CMS Price Transparency Data

Blood test, clotting time (PT/INR)

Facility: Petaluma Valley Hospital

Billing Code: 85610 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$17
about 4.3× the $4 Medicare rate · typically $6–$19
modeled estimate · not a bill or quote
Medicare pays $4 Fair price $17 Cash price $28 Hospital's list price $55

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $9 210%
Blue Cross Blue Shieldmajor $32 - $46 746%
Aetnamajor $4 - $27 93%
Health Net $4 93%

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 400 N McDowell Blvd, Petaluma, CA 94954
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals