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Vermont

Cost of a Blood Draw Visit
in Vermont

Reviewed by Momentary Medical Group West PC

Vermont's rural healthcare landscape, with its network of critical access hospitals and community health centers serving the Green Mountain State's 623,000 residents, creates unique cost dynamics for Blood Draw services. Patients typically pay between $1.8 and $73 for venipuncture procedures, with a median cost of $4.09 based on negotiated insurance rates. Vermont maintains 362 active Blood Draw providers across the state, and patients can browse all providers to compare costs and insurance coverage options.

Average

$26

Median

$4

Lowest

$2

Highest

$73

Providers

362

National avg: $28Vermont: $26

7% below national average

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How does blood draw (venipuncture) compare to related procedures in Vermont?

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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 36415Collection 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 Vermont

Vermont's Blood Draw costs run approximately 15% above national averages, reflecting the state's rural geography and limited provider competition in many regions. The Green Mountain State's dispersed population and seasonal tourism patterns create unique healthcare delivery challenges that influence pricing structures.

Urban vs. Rural Provider Availability

Burlington and Montpelier offer multiple Blood Draw options including hospital labs and independent facilities, while rural counties may have limited access requiring patients to travel significant distances. This geographic disparity creates higher costs in underserved areas due to limited competition and higher operational expenses for rural providers.

Facility Type and Overhead Costs

Hospital-based outpatient labs at facilities like the University of Vermont Medical Center typically charge higher rates than independent laboratories due to increased overhead and facility fees. Community health centers and independent labs often provide more cost-effective options, particularly in rural areas where they serve as essential healthcare access points.

Insurance Market Competition in Vermont

The concentrated insurance market with BCBS VT and MVP Health Care as dominant players limits competitive pressure on negotiated rates for Blood Draw services. This market concentration, combined with Vermont's small population, can result in higher negotiated rates compared to states with more competitive insurance markets.

Physician Supply and Demand in Vermont

Vermont's 362 active Blood Draw providers create adequate coverage for the state's population, though distribution favors urban areas around Burlington and Montpelier. Rural provider shortages can lead to longer wait times and higher costs as patients may need to travel to access services or use more expensive hospital-based facilities.

JP

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 Vermont

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

Without insurance, Blood Draw services in Vermont typically cost between $1.8 and $73, with a median cost of $4.09 based on negotiated rates. Self-pay patients may receive discounts of 10-30% at many facilities, particularly independent labs and community health centers. Rural areas may have higher costs due to limited provider options and higher operational expenses.

Does Vermont Medicaid cover Blood Draw visits?

Yes, Vermont's expanded Medicaid program covers medically necessary Blood Draw services with minimal or no copay for beneficiaries. Coverage includes routine screening tests ordered by your primary care physician as well as diagnostic blood work for specific health concerns. Prior authorization is typically not required for standard blood draws, though specialized testing may need approval.

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

Compare costs between hospital-based labs and independent facilities, as independent labs often charge 50-70% less than hospital outpatient departments. Community health centers throughout Vermont offer sliding scale fees based on income, and many providers offer cash-pay discounts for uninsured patients. Rural areas may require traveling to larger towns like Burlington or Montpelier for more cost-effective options.

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

Blood Draw services typically involve only the venipuncture procedure (CPT 36415) costing $1.8-$73, regardless of whether it's your first visit or a follow-up. However, if you require a consultation with a physician before the blood draw, initial visits generally cost more than follow-up appointments. Most routine blood draws ordered by your primary care physician don't require additional consultation fees.

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

Yes, Blood Draw services are qualified medical expenses that can be paid for using Health Savings Account (HSA) or Flexible Spending Account (FSA) funds. This includes both the venipuncture procedure and any associated laboratory analysis fees. Keep receipts for tax purposes, and remember that using pre-tax HSA/FSA funds can effectively reduce your out-of-pocket costs by your marginal tax rate.

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

While the actual blood draw must be performed in person, telemedicine consultations in Vermont can reduce overall costs by eliminating the need for separate office visits to discuss results or determine testing needs. Many providers offer telehealth follow-ups to review blood work results, which typically cost less than in-person visits. Vermont's rural geography makes telemedicine particularly valuable for reducing travel costs and time for patients in remote areas.

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