CMS Price Transparency Data
Blood test, clotting time (PT/INR)
Facility: Adventist Health White Memorial
Billing Code: 85610 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 85610
- Insurance Median: $11
- Cash Discount Price: $62
- vs. Medicare Baseline: 2.56x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PT/INR) at Adventist Health White Memorial is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of $4.29, this hospital’s rate is 2.56x the Medicare baseline. Located in 1720 Cesar E Chavez Avenue, Los Angeles, CA.
Cash / Self-Pay
$62
Average discount available for prompt cash payment at this facility.
Insurance Median
$11
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%)
Cash / Self-Pay: $62 (1445%)
Insurance Median: $11 (256%)
Cash: $62 (1445% of Medicare)
Ins. Median: $11 (256% 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 256% of the Medicare baseline (a markup of 156%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Bc Medi-Cal | $1 | 23% |
| Blue Shield Mcr Adv | $1 - $121 | 23% |
| Kaiser- All Plans | $1 - $165 | 23% |
| Pacific Ipa - All Other Plans | $1 - $153 | 23% |
| UnitedHealthcare | $1 - $201 | 23% |
| Blue Shield - All Other Plans | $2 - $111 | 47% |
| Blue Shield Epn | $2 - $96 | 47% |
| Caremore Mcare - All Plans | $2 - $201 | 47% |
| First Heatlh Ppo - All Plans | $2 - $233 | 47% |
| Hcpamg - All Plans | $2 - $201 | 47% |
| Healthcare Inc - All Other Plans | $2 - $221 | 47% |
| Healthnet - All Other Plans | $2 - $182 | 47% |
| Healthnet Comm Care | $2 - $188 | 47% |
| La Care Mcr Adv - All Plans | $2 - $221 | 47% |
| Phcs Ppo - All Plans | $2 - $261 | 47% |
| Scan Health Mcare - All Plans | $2 - $261 | 47% |
| Western Growers/Pinnacle - All Plans | $2 - $205 | 47% |
| Access Medi-Cal | $3 - $5 | 70% |
| Ahf - All Plans | $3 - $302 | 70% |
| Ahp Medi-Cal | $3 - $5 | 70% |
| Alta Los Angeles Mcal 1/1/19 | $3 - $5 | 70% |
| Altamed Medi-Cal - All Other Plans | $3 - $6 | 70% |
| Assoc Hispanic Physcns Mcal | $3 - $7 | 70% |
| Avanti Mcal | $3 - $5 | 70% |
| Beech Street - All Plans | $3 - $302 | 70% |
| Bella Vista Medi-Cal Op/Profee Only | $3 - $5 | 70% |
| Blue Shield Medi-Cal | $3 - $12 | 70% |
| Care First Medi-Cal | $3 - $17 | 70% |
| Corvel Corp - All Plans | $3 - $322 | 70% |
| Fcs Ipa Medi-Cal Op/Profee Only | $3 - $6 | 70% |
| Fpn Ppo - All Plans | $3 - $362 | 70% |
| Healthcare Inc Medi-Cal | $3 - $5 | 70% |
| Healthmannet - All Plans | $3 - $342 | 70% |
| Healthnet Mcal | $3 - $6 | 70% |
| Interplan Ppo - All Plans | $3 - $302 | 70% |
| Lasalle Mg Medi-Cal | $3 - $5 | 70% |
| Medi-Cal | $3 - $5 | 70% |
| Molina Medi-Cal | $3 - $5 | 70% |
| Multiplan Ppo - All Plans | $3 - $334 | 70% |
| Next Inc Ppo - All Plans | $3 - $342 | 70% |
| Pacific Alliance Medi-Cal | $3 - $5 | 70% |
| Pacific Ipa Medi-Cal | $3 - $5 | 70% |
| Preferred Healthy | $3 - $6 | 70% |
| Preferred Ipa La Care Mcal Cap | $3 - $5 | 70% |
| Preferred Medi-Cal | $3 - $5 | 70% |
| Trpn - All Plans | $3 - $342 | 70% |
| Access Group | $4 | 93% |
| Access Senior - All Other Plans | $4 | 93% |
| Ahp - All Other Plans | $4 | 93% |
| Ahp Senior | $4 | 93% |
| Alta Los Angeles Mcr 1/1/19-All Other Plans | $4 | 93% |
| Altamed Connect | $4 | 93% |
| Avanti Mcr Adv - All Other Plans | $4 | 93% |
| Bella Vista Mcr Adv Op/Profee Only - All Other Pla | $4 | 93% |
| Blue Cross Blue Shield | $4 - $44 | 93% |
| Brand New Day Mcare - All Plans | $4 | 93% |
| Bs Va Mcare | $4 | 93% |
| Care First Mcare - All Other Plans | $4 | 93% |
| Clever Care - All Plans | $4 | 93% |
| Fcs Ipa Mcr Advan Op/Profee Only | $4 | 93% |
| Fcs Ipa Op/Profee Only - All Other Plans | $4 | 93% |
| Humana | $4 | 93% |
| Lasalle Mg Commercial - All Other Plans | $4 | 93% |
| Lasalle Mg Senior | $4 | 93% |
| Medicare (plans) | $4 | 93% |
| Molina Mcare | $4 | 93% |
| Pacific Alliance Mcare - All Other Plans | $4 | 93% |
| Preferred Senior | $4 | 93% |
| Sunlight Living Hlth Mcr Adv-All Other Plans | $4 | 93% |
| Tricare | $4 | 93% |
| Assoc Hispanic Physcns Hmo/Mcr Adv-All Other Plans | $5 | 117% |
| Bright Health - All Plans | $5 | 117% |
| Healthnet Mcr Adv | $5 - $615 | 117% |
| Preferred Commercial - All Other Plans | $5 | 117% |
| Intergrated Medical - All Plans | $6 | 140% |
| Molina Benefit Exchange - All Other Plans | $6 | 140% |
| Php-Prospect Health Plan Cap - All Plans | $6 | 140% |
| Ah Employee Health Plan - All Plans | $8 | 186% |
| Centivo - All Plans | $10 | 233% |
| Cigna | $16 | 373% |
| Aetna | $21 | 490% |