Blood test, clotting time (PT/INR)
Facility: Northern Louisiana Medical Center
Billing Code: 85610 (CPT)
- CPT Billing Code: 85610
- Insurance Median: $126
- Cash Discount Price: $99
- vs. Medicare Baseline: 29.37x 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 2937% of the Medicare baseline (a markup of 2837%). 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 |
|---|---|---|
| Tricare | $3 - $4 | 70% |
| Champus | $3 | 70% |
| Golden Rule Ins | $3 - $108 | 70% |
| UnitedHealthcare | $3 - $108 | 70% |
| Champva | $3 | 70% |
| Medicaid / KanCare | $4 - $180 | 93% |
| Medicare (plans) | $4 | 93% |
| VA | $4 | 93% |
| Gulf South Services | $4 | 93% |
| Mutual of Omaha | $4 | 93% |
| Humana | $4 - $28 | 93% |
| Blue Cross Blue Shield | $4 - $26 | 93% |
| Veterans Evaluation Svcs | $4 | 93% |
| Aetna | $4 - $108 | 93% |
| Vantage Advantage | $4 | 93% |
| Vantage Health Plan Ppaca | $8 | 186% |
| First Health | $8 - $153 | 186% |
| Vantage Health Plan | $9 | 210% |
| Verity Healthnet | $88 | 2051% |
| Cigna | $90 | 2098% |
| Kaiser Permanente | $90 | 2098% |
| Self Pay | $99 | 2308% |
| Gilsbar | $99 | 2308% |
| Geha | $144 - $171 | 3357% |
| Multiplan | $153 | 3566% |
| PHCS | $153 | 3566% |
| Work Comp Nlmc Emp | $162 | 3776% |
| Work Comp First Health | $162 | 3776% |
| Workers Compensation | $162 | 3776% |
| Work Comp City of Ruston | $162 | 3776% |
| Ima Insurance | $180 | 4196% |
| Aarp | $180 | 4196% |
| Guarantee Trust Life Ins | $180 | 4196% |
| Ltu Athletics | $180 | 4196% |
| Us Dept of Labor | $180 | 4196% |
| State Farm Insurance | $180 | 4196% |
| Gsu Athletics | $180 | 4196% |
| McR American Hlth Adv | $180 | 4196% |
| Equitable | $180 | 4196% |
| Bankers Life and Casualty | $180 | 4196% |
| Protective Life Ins | $180 | 4196% |
| Liberty Mutual Group | $180 | 4196% |
| Fox Everett Inc | $180 | 4196% |
| Newera | $180 | 4196% |
| Lincoln Kidney Center | $180 | 4196% |
| Gmp Employers Retiree Tru | $180 | 4196% |
| Specialty Hosp of Winnfie | $180 | 4196% |
| Benefit Trust Life | $180 | 4196% |
| Washington National Ins | $180 | 4196% |
| Liberty Healthshare | $180 | 4196% |
| Mva Insurance Payors | $180 | 4196% |
| Physicians Mutual Ins | $180 | 4196% |
| Apwu Health Plan | $180 | 4196% |
| State Mutual Ins | $180 | 4196% |
| Misc Commercial | $180 | 4196% |
| The Hartford | $180 | 4196% |
| Lin Parish Detention | $180 | 4196% |
| Nalc Health Benefit Plan | $180 | 4196% |
| Nalc Natl Assoc Ltr Carri | $180 | 4196% |
| American Life Accident | $180 | 4196% |
| United Teachers Ins | $180 | 4196% |
| Healthfirst Tpa | $180 | 4196% |
| Sterling Investors Life | $180 | 4196% |
| Aflc American Family Life | $180 | 4196% |
| Union Fidelity Life Ins | $180 | 4196% |
| Lifecare Specialty Hosp | $180 | 4196% |
| Ltu Student Ins Bollinger | $180 | 4196% |
| Crime Victims Compensatio | $180 | 4196% |
| Union Bankers Insurance C | $180 | 4196% |
| Hospice of Caring Hearts | $180 | 4196% |
| Nlmc Community Services | $180 | 4196% |
| United American | $180 | 4196% |
| Principal Mutual Life Ins | $180 | 4196% |
| Ruston Regional Specialty | $180 | 4196% |
| Industrial Accounts | $180 | 4196% |
| Premier Hospice | $180 | 4196% |