Blood test, clotting time (PT/INR)
Facility: Bmh-Calhoun
Billing Code: 85610 (CPT)
- CPT Billing Code: 85610
- Insurance Median: $37
- Cash Discount Price: $25
- vs. Medicare Baseline: 8.62x 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 862% of the Medicare baseline (a markup of 762%). 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 |
|---|---|---|
| Molina | $4 - $38 | 93% |
| Veterans Evaluation Services | $4 | 93% |
| Blue Cross Blue Shield | $8 - $21 | 186% |
| PPO Holdings | $18 | 420% |
| Magnolia Regional Health Center | $19 | 443% |
| Tricare | $20 | 466% |
| Vaccn | $21 | 490% |
| Devoted Health | $21 | 490% |
| Ms Breast and Cervical | $21 | 490% |
| Triwest | $21 | 490% |
| American Health Plan | $22 | 513% |
| Primewell | $22 | 513% |
| Aetna | $22 - $31 | 513% |
| Shared Health | $22 | 513% |
| Humana | $22 - $38 | 513% |
| Littler | $24 | 559% |
| Magnolia Ms | $24 | 559% |
| Cigna | $26 | 606% |
| First Choice Health Plan of Ms | $31 | 723% |
| First State Bank Trust | $35 | 816% |
| Burch Food Services | $35 | 816% |
| Ritchey Automotive | $37 | 862% |
| Davidson Hospitality | $37 | 862% |
| Carlisle | $37 | 862% |
| Hollowell Industries | $37 | 862% |
| Heartland Catfish Company | $37 | 862% |
| Cannon Motor Company | $37 | 862% |
| Vaughn Electric | $37 | 862% |
| State Systems | $37 | 862% |
| Jas D Collier | $37 | 862% |
| Security One | $37 | 862% |
| Watkins Uiberall | $37 | 862% |
| Rei Nation | $37 | 862% |
| Mechanical Systems | $37 | 862% |
| Eas Mssc Schools | $37 | 862% |
| Gossett Motor Cars | $37 | 862% |
| Minact | $37 | 862% |
| Ashley Furniture Stores | $37 | 862% |
| W W Wood Products | $37 | 862% |
| French Camp Academy | $37 | 862% |
| Mid-South Transport | $37 | 862% |
| Armstrong Relocation | $37 | 862% |
| Hattiesburg Clinic | $37 | 862% |
| United Tn Holdings | $37 | 862% |
| Collierville Schools | $37 | 862% |
| Dunn Investment Company | $37 | 862% |
| W G Yates | $37 | 862% |
| Radians | $37 | 862% |
| Retzer Resources | $37 | 862% |
| Delta Industries | $37 | 862% |
| Hospitality Management Advisors | $37 | 862% |
| Building Plastic | $37 | 862% |
| Brimhall Foods | $37 | 862% |
| Y K Auto Group | $37 | 862% |
| City of Bartlett | $37 | 862% |
| Silver Tree | $37 | 862% |
| First Community Bank | $37 | 862% |
| Heavy Machines | $37 | 862% |
| Crittenden County | $37 | 862% |
| Town of Collierville | $37 | 862% |
| Arlington Community Schools | $37 | 862% |
| Bartlett City Schools | $37 | 862% |
| Malco Theaters | $37 | 862% |
| Lakeland School System | $37 | 862% |
| City of Lakeland | $37 | 862% |
| Patterson Warehouses | $37 | 862% |
| Desoto Co Board of Supervisors | $37 | 862% |
| Advanced Health Systems Inc. | $38 | 886% |
| Christian Health Aid | $38 | 886% |
| PPO Plus | $41 | 956% |
| Employers Health Network | $41 | 956% |
| Harding Academy | $41 | 956% |
| Multiplan | $43 | 1002% |
| Qca | $43 | 1002% |