Blood test, clotting time (PT/INR)
Facility: Glendale Adventist Medical Center
Billing Code: 85610 (CPT)
- CPT Billing Code: 85610
- Insurance Median: $14
- Cash Discount Price: $14
- vs. Medicare Baseline: 3.26x 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 326% of the Medicare baseline (a markup of 226%). 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 |
|---|---|---|
| Bc Medi-Cal | $1 | 23% |
| Blue Shield Epn - All Other Plans | $1 - $152 | 23% |
| Blue Shield Non Epn | $1 - $175 | 23% |
| UnitedHealthcare | $1 - $196 | 23% |
| Caremore Mcr Adv - All Plans | $2 - $235 | 47% |
| First Health- All Plans | $2 - $239 | 47% |
| Healthcare Partners- All Plans | $2 - $196 | 47% |
| Healthnet - All Other Plans | $2 - $232 | 47% |
| Heritage Commercial - All Other Plans | $2 - $218 | 47% |
| Heritage Sr | $2 - $222 | 47% |
| La Care Mcr Adv- All Plans | $2 - $227 | 47% |
| Phcs- All Plans | $2 - $268 | 47% |
| Scan Mcr Adv - All Plans | $2 - $268 | 47% |
| Western Growers/Pinnacle - All Plans | $2 - $218 | 47% |
| Alignment Hp Mcr Adv - All Plans | $3 - $412 | 70% |
| Beech Street - All Plans | $3 - $309 | 70% |
| Blue Shield Medi-Cal | $3 - $12 | 70% |
| Choicecare - All Plans | $3 - $309 | 70% |
| Corvel- All Plans | $3 - $330 | 70% |
| Health Mgmt Network - All Plans | $3 - $350 | 70% |
| Healthnet Mcal | $3 - $6 | 70% |
| Heritage Mcal | $3 - $5 | 70% |
| Kaiser - All Plans | $3 - $350 | 70% |
| Medi-Cal | $3 - $5 | 70% |
| Molina Mcal | $3 - $5 | 70% |
| Three Rivers - All Plans | $3 - $350 | 70% |
| Blue Cross Blue Shield | $4 - $44 | 93% |
| Blue Shield Mcr Adv | $4 | 93% |
| Clever Care Mcr Adv - All Plans | $4 | 93% |
| Employers Health Network - All Plans | $4 - $18 | 93% |
| Molina Mcr | $4 | 93% |
| Phys Assoc Op Only- All Plans | $4 - $18 | 93% |
| Regal Med Group Mcal | $4 | 93% |
| Tricare | $4 | 93% |
| Healthnet Mcr Adv | $5 - $585 | 117% |
| Regal Medical Group Commercial - All Other Plans | $5 | 117% |
| Dept Of State Hsp Metropolitan- All Plans | $6 | 140% |
| Molina Exchange - All Other Plans | $6 | 140% |
| Ah Employee Health Plan - All Plans | $8 | 186% |
| Centivo - All Plans | $10 | 233% |
| Cigna | $14 | 326% |
| Aetna | $24 | 559% |