Chi Phí Xét nghiệm máu (Công thức máu) Là Bao Nhiêu?
A complete blood count (CBC) is a common blood test that measures the levels of red blood cells, white blood cells, hemoglobin, hematocrit, and platelets. It is used to evaluate overall health and detect a wide range of disorders.
Không Bảo Hiểm
$200
Có Bảo Hiểm
$65
Medicare
$45
Trung Bình Quốc Gia
$150
By Elena Bellini, MPH, Health Policy & Management · Last reviewed 2026-04-16 ·
Sources: CMS Medicare Provider Utilization and Payment Data 2025 · Methodology · Editorial standards Tổng quan
The 'blood test' figures on this page reflect a routine Complete Blood Count (CBC, CPT 85025), which measures red and white blood cell counts, hemoglobin, hematocrit, and platelets. A CBC is the most commonly ordered laboratory panel in U.S. medicine and is used to screen for and monitor anemia, infection, bleeding disorders, and many chronic conditions. Where this page references a 'blood test,' readers should know that lab pricing depends heavily on what, exactly, was drawn. A single CBC is inexpensive; a full wellness panel that adds a comprehensive metabolic panel (CMP), lipid panel, thyroid-stimulating hormone, hemoglobin A1c, and a urinalysis is considerably more costly, especially when performed at hospital-owned laboratories. Independent reference laboratories (Quest Diagnostics, Labcorp) typically price the same panel 2–5x cheaper than a hospital lab for self-pay patients.
Yếu tố ảnh hưởng đến chi phí
- Panel composition: a single CBC is inexpensive; bundled wellness panels add per-test charges quickly.
- Site of service: hospital outpatient labs are materially more expensive than independent reference labs.
- Draw fee: a separate venipuncture charge (CPT 36415) is typically billed alongside the lab work.
- Stat/urgent processing vs routine: expedited results can carry premium pricing.
- Whether the lab is in-network for your plan — out-of-network labs can generate surprise bills even when ordered by an in-network provider.
- Reflex testing: a panel may automatically trigger follow-on tests (e.g., a TSH that reflexes to free T4), adding cost.
Cách Tiết Kiệm
- Ask your provider to specify the exact tests needed rather than ordering a 'wellness panel' broadly; unnecessary tests multiply cost.
- Request that lab work be sent to an in-network independent reference lab (Quest, Labcorp, or Sonora Quest) rather than a hospital lab.
- If you are paying cash, ask the lab directly for the self-pay rate — this is often posted and often lower than the insured negotiated rate before deductible.
- Consider direct-to-consumer lab services (e.g., ownyourlabs.com, Quest Direct, Labcorp OnDemand) for many routine panels when your provider consents.
- Under ACA rules, preventive labs in USPSTF A/B recommendations (lipid screening, diabetes screening, hepatitis C screening in at-risk populations) are typically no-cost-sharing. Confirm before the draw.
- Always reconcile lab bills against the Explanation of Benefits; out-of-network lab charges are a common billing surprise.
Ghi chú về bảo hiểm và phạm vi bảo hiểm
Routine laboratory testing is generally covered by commercial plans, Medicare Part B, and Medicaid when medically necessary. Preventive-screening labs recommended by the USPSTF are covered at no cost-sharing under ACA-compliant plans. Medicare Part B pays for most diagnostic lab tests with no cost-sharing when ordered by a Medicare-enrolled provider and performed at a Medicare-certified lab. The trap to avoid: even when your physician is in-network, the lab they send specimens to may not be. Ask for the lab name before the draw and verify it is in-network; if not, request a redirect.
Data sources for this page
Cost figures on this page are compiled from the following sources, triangulated per the rules in our methodology:
- CMS Medicare Provider Utilization and Payment Data 2025 — primary CMS reference used as the Medicare-rate anchor.
- Hospital Price Transparency machine-readable files (HPT MRFs) from a sample of major hospitals in each state, per the federal Hospital Price Transparency rule.
- Transparency in Coverage payer in-network rate files for commercial-rate cross-validation.
- State All-Payer Claims Database (APCD) summaries where published (Colorado, New Hampshire, Massachusetts, Minnesota, Maine, Utah, Vermont, Rhode Island, Washington, Oregon).
Last reviewed 2026-04-16. See editorial standards for our fact-checking process and correction policy.
Range: $145 to $280 · 50 states shown
Chi Phí Theo Tiểu Bang
| Tiểu Bang | Không Bảo Hiểm | Có Bảo Hiểm | Medicare |
|---|---|---|---|
| Mississippi | $145 | $47 | $33 |
| Arkansas | $150 | $49 | $34 |
| West Virginia | $150 | $49 | $34 |
| Oklahoma | $152 | $49 | $35 |
| Alabama | $155 | $50 | $35 |
| Kentucky | $170 | $55 | $39 |
| Louisiana | $172 | $55 | $39 |
| Iowa | $175 | $57 | $40 |
| Kansas | $178 | $57 | $40 |
| New Mexico | $178 | $57 | $40 |
| North Dakota | $178 | $57 | $40 |
| South Carolina | $178 | $57 | $40 |
| South Dakota | $178 | $57 | $40 |
| Idaho | $180 | $58 | $41 |
| Nebraska | $180 | $58 | $41 |
| Tennessee | $182 | $59 | $41 |
| Indiana | $185 | $60 | $42 |
| Utah | $185 | $60 | $42 |
| Missouri | $188 | $61 | $43 |
| Wyoming | $188 | $61 | $43 |
| Georgia | $190 | $61 | $43 |
| North Carolina | $190 | $61 | $43 |
| Michigan | $192 | $62 | $44 |
| Montana | $192 | $62 | $44 |
| Arizona | $195 | $63 | $44 |
| Maine | $198 | $64 | $45 |
| Ohio | $198 | $64 | $45 |
| Wisconsin | $198 | $64 | $45 |
| Texas | $200 | $65 | $45 |
| Florida | $205 | $66 | $47 |
| Illinois | $205 | $66 | $47 |
| Minnesota | $205 | $66 | $47 |
| Pennsylvania | $208 | $67 | $47 |
| Delaware | $210 | $68 | $48 |
| Nevada | $210 | $68 | $48 |
| Vermont | $212 | $68 | $48 |
| Virginia | $212 | $68 | $48 |
| Colorado | $215 | $69 | $49 |
| New Hampshire | $215 | $69 | $49 |
| Oregon | $218 | $70 | $50 |
| Maryland | $225 | $73 | $51 |
| Rhode Island | $228 | $74 | $52 |
| Washington | $228 | $74 | $52 |
| Connecticut | $240 | $77 | $55 |
| New Jersey | $242 | $78 | $55 |
| California | $265 | $86 | $60 |
| Massachusetts | $270 | $87 | $62 |
| Alaska | $275 | $89 | $63 |
| New York | $275 | $89 | $63 |
| Hawaii | $280 | $90 | $64 |
Câu Hỏi Thường Gặp
Chi phí xét nghiệm máu (công thức máu) không bảo hiểm là bao nhiêu?
Chi phí trung bình của xét nghiệm máu (công thức máu) không bảo hiểm tại Hoa Kỳ là $200. Chi phí khác nhau đáng kể theo tiểu bang.
Bảo hiểm có chi trả xét nghiệm máu (công thức máu) không?
Hầu hết các gói bảo hiểm y tế chi trả xét nghiệm máu (công thức máu) khi cần thiết về mặt y tế. Với bảo hiểm, chi phí tự trả trung bình là $65.
Medicare có chi trả xét nghiệm máu (công thức máu) không?
Medicare Part B thường chi trả xét nghiệm máu (công thức máu) khi có chỉ định của bác sĩ. Số tiền Medicare phê duyệt trung bình là $45.
Được xem xét bởi Elena Bellini · Xem xét lần cuối: 2026-04-16
Dữ liệu từ CMS Medicare Provider Utilization and Payment Data 2025. Cập nhật lần cuối: 2026-03-01. Thông tin này chỉ mang tính giáo dục và không phải lời khuyên y tế. Trang web này chỉ mang tính chất thông tin và không cấu thành lời khuyên y tế. Luôn tham khảo ý kiến chuyên gia y tế có trình độ.