Blood test, clotting time (PT/INR)
Facility: Mount Sinai Rehabilitation Hospital Inc
Billing Code: 85610 (CPT)
- CPT Billing Code: 85610
- Insurance Median: $17
- Cash Discount Price: $15
- vs. Medicare Baseline: 3.96x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 396% of the Medicare baseline (a markup of 296%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Geha | $4 | 93% |
| Blue Cross Blue Shield | $4 - $17 | 93% |
| Cigna | $4 - $5 | 93% |
| Cca Senior Care Options | $4 | 93% |
| Harvard Pilgrim Healthcare | $4 | 93% |
| Aetna | $4 - $6 | 93% |
| UnitedHealthcare | $4 | 93% |
| Medicare (plans) | $4 | 93% |
| Magnacare | $5 | 117% |
| Health Partners | $5 | 117% |
| Allegiance | $5 | 117% |
| Gravie Admin Services | $6 | 140% |
| Nippon Life Ins | $6 | 140% |
| Meritain | $6 | 140% |
| 1199 National Benefit Fund | $6 | 140% |
| Hap | $6 | 140% |
| Webtpa | $6 | 140% |
| Allied Benefit Systems | $6 | 140% |
| Luminare Health | $6 | 140% |
| Diversified Administrators | $9 | 210% |
| Claimdoc | $9 | 210% |
| Innovative Health Plan II | $9 | 210% |
| Connecticut Dept of Correction | $12 | 280% |
| Health New England | $14 | 326% |
| Blue Shield - Ny Highmark Western | $17 | 396% |
| Kaiser Domestic | $17 | 396% |
| Blue Shield - Ny Highmark Northeastern | $17 | 396% |
| Blue Benefit Administrators of Massachusetts | $17 | 396% |
| Blue Shield - Id (Regence) | $17 | 396% |
| Blue Care Network | $17 | 396% |
| Wc Domestic | $17 | 396% |
| Blue Shield - Ca | $17 | 396% |
| Pre-Employment | $17 | 396% |
| Blue Shield - Wa (Regence) | $17 | 396% |
| Health Choices | $17 | 396% |
| Blue Distinction Transplant | $17 | 396% |
| Blue Shield - PA (Highmark) | $17 | 396% |
| Unicare | $17 | 396% |
| Bcn Domestic | $17 | 396% |
| Pan-American Life | $18 | 420% |
| Manhattan Life | $18 | 420% |
| Mvp | $18 | 420% |
| Lifetime Benefit Solutions | $18 | 420% |
| Christian Care Ministry | $18 | 420% |
| Medi Share | $18 | 420% |
| Trinity Health Share | $18 | 420% |
| Asrm - Reliance Standard Life Insurance | $18 | 420% |
| International Benefit Administrators | $18 | 420% |
| Paramount HMO | $18 | 420% |
| Dean Health | $18 | 420% |
| Family Life Insurance Company | $18 | 420% |
| Allied National Global Care | $18 | 420% |
| PHCS | $18 | 420% |
| Pai | $18 | 420% |
| Multiplan | $18 | 420% |
| Ghc Scw | $18 | 420% |
| Connecticare | $22 - $24 | 513% |
| Prime Health Services | $22 | 513% |
| Health Smart | $23 | 536% |