Blood test, clotting time (PT/INR)
Facility: Bertrand Chaffee Hospital
Billing Code: 85610 (CPT)
- CPT Billing Code: 85610
- Insurance Median: $4
- Cash Discount Price: $8
- vs. Medicare Baseline: 0.93x 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.
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 |
|---|---|---|
| Blue Cross Blue Shield | $3 | 70% |
| Senior Blue - Bc | $3 | 70% |
| Advantra-McR Advantage | $4 | 93% |
| Todays Option - Amer Prog | $4 | 93% |
| Iha Medisource | $4 | 93% |
| Aetna | $4 - $9 | 93% |
| Iha Essential Plans | $4 | 93% |
| Community Care - Bc | $4 | 93% |
| Geisinger Health Plan | $4 | 93% |
| Iha | $4 | 93% |
| United Hc McR Solutions | $4 | 93% |
| Medicare (plans) | $4 | 93% |
| Univera Hc Child Health+ | $4 | 93% |
| Fidelis Essential Plans | $4 | 93% |
| Iha Encompass 65 | $4 | 93% |
| Molina Essential Plan | $4 | 93% |
| Medicaid / KanCare | $4 | 93% |
| Centers Plan Hlty Living | $4 | 93% |
| Comm Blue Essential | $4 | 93% |
| Univera Hc Myhealth+ | $4 | 93% |
| Lifetime Benefits | $4 | 93% |
| Yourcare | $4 | 93% |
| Humana | $4 | 93% |
| Gowanda Correctional Fac | $4 | 93% |
| Ghi Medical | $4 | 93% |
| Tricare | $4 | 93% |
| Community Blue | $4 | 93% |
| Nova Healthcare | $4 | 93% |
| Optimum Healthcare - McR | $4 | 93% |
| Univera Essential Plans | $4 | 93% |
| Fidelis Care of New York | $4 | 93% |
| Iha Custom Coverage | $4 | 93% |
| United Hc Essential Plan | $4 | 93% |
| Univera Plus Med | $4 | 93% |
| Ctrs Plan for Hlthy Livng | $4 | 93% |
| Univera Senior Choice | $4 | 93% |
| Univera Hc Myhealth | $4 | 93% |
| Mutual of Omaha | $4 | 93% |
| Seneca Nation Health Dept | $4 | 93% |
| Molina Heathcare of Wny | $4 | 93% |
| Wellcare | $4 | 93% |
| United Hc - Community Pln | $4 | 93% |
| Champva | $4 | 93% |
| UnitedHealthcare | $4 | 93% |
| Cigna | $4 - $9 | 93% |
| Univera Healthcare | $5 | 117% |
| Private Pay | $8 | 186% |
| Guardian Life Ins. Co. | $9 | 210% |
| Mvp Commercial | $9 | 210% |
| Global Excel Mgt | $9 | 210% |
| American Progressive Ins. | $9 | 210% |
| No Amer Meritian Health | $9 | 210% |
| No-Fault | $9 | 210% |
| Commercial / Misc | $9 | 210% |