Blood test, clotting time (PT/INR)
Facility: AHMC Seton Medical Center
Billing Code: 85610 (CPT)
- CPT Billing Code: 85610
- Insurance Median: $4
- Cash Discount Price: $37
- vs. Medicare Baseline: 0.93x 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.
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 |
|---|---|---|
| Self Pay | $1 - $76 | 23% |
| Blue Cross Blue Shield | $2 - $169 | 47% |
| Chinese Community Health Plan | $2 - $112 | 47% |
| Healthcare Foundation Of San Mateo | $2 - $167 | 47% |
| Interplan Corporation | $2 - $134 | 47% |
| Jade Health Care Mg | $2 - $112 | 47% |
| Veterans Administration (Va) | $2 - $3 | 47% |
| Aetna | $3 - $12 | 70% |
| Apcmg | $3 - $6 | 70% |
| Asian American Medical Group | $3 - $5 | 70% |
| Athens Administrators | $3 - $5 | 70% |
| Beech Street Corporation | $3 - $178 | 70% |
| Blue Shield Of California | $3 - $50 | 70% |
| Brand New Day | $3 - $5 | 70% |
| Brown And Toland Medical Group | $3 - $5 | 70% |
| Canopy Health | $3 - $8 | 70% |
| Care Advantage | $3 - $4 | 70% |
| Choicecare Network | $3 - $190 | 70% |
| Cigna | $3 - $20 | 70% |
| Cmac | $3 - $4 | 70% |
| Corvel Healthcare | $3 - $5 | 70% |
| Covid-19 Uninsured Program | $3 - $4 | 70% |
| Easy Choice Hospital Services | $3 - $4 | 70% |
| For Your Benefit | $3 - $4 | 70% |
| Health Net | $3 - $171 | 70% |
| Health Plan Of San Mateo | $3 - $6 | 70% |
| Health Plan Of San Mateo Healthworx | $3 - $5 | 70% |
| Healthnet Seniority | $3 - $4 | 70% |
| Hill Physicians Medical Group Inc | $3 - $5 | 70% |
| Humana | $3 - $4 | 70% |
| Imperial Health Plan | $3 - $4 | 70% |
| Indemnity | $3 - $223 | 70% |
| Kaiser | $3 - $183 | 70% |
| Knox-Keene Act | $3 - $5 | 70% |
| Medi-Cal | $3 | 70% |
| Medicare (plans) | $3 - $4 | 70% |
| Mills Peninsula Health Services | $3 - $201 | 70% |
| Multiplan | $3 - $190 | 70% |
| Multiplan/Bce Emergis | $3 - $167 | 70% |
| North East Medical Services | $3 - $5 | 70% |
| Pacificare | $3 - $4 | 70% |
| Private Healthcare Sytems Inc | $3 - $167 | 70% |
| San Francisco Health Plan | $3 - $5 | 70% |
| San Mateo County/San Mateo County General Hospital | $3 - $4 | 70% |
| The First Health Network | $3 - $167 | 70% |
| Tricare | $3 - $5 | 70% |
| UnitedHealthcare | $3 - $9 | 70% |
| Work Comp Other | $3 - $5 | 70% |
| Workers Compensation Federal | $3 - $13 | 70% |
| Ahmc Health | $4 - $5 | 93% |
| Central Health Plan | $4 - $5 | 93% |