Blood test, clotting time (PT/INR)
Facility: Anaheim Global Medical Center
Billing Code: 85610 (CPT)
- CPT Billing Code: 85610
- Insurance Median: $11
- Cash Discount Price: $24
- vs. Medicare Baseline: 2.56x 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 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
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 |
|---|---|---|
| Medi-Cal Hmo/Non Contract | $3 | 70% |
| Aetna | $4 - $13 | 93% |
| Altamed | $4 - $6 | 93% |
| Altamed Mcal Hmo (Ancillary) | $4 | 93% |
| Altamed Health Services | $4 | 93% |
| Astiva | $4 | 93% |
| Blue Shield Of California | $4 - $16 | 93% |
| Brand New Day | $4 - $5 | 93% |
| California Health Plan | $4 | 93% |
| Caloptima | $4 - $6 | 93% |
| Central Health Plan Of California Inc | $4 | 93% |
| Champion Health Plan | $4 | 93% |
| Choice Physicians Network | $4 | 93% |
| Citizens Choice | $4 | 93% |
| Clever Care Health Plan | $4 | 93% |
| Easy Choice | $4 | 93% |
| For Your Benefit | $4 | 93% |
| Health Net Inc | $4 - $26 | 93% |
| Healthcare Partners | $4 | 93% |
| Healthcare Partners Sr Hmo | $4 | 93% |
| Heritage Provider Network | $4 - $22 | 93% |
| Hollywood Presbyerian | $4 | 93% |
| Hollywood Presbyterian | $4 | 93% |
| Humana | $4 | 93% |
| Ihhi Reciprocity | $4 - $11 | 93% |
| Imperial Health Plan Of Ca | $4 | 93% |
| Innovative Integrated Health | $4 | 93% |
| Kaiser | $4 - $23 | 93% |
| Medcare Partners Health Plan | $4 | 93% |
| Medicare (plans) | $4 | 93% |
| Monarch | $4 | 93% |
| Monarch Health Plan | $4 - $5 | 93% |
| Onecare | $4 | 93% |
| Other Sr Non Contract | $4 | 93% |
| Physicians For Healthy Hospitals | $4 | 93% |
| Prime Health Services | $4 - $31 | 93% |
| Prospect Health Plan | $4 - $6 | 93% |
| Scan | $4 | 93% |
| Self Pay/Ab774/Cbo Use Only | $4 | 93% |
| St Joseph Hospital Sr | $4 | 93% |
| State Of California | $4 - $5 | 93% |
| UnitedHealthcare | $4 | 93% |
| Us Dept Of Labor | $4 | 93% |
| Us Federal Marshall/Department Of Immigration | $4 | 93% |
| Velocity National Provider Network Sr | $4 | 93% |
| Verda Health Plan | $4 | 93% |
| Veterans Administration | $4 | 93% |
| Victim Of Violent Crime | $4 | 93% |
| Victim Of Violent Crime (Mep) | $4 | 93% |
| Victoria Hospice | $4 | 93% |
| Align Sr Care | $5 | 117% |
| Champus | $5 | 117% |
| County Of Orange | $5 - $37 | 117% |
| Coventry Health | $5 | 117% |
| Healthcare Partners Hmo | $5 | 117% |
| Interplan | $5 - $28 | 117% |
| Multiplan | $5 - $26 | 117% |
| Three Rivers Network | $5 - $8 | 117% |
| Velocity National Provider Network Wc | $5 | 117% |
| Veterans Evaluation Services | $5 | 117% |
| Choc Health Alliance | $6 | 140% |
| Family Choice Mcal | $6 | 140% |
| Staywell/Island Home Ins | $6 | 140% |
| Health Net | $7 - $27 | 163% |
| Naphcare | $7 | 163% |
| Velocity National Provider Network Auto Med Ppo | $7 - $17 | 163% |
| Cigna | $8 - $30 | 186% |
| First Health | $8 - $19 | 186% |
| Velocity National Provider Network Ppo | $8 | 186% |
| Magellan Behavioral Health | $9 - $22 | 210% |
| Primecare Medical Network Inc | $9 - $22 | 210% |
| Networks By Design | $10 - $26 | 233% |
| Healthsmart Preferred Network | $11 - $28 | 256% |
| Provider Network Of America | $12 - $30 | 280% |
| Ahmc Healthcare | $15 - $37 | 350% |
| Lucet Bh Scan Sr | $15 - $37 | 350% |
| Managed Health Network | $15 - $37 | 350% |
| Other Insurance Loa | $15 - $37 | 350% |
| Other Non Contracted Plans | $15 - $37 | 350% |
| Private Pay | $15 - $37 | 350% |
| Usbhpc | $15 - $37 | 350% |