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Pennsylvania

Cost of a Blood Draw Visit
in Pennsylvania

Reviewed by Momentary Medical Group West PC

Pennsylvania's healthcare market, dominated by major systems in Philadelphia and Pittsburgh, creates significant cost variation for Blood Draw procedures across the state's diverse geographic regions. Based on transparency in coverage data, patients typically pay between $1.78 and $90.00 for venipuncture services, with a median negotiated rate of $55.00 among Pennsylvania's 2,293 active Blood Draw providers. Whether seeking routine lab work in urban centers or rural communities, patients can browse all qualified providers throughout Pennsylvania to find the most cost-effective option for their needs.

Average

$49

Median

$55

Lowest

$2

Highest

$90

Providers

2,293

National avg: $28Pennsylvania: $49

74% above national average

HSA/FSA eligible

Always available primary care

Just $19.99/mo

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Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 36415 — Collection of venous blood by venipuncture). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 36415 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 36415 (Collection of venous blood by venipuncture), as mandated by the CMS Price Transparency Rule.

What CPT 36415 covers: the provider's professional fee for blood draw (venipuncture). It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Why Blood Draw Visit Costs Vary Across Pennsylvania

Pennsylvania's healthcare costs run approximately 9% above national averages, driven by the state's mix of expensive urban markets and underserved rural areas. The concentration of major health systems in Philadelphia and Pittsburgh creates pricing power, while smaller communities often face limited provider competition.

Urban vs. Rural Provider Availability

Pennsylvania's mountainous central region and northern counties have fewer laboratory options compared to the Philadelphia and Pittsburgh metropolitan areas. Rural residents may travel significant distances for specialized blood work, while urban patients benefit from numerous competing facilities. This geographic disparity creates cost variations and affects appointment availability across the state.

Facility Type and Overhead Costs

Hospital-based laboratories in Pennsylvania's major health systems like Penn Medicine and UPMC typically charge higher facility fees than independent labs or physician offices. Academic medical centers in Philadelphia and Pittsburgh often have the highest overhead costs due to research activities and specialized equipment. Standalone laboratories and retail clinics generally offer more competitive pricing for routine blood work.

Insurance Market Competition in Pennsylvania

Major insurers Highmark, Independence Blue Cross, and UnitedHealthcare maintain strong networks throughout Pennsylvania, creating moderate competition that affects negotiated rates. Regional insurers also serve specific markets, with varying levels of leverage in rate negotiations. The competitive landscape differs significantly between urban areas with multiple options and rural regions with limited insurer participation.

Physician Supply and Demand in Pennsylvania

Pennsylvania's 2,293 active Blood Draw providers create adequate coverage in most regions, though distribution favors metropolitan areas over rural counties. This supply level suggests reasonable access in urban centers but potential capacity constraints in underserved rural areas. The concentration of providers around major medical centers affects both pricing and scheduling availability throughout the state.

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Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Blood Draw Costs in Pennsylvania

What is the average cost of a Blood Draw visit in Pennsylvania without insurance?

Uninsured patients in Pennsylvania typically pay between $1.78 and $90.00 for Blood Draw services, with a median cost around $55.00 based on negotiated rate data. Many laboratories offer self-pay discounts that can reduce these amounts by 30-50% for cash payments. Community health centers and retail clinics often provide more affordable options for routine blood work. The final cost depends on the specific tests ordered and the type of facility you choose.

Does Pennsylvania Medicaid cover Blood Draw visits?

Yes, Pennsylvania expanded Medicaid covers Blood Draw services when medically necessary and ordered by a physician. Coverage includes routine screenings, diagnostic testing, and monitoring for chronic conditions through managed care plans. Patients typically have minimal or no copays for covered laboratory services. Prior authorization may be required for specialized or expensive tests, so verify coverage before scheduling complex blood work.

How do I find an affordable Blood Draw near me in Pennsylvania?

Compare costs between hospital labs, independent laboratories, and physician offices in your area since prices can vary significantly. Ask about self-pay discounts if you're uninsured or have a high-deductible plan. Community health centers throughout Pennsylvania often provide sliding-scale fees based on income. Retail clinics and urgent care centers may offer competitive rates for routine blood work compared to hospital-based facilities.

What is the difference in cost between an initial consultation and a follow-up visit?

Most Blood Draw services involve the same venipuncture procedure regardless of whether it's your first visit or a follow-up, so costs remain consistent at $1.78 to $90.00 with a median of $55.00. The main cost difference comes from the types and number of tests ordered rather than the visit type. Follow-up blood work for monitoring existing conditions may involve fewer tests than comprehensive initial screenings. Your insurance copay structure typically remains the same for both initial and repeat blood draws.

Can I use an HSA or FSA to pay for a Blood Draw visit in Pennsylvania?

Yes, Blood Draw services qualify as eligible medical expenses for both Health Savings Accounts and Flexible Spending Accounts. You can use your HSA or FSA debit card at most Pennsylvania laboratories or pay out-of-pocket and submit receipts for reimbursement. Keep all documentation including physician orders and lab receipts for tax purposes. Both routine preventive screenings and diagnostic blood work ordered by your doctor qualify for HSA/FSA reimbursement.

How does telemedicine affect the cost of seeing a Blood Draw in Pennsylvania?

While you cannot complete blood draws through telemedicine, virtual consultations can help determine if blood work is necessary before scheduling in-person lab visits. Pennsylvania physicians can order laboratory tests during telehealth appointments, potentially saving you an office visit copay. Some telehealth platforms partner with national lab chains to streamline the ordering and results process. Virtual follow-up appointments to discuss blood test results may cost less than in-person visits and provide convenient access to care.

Click a state to compare costs

Average Visit Cost

$3
$57

Office visit (CPT 36415)

Compare With Other States

RankStateAverage↓
1Iowa
Range: $3 – $95
$57
2Alaska
Range: $3 – $85
$56
3California
Range: $3 – $90
$56
4Connecticut
Range: $2 – $93
$53
5Pennsylvania
Range: $2 – $90
$49
6Wisconsin
Range: $4 – $95
$41
7Florida
Range: $2 – $73
$38
8Indiana
Range: $2 – $90
$37
9Kentucky
Range: $2 – $85
$36
10West Virginia
Range: $3 – $95
$35
11Illinois
Range: $3 – $85
$35
12Virginia
Range: $1 – $98
$34
13Texas
Range: $3 – $90
$33
14Minnesota
Range: $3 – $91
$32
15North Dakota
Range: $3 – $91
$32
16Georgia
Range: $2 – $90
$32
17Rhode Island
Range: $2 – $90
$32
18Tennessee
Range: $2 – $85
$31
19Hawaii
Range: $3 – $85
$30
20Idaho
Range: $3 – $85
$30
21Utah
Range: $3 – $85
$30
22Colorado
Range: $2 – $85
$30
23Oklahoma
Range: $2 – $85
$30
24Arkansas
Range: $2 – $85
$30
25North Carolina
Range: $2 – $85
$30
26South Carolina
Range: $2 – $85
$30
27Michigan
Range: $1 – $85
$30
28Ohio
Range: $1 – $85
$30
29Delaware
Range: $1 – $82
$29
30Montana
Range: $3 – $80
$29
31Oregon
Range: $3 – $80
$29
32Washington
Range: $3 – $80
$29
33District of Columbia
Range: $1 – $80
$28
34Massachusetts
Range: $2 – $80
$28
35Alabama
Range: $1 – $80
$28
36Wyoming
Range: $3 – $73
$26
37Vermont
Range: $2 – $73
$26
38Arizona
Range: $2 – $73
$26
39New Mexico
Range: $2 – $70
$25
40New Jersey
Range: $2 – $68
$24
41Nevada
Range: $3 – $60
$23
42New York
Range: $1 – $60
$22
43Nebraska
Range: $3 – $23
$10
44Missouri
Range: $2 – $23
$9
45Louisiana
Range: $1 – $12
$6
46Mississippi
Range: $1 – $14
$6
47Maine
Range: $3 – $5
$4
48Kansas
Range: $2 – $7
$4
49New Hampshire
Range: $2 – $7
$3
50South Dakota
Range: $3 – $3
$3
51Maryland
Range: $1 – $6
$3
Blood Draw (Venipuncture) in Other States
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming