Average Medicaid Blood Work & Lab Tests Payments in Toms River, NJ: $10.60
Avg. Paid
$10.60
Range
$0.01 – $23.96
Total Claims
363,597
Providers
23
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 Toms River, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Community Medical Center Inc
99 Route 37 W |
$10.74 | 347,667 | 273,365 |
|
Paul J Simon
99 Highway 37 |
$0.39 | 7,022 | 4,353 |
|
Renal Institute Of Central Jersey, Llc
2A Plaza Dr Unit A1 |
$23.96 | 3,714 | 2,695 |
|
Scott Henry David
966 Riverbrook Ct |
$10.64 | 1,109 | 1,002 |
|
Fresenius Medical Care Toms River, Llc
970 Hooper Ave Fl 1 |
$0.01 | 875 | 594 |
|
Robert Shanik
40 Bey Lea Rd |
$0.46 | 614 | 521 |
|
Elizabeth Anne Mulcahy
9 Mule Rd Ste E16 |
$8.03 | 592 | 569 |
|
Francine Dygulski
1198 Lakewood Rd Ste 101 |
$2.93 | 393 | 279 |
|
Ira L Haimowitz
40 Bey Lea Road |
$9.68 | 338 | 334 |
|
Michael James Lewis
1868 Hooper Ave |
$4.53 | 277 | 218 |
|
Crossroads Of New Jersey Management, Llc
751 Route 37 W |
$2.25 | 167 | 131 |
|
Natalie Frey
970 Hooper Ave # 2 |
$1.57 | 159 | 140 |
|
Matthew Dever
40 Bey Lea Rd |
$7.08 | 143 | 137 |
|
Thomas Robert Comerci
250 Washington St Ste A6 |
$10.08 | 126 | 78 |
|
Donna Marie Mckinnon
1868 Hooper Ave |
$1.72 | 98 | 94 |
|
Satish K Bhutani
1416 Hooper Ave |
$2.11 | 81 | 80 |
|
Jennifer Lynn Burdo
40 Bey Lea Rd Ste B203 |
$9.82 | 57 | 57 |
|
Kristina Derrick
214 Commons Way Bldg B |
$9.77 | 50 | 48 |
|
Michael Golub
40 Bey Lea Rd |
$0.11 | 29 | 18 |
|
Elizabeth J Fiore
40 Bey Lea Rd |
$10.00 | 29 | 29 |
|
Michelle Verdi
40 Bey Lea Rd |
$10.00 | 24 | 24 |
|
Charles H Geneslaw
1314 Hooper Ave |
$5.31 | 18 | 17 |
|
Esther Rubinfeld
168 Benjamin Street |
$3.45 | 15 | 15 |
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 Toms River, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Blood Work & Lab Tests in Toms River, NJ is $10.60 per claim, based on 363,597 claims from 23 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 Toms River, NJ?
There are 23 Medicaid providers offering Blood Work & Lab Tests related services in Toms River, NJ according to public payment data.
What is the price range for Blood Work & Lab Tests in Toms River, NJ?
Medicaid reimbursement for Blood Work & Lab Tests in Toms River, NJ ranges from $0.01 to $23.96 per claim, with an average of $10.60. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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