CMS Price Transparency Data

Blood test, clotting time (PT/INR)

Facility: Ouachita County Medical Center

Billing Code: 85610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85610
  • Insurance Median: $5
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PT/INR) at Ouachita County Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $4.29, this hospital’s rate is 1.17x the Medicare baseline. Located in 638 California Avenue, Camden, AR.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$4.29

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $4.29 (100%)
Insurance Median: $5 (117%)
Ins. Median: $5 (117% of 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $4 - $72 93%
Blue Cross Blue Shield $4 - $86 93%
Champva $4 93%
Cigna $4 - $63 93%
Humana $4 93%
Medicare (plans) $4 93%
Medipak $4 93%
Medipak Advantage $4 93%
Qualchoice Advantage $4 93%
Tricare $4 93%
UnitedHealthcare $4 - $48 93%
Va Med Center $4 93%
Wellcare Ahc $4 93%
Windsor Sterling $4 93%
Ambetter / Centene $5 117%
Arkansas Firstsource $5 - $86 117%
Blue Advantage $5 - $86 117%
Blue Card $5 - $86 117%
Health Advantage $5 - $86 117%
Arkansas Totalcare $6 - $13 140%
Medicaid / KanCare $6 140%
Self Pay $48 1119%
Municipal Health Benefit $58 1352%
Amco $96 2238%
Mutual Of Omaha $96 2238%
Qualchoice Exchange $96 2238%
Qualchoice Of Arkansas $96 2238%
Usable Life Group Health $96 2238%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 638 California Avenue, Camden, AR 71701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals