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Blood draw (venipuncture) at SSM Health St. Agnes Hospital - Fond du Lac. CPT 36415.

What SSM Health St. Agnes Hospital - Fond du Lac publishes for this service, straight from its standard-charges file, last updated April 1, 2026.

Outpatient / ER

$20.90cash price (self-pay)
$38.00list price
$3.00–$18.03range insurers pay
Insurance planNegotiated rate
UnitedHealthCare | All Commercial Plans$3.00
BCBS | Blue Preferred / Blue Preferred Plus HMO/POS$4.45
MOLINA | Medicare Managed Care Plan$7.00
BCBS | Anthem Medicare Managed Care Plan$9.34
Wellcare | Medicare Managed Care Plan$9.53
Centivo | Broad(WI1) Other Commercial Plan$11.36
Centivo | Median(WI2) Other Commercial Plan$11.36
Centivo | Value(WI3) Other Commercial Plan$11.36
The Alliance | All Commercial Plans$15.91
DOC | Government$18.03
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All common services at SSM Health St. Agnes Hospital - Fond du Lac