Blood test, clotting time (PT/INR)
Facility: Chapman Global Medical Center
Billing Code: 85610 (CPT)
- CPT Billing Code: 85610
- Insurance Median: $12
- Cash Discount Price: $24
- vs. Medicare Baseline: 2.80x 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 280% of the Medicare baseline (a markup of 180%). 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 |
|---|---|---|
| Aetna | $4 - $13 | 93% |
| Altamed | $4 - $6 | 93% |
| Altamed Mcal Hmo (Ancillary) | $4 | 93% |
| Altamed Health Services | $4 | 93% |
| Apex Hospice | $4 | 93% |
| Astiva | $4 | 93% |
| Blue Shield Of California | $4 - $16 | 93% |
| Brand New Day | $4 - $5 | 93% |
| Caloptima | $4 - $6 | 93% |
| Central Health Plan | $4 | 93% |
| Champion Health Plan | $4 | 93% |
| Choice Physicians Network | $4 | 93% |
| Citizen Choice Health Plan | $4 | 93% |
| Clever Care | $4 | 93% |
| Easy Choice | $4 | 93% |
| For Your Benefit | $4 | 93% |
| Health Net | $4 - $27 | 93% |
| Healthcare Partners | $4 | 93% |
| Healthcare Partners Sr Hmo | $4 | 93% |
| Heritage Provider Network | $4 - $22 | 93% |
| Hollywood Presbyterian | $4 | 93% |
| Humana | $4 | 93% |
| Ihhi | $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% |
| Medi-Cal | $4 | 93% |
| Medicare (plans) | $4 | 93% |
| Monarch Health Plan | $4 - $6 | 93% |
| Monarch Sr | $4 | 93% |
| Onecare | $4 | 93% |
| Onecare/Connect | $4 | 93% |
| Prime Health Services | $4 - $30 | 93% |
| Prospect Health Plan | $4 - $6 | 93% |
| Scan Health Plan | $4 | 93% |
| Scan/Altamed | $4 | 93% |
| Self Pay | $4 | 93% |
| St Joseph | $4 | 93% |
| State Of California | $4 | 93% |
| UnitedHealthcare | $4 | 93% |
| Us Department Of Labor/Workers Comp | $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% |
| Victoria Hospice | $4 | 93% |
| Align Senior Care | $5 | 117% |
| Champ | $5 | 117% |
| Champus | $5 | 117% |
| County Of Orange | $5 - $6 | 117% |
| Coventry Health | $5 | 117% |
| Healthcare Partners Hmo | $5 | 117% |
| Indemnity Workers Comp California Fee Schedule | $5 | 117% |
| Interplan | $5 - $28 | 117% |
| Multiplan | $5 | 117% |
| Three Rivers Wc | $5 | 117% |
| Velocity National Provider Network Wc | $5 | 117% |
| Veterans Evaluation Services | $5 | 117% |
| Altamed Whole Child Model/Caloptima | $6 | 140% |
| Choc Health Alliance | $6 | 140% |
| Family Choice | $6 | 140% |
| Staywell/Island Home Ins | $6 | 140% |
| Velocity National Provider Network Auto Med Ppo | $7 - $17 | 163% |
| Cigna | $8 - $30 | 186% |
| First Health | $8 - $19 | 186% |
| Three Rivers Network | $8 | 186% |
| Velocity National Provider Network Ppo | $8 | 186% |
| Magellan | $9 - $22 | 210% |
| Magellan Behavioral Health | $9 - $22 | 210% |
| Multiplan/Master | $10 - $26 | 233% |
| Networks By Design | $10 - $26 | 233% |
| Healthsmart Preferred Network | $11 - $28 | 256% |
| Pnoa-Provider Network Of America | $12 - $30 | 280% |
| Prime Health Services/Network | $13 - $31 | 303% |
| Clinics | $15 - $37 | 350% |
| Lucet Bh Scan Sr | $15 - $37 | 350% |
| Managed Health Network | $15 - $37 | 350% |
| Opiate Detox Institute | $15 - $37 | 350% |
| Other Insurance | $15 - $37 | 350% |
| Other Non Contracted Insurance Plans | $15 - $37 | 350% |
| Private Pay | $15 - $37 | 350% |
| Silverado Hospice | $15 - $37 | 350% |
| Us Behavioral Health | $15 - $37 | 350% |
| Waismann Method Medical Group | $15 - $37 | 350% |
| West Coast Hospice Care | $15 - $37 | 350% |