Blood test, clotting time (PT/INR)
Facility: Atlanticare Regional Medical Center - City Campus
Billing Code: 85610 (CPT)
- CPT Billing Code: 85610
- Insurance Median: $71
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 16.55x 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 1655% of the Medicare baseline (a markup of 1555%). 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 |
|---|---|---|
| Wellcare | $1 | 23% |
| UnitedHealthcare | $1 - $70 | 23% |
| Aetna | $1 - $81 | 23% |
| Amerigroup | $1 | 23% |
| Americhoice | $1 | 23% |
| Ambetter / Centene | $2 | 47% |
| Health Partners Plan | $3 - $24 | 70% |
| Devoted Health Plan | $4 - $49 | 93% |
| Oxford | $4 - $74 | 93% |
| Global Exchange Managed Care | $6 | 140% |
| Horizon | $14 - $69 | 326% |
| Self Pay | $15 | 350% |
| Magnacare | $39 - $88 | 909% |
| Cigna | $41 - $49 | 956% |
| Evernorth | $49 | 1142% |
| Qualcare Commercial | $49 | 1142% |
| Great West Life | $49 | 1142% |
| Amerihealth | $63 - $82 | 1469% |
| First McO | $64 | 1492% |
| Qualcare Wc | $64 | 1492% |
| Mutual of Omaha | $64 | 1492% |
| Active Care Plus | $64 | 1492% |
| Consumer Health Network (Chn) | $69 - $88 | 1608% |
| Donio Trucking | $69 | 1608% |
| Devon/ Ullicare | $74 | 1725% |
| Private Healthcare System (PHCS) | $78 | 1818% |
| Coventry Health Care | $78 | 1818% |
| Blue Cross Blue Shield | $81 | 1888% |
| Health South | $83 | 1935% |
| Metrahealth of Nj | $83 | 1935% |
| Three Rivers Provider Network (Trpn) | $83 | 1935% |
| Health Payors Org | $83 | 1935% |
| Prime Health Services | $83 | 1935% |
| Provider Select, Inc | $88 | 2051% |
| Beech Street | $88 | 2051% |
| Department of Corrections | $88 | 2051% |
| Multiplan | $88 | 2051% |
| Metracomp | $88 | 2051% |
| Active Care Nj Pip | $88 | 2051% |
| Choice Care | $88 | 2051% |
| Health Network Inc | $88 | 2051% |
| McS Commercial | $88 | 2051% |
| Galaxy Health Network | $88 | 2051% |
| Intergroup Preferred Program | $88 | 2051% |
| Atlantis Health Plan | $91 | 2121% |
| Master Care Inc | $91 | 2121% |
| McSi/Mrsi Worker's Comp | $93 | 2168% |
| Community Care Network | $93 | 2168% |
| Health Network America | $93 | 2168% |
| McSi/Mrsi No Fault | $93 | 2168% |
| National Health Plan | $93 | 2168% |
| Advance Healthcare System | $93 | 2168% |