|
Stephanie M Gramling
329 S Pleasant Ave |
$21.34 | 144 | 138 |
|
Gail Ann Palko
329 S Pleasant Avenue |
$10.01 | 53 | 53 |
|
Kathleen T Smith
329 S Pleasant Avenue |
$11.38 | 30 | 30 |
|
Lindsay Menhorn
329 S Pleasant Ave |
$13.35 | 28 | 26 |
|
Zachary James Ankney
329 S. Pleasant Ave. |
$6.57 | 25 | 25 |
|
Ajay P Singh
126 East Church St |
$0.00 | 14 | 14 |
|
Ashley Lea Peterman-Barron
614 S Franklin Ave |
$0.00 | 13 | 13 |
|
Taesun Moon
126 E Church St Ste 2300 |
$0.00 | 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 Somerset, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Blood Work & Lab Tests in Somerset, PA is $16.00 per claim, based on 4,840 claims from 18 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 Somerset, PA?
There are 18 Medicaid providers offering Blood Work & Lab Tests related services in Somerset, PA according to public payment data.
What is the price range for Blood Work & Lab Tests in Somerset, PA?
Medicaid reimbursement for Blood Work & Lab Tests in Somerset, PA ranges from $0.00 to $59.22 per claim, with an average of $16.00. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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