Blood test, clotting time (PT/INR)
Facility: Adventist Health Delano
Billing Code: 85610 (CPT)
- CPT Billing Code: 85610
- Insurance Median: $5
- Cash Discount Price: $7
- vs. Medicare Baseline: 1.17x 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 |
|---|---|---|
| Blue Cross Blue Shield | $1 - $61 | 23% |
| Blue Shield Epn - All Other Plans | $1 - $16 | 23% |
| Blue Shield Non-Epn | $2 - $47 | 47% |
| County Of Kern Network - All Plans | $2 - $51 | 47% |
| Coventry- All Plans | $2 - $44 | 47% |
| Gem Care- All Plans | $2 - $51 | 47% |
| Healthnet- All Other Plans | $2 - $49 | 47% |
| UnitedHealthcare | $2 - $53 | 47% |
| Cigna | $3 - $58 | 70% |
| Dignty Hlth Mcal Op Only | $3 - $5 | 70% |
| Foundation For Medical Care Of Kern County - All P | $3 - $55 | 70% |
| Healthnet Medi-Cal | $3 - $6 | 70% |
| Kaiser Medi-Cal Ip/Op Only | $3 - $5 | 70% |
| Kern Health System Mcal | $3 - $6 | 70% |
| Medi-Cal | $3 - $5 | 70% |
| Universal Care Mcal | $3 - $5 | 70% |
| Western Growers - All Plans | $3 - $59 | 70% |
| Bakersfield Fam Med Grp-All Plans | $4 | 93% |
| Healthnet Mcr Adv | $4 | 93% |
| Kern Mcr Adv Dual Dnsp-All Other Plans | $4 | 93% |
| Medicare (plans) | $4 - $7 | 93% |
| Tricare | $4 | 93% |
| Universal Care Mcr- All Other Plans | $4 | 93% |
| Kaiser Comm Ip/Op Only- All Other Plans | $7 | 163% |
| Ah Employee Health Plan - All Plans | $8 | 186% |
| Centivo - All Plans | $10 | 233% |
| Aetna | $26 | 606% |