Blood test, clotting time (PT/INR)
Facility: Ohio Valley Surgical Hospital
Billing Code: 85610 (CPT)
- CPT Billing Code: 85610
- Insurance Median: $11,885
- Cash Discount Price: $40
- vs. Medicare Baseline: 2770.40x 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 277040% of the Medicare baseline (a markup of 276940%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $2 - $40,293 | 47% |
| UnitedHealthcare | $5 - $17,571 | 117% |
| Ngs Coresource | $6 - $20,896 | 140% |
| Personify Health | $6 - $20,896 | 140% |
| Aetna | $6 - $20,896 | 140% |
| Pacific Source | $6 - $20,896 | 140% |
| Mhbp | $6 - $20,896 | 140% |
| Meritain | $6 - $20,896 | 140% |
| Meritain Heatlh | $6 - $20,896 | 140% |
| Genworth | $6 - $20,896 | 140% |
| Mail Handlers | $6 - $20,896 | 140% |
| Nippon Life | $6 - $20,896 | 140% |
| Geha | $6 - $20,896 | 140% |
| Mmoh (Supermed) | $30 - $31 | 699% |
| Mmo Cin. HMO | $30 - $42 | 699% |
| Mmoh | $30 - $11,885 | 699% |
| Medicare (plans) | $40 - $12,264 | 932% |
| Ohio Health | $59 | 1375% |
| Medben | $59 | 1375% |
| Luminare Health | $59 | 1375% |
| Preferred Health | $59 | 1375% |
| Medicaid / KanCare | $3,557 - $17,827 | 82914% |
| Amerihealth Caritas of Ohio | $3,657 | 85245% |
| Buckeye Community Health Plan | $4,022 | 93753% |
| Molina McD | $4,084 | 95198% |
| Caresource | $4,364 - $17,827 | 101725% |
| Humana | $4,493 - $11,919 | 104732% |
| Molina Dual McR | $11,885 | 277040% |
| Aarp Supplemental | $11,885 | 277040% |
| Self Pay Imaging | $11,885 | 277040% |
| American Continental Life | $11,885 | 277040% |
| Communicare Advantage | $11,885 | 277040% |
| Patient No Pay | $11,885 | 277040% |
| Molina Marketplace | $11,885 | 277040% |
| Molina | $11,885 | 277040% |
| Bankers Life and Casualty | $11,885 | 277040% |
| American Continental Insurance | $11,885 | 277040% |
| Central States | $11,885 | 277040% |
| Aarp | $11,885 | 277040% |
| Molina Dual McR | $11,885 | 277040% |
| Everest | $11,885 | 277040% |
| Molina McR+McD | $11,885 | 277040% |
| Wellcare By Allwell | $11,885 | 277040% |
| Champus | $11,885 | 277040% |
| American Republic | $11,885 | 277040% |
| Molina McR McD | $11,885 | 277040% |
| American Retirement | $11,885 | 277040% |
| Wraparound Pl Supp | $11,885 | 277040% |
| Bankers Fidelity | $11,885 | 277040% |
| Medigold | $11,885 | 277040% |
| Cigna | $11,885 - $18,817 | 277040% |
| Gateway Health Plan | $11,885 | 277040% |
| Aultcare Primetime Health Plan | $11,885 | 277040% |
| Molina McR | $11,885 | 277040% |
| Prosperity Supplement | $11,885 | 277040% |
| The Health Plan | $12,479 | 290886% |
| Devoted Health | $13,707 | 319510% |
| Employer Direct | $15,703 | 366037% |
| Shl | $17,571 | 409580% |
| Surest | $17,571 | 409580% |
| Ushealth | $17,571 | 409580% |
| Oxford | $17,571 | 409580% |
| Medica | $17,571 | 409580% |
| Golden Rule | $17,571 | 409580% |
| Caresourse | $17,827 | 415548% |
| Samba | $18,817 | 438625% |
| Sbma | $18,817 | 438625% |
| Nalc | $18,817 | 438625% |
| Unified Group | $18,817 | 438625% |
| Healthgram | $18,817 | 438625% |