Blood test, clotting time (PT/INR)
Facility: Johnson Memorial Hospital
Billing Code: 85610 (CPT)
- CPT Billing Code: 85610
- Insurance Median: $8
- Cash Discount Price: $15
- vs. Medicare Baseline: 1.86x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $4.29 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Cigna | $4 - $24 | 93% |
| Cca Senior Care Options | $4 | 93% |
| Medicare (plans) | $4 | 93% |
| Harvard Pilgrim Healthcare | $4 | 93% |
| Geha | $4 | 93% |
| Aetna | $4 - $9 | 93% |
| UnitedHealthcare | $4 - $27 | 93% |
| Blue Cross Blue Shield | $4 - $8 | 93% |
| Centivo | $5 | 117% |
| Fallon Health | $6 | 140% |
| Connecticare | $7 | 163% |
| Blue Distinction Transplant | $8 | 186% |
| Health Choices | $8 | 186% |
| Unicare | $8 | 186% |
| Blue Shield - PA (Highmark) | $8 | 186% |
| Blue Care Network | $8 | 186% |
| Blue Shield - Id (Regence) | $8 | 186% |
| Blue Shield - Ny Highmark Western | $8 | 186% |
| Pre-Employment | $8 | 186% |
| Blue Shield - Ca | $8 | 186% |
| Blue Shield - Ny Highmark Northeastern | $8 | 186% |
| Wc Domestic | $8 | 186% |
| Blue Shield - Wa (Regence) | $8 | 186% |
| Wellpoint | $8 | 186% |
| Blue Benefit Administrators of Massachusetts | $8 | 186% |
| Kaiser Domestic | $8 | 186% |
| Bcn Domestic | $8 | 186% |
| Claimdoc | $9 | 210% |
| Hap | $9 | 210% |
| Webtpa | $9 | 210% |
| Nippon Life Ins | $9 | 210% |
| 1199 National Benefit Fund | $9 | 210% |
| Connecticut Dept of Correction | $9 | 210% |
| Allied Benefit Systems | $9 | 210% |
| Luminare Health | $9 | 210% |
| Gravie Admin Services | $9 | 210% |
| Diversified Administrators | $9 | 210% |
| Meritain | $9 | 210% |
| Innovative Health Plan II | $9 | 210% |
| Health New England | $18 | 420% |
| Dean Health | $22 | 513% |
| Manhattan Life | $22 | 513% |
| Medi Share | $22 | 513% |
| Ghc Scw | $22 | 513% |
| Lifetime Benefit Solutions | $22 | 513% |
| PHCS | $22 | 513% |
| Pan-American Life | $22 | 513% |
| Multiplan | $22 | 513% |
| Pai | $22 | 513% |
| Asrm - Reliance Standard Life Insurance | $22 | 513% |
| Paramount HMO | $22 | 513% |
| Mvp | $22 | 513% |
| Allied National Global Care | $22 | 513% |
| International Benefit Administrators | $22 | 513% |
| Family Life Insurance Company | $22 | 513% |
| Christian Care Ministry | $22 | 513% |
| Trinity Health Share | $22 | 513% |
| Prime Health Services | $22 | 513% |
| Health Smart | $23 | 536% |
| Health Partners | $24 | 559% |
| Allegiance | $24 | 559% |
| Magnacare | $24 | 559% |
| United Behavioral Health Eap | $27 | 629% |