Average Medicaid Blood Work & Lab Tests Payments in Toa Alta, PR: $10.97
Avg. Paid
$10.97
Range
$0.00 – $12.21
Total Claims
264,289
Providers
14
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 Toa Alta, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ana M Rodriguez Santiago
Rio Del Plata Mall |
$0.00 | 72 | 68 |
|
Loyda Ayala Rosado
B21 Calle 10 |
$0.00 | 98 | 91 |
|
Eduardo A. Rios
32 Calle Antonio Lopez |
$11.25 | 463 | 400 |
|
Laboratorio Clinico Del Toa
Lilly Mini Mall Carr 165 Km 10.2 Bo. Contorno |
$10.90 | 3,883 | 3,664 |
|
Laboratorio Clinico Jireh Inc
Lafuente Shopping Center |
$11.01 | 6,204 | 5,868 |
|
Laboratorio Clinico Plaza Palacios
Ave Los Palacios Interseccion Carr 167 |
$11.02 | 7,593 | 7,221 |
|
Nelson Stuart
58 Calle Palmer |
$11.29 | 11,450 | 10,985 |
|
Richard Miranda Rodriguez
Carr. Pr-165 A10 Calle 1 |
$10.57 | 12,545 | 11,622 |
|
Waxali Inc
Rio Del Plata Mall,Urb Jardines De Toa Alta,Calle # 1 |
$11.31 | 15,379 | 14,733 |
|
Lab Clinico Toa Alta Inc
Urb. Villa Amparo # 2 Calle Munoz Rivera |
$10.93 | 20,739 | 19,073 |
|
Laboratorio Clinico Jariselle P.S.C
Carretera 829 Km 1.8 |
$10.30 | 30,828 | 26,175 |
|
Laboratorio Clinico Galiza Inc
A10 Calle 1 Carr Pr 165 |
$12.21 | 34,879 | 33,186 |
|
Laboratorio Clinico Aquarium Inc
Carr 165 Km 4.7 |
$11.45 | 45,062 | 42,481 |
|
Laboratorio Clinico Jollymar Inc
N 24 Urb Toa Alta Heights |
$10.37 | 75,094 | 66,787 |
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 Toa Alta, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Blood Work & Lab Tests in Toa Alta, PR is $10.97 per claim, based on 264,289 claims from 14 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 Toa Alta, PR?
There are 14 Medicaid providers offering Blood Work & Lab Tests related services in Toa Alta, PR according to public payment data.
What is the price range for Blood Work & Lab Tests in Toa Alta, PR?
Medicaid reimbursement for Blood Work & Lab Tests in Toa Alta, PR ranges from $0.00 to $12.21 per claim, with an average of $10.97. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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