Blood test, clotting time (PT/INR)
Facility: Memorial Hospital Miramar
Billing Code: 85610 (CPT)
- CPT Billing Code: 85610
- Insurance Median: $137
- Cash Discount Price: $348
- vs. Medicare Baseline: 31.93x 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 3193% of the Medicare baseline (a markup of 3093%). 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 |
|---|---|---|
| Avmed | $1 - $168 | 23% |
| Amerihealth Caritas | $1 - $87 | 23% |
| Community Care Plan | $1 - $93 | 23% |
| Cigna | $1 - $151 | 23% |
| Molina | $1 - $98 | 23% |
| Aetna | $2 - $217 | 47% |
| Sunshine | $3 - $229 | 70% |
| Employers Health Network | $3 - $175 | 70% |
| Dimension Health | $5 - $369 | 117% |
| Florida Community Care | $5 | 117% |
| Quebec Inc | $5 - $355 | 117% |
| Axis | $5 - $355 | 117% |
| Longevity | $5 | 117% |
| Solis Health Plan | $5 | 117% |
| Desjardins Financial Security Life Assurance Company | $5 - $355 | 117% |
| Plotkin | $5 - $355 | 117% |
| Health Sun | $5 - $410 | 117% |
| Worldwide Medical Assurance | $5 - $355 | 117% |
| Emerging Therapy Solutions | $5 - $328 | 117% |
| Global Reach Health | $5 - $355 | 117% |
| Global Medical Management | $5 - $355 | 117% |
| Allianz | $5 - $355 | 117% |
| Worldwide Managed Care Partners | $5 - $355 | 117% |
| UnitedHealthcare | $5 - $46 | 117% |
| Quality Health Management | $5 - $355 | 117% |
| Wellcare | $5 | 117% |
| National Healthcare Solutions | $5 - $355 | 117% |
| Align Senior Care | $5 | 117% |
| Global Health Claims | $5 - $464 | 117% |
| Florida Pace Centers | $5 | 117% |
| World Medical Care | $5 - $355 | 117% |
| Humana | $5 | 117% |
| Star Healthcare Network | $5 - $355 | 117% |
| Gallagher Bassett | $6 - $437 | 140% |
| Prime Health Services | $84 | 1958% |
| Employers Choice Network | $108 | 2517% |
| First Health | $108 | 2517% |
| Corvel | $108 | 2517% |
| Broward County | $718 - $2,726 | 16737% |