CMS Price Transparency Data
Blood test, clotting time (PT/INR)
Facility: St Francis Hospital
Billing Code: 85610 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$7
about 1.8× the $4 Medicare rate · typically $5–$19
modeled estimate · not a bill or quote
Medicare pays $4 Fair price $7 Cash price $46 Hospital's list price $71
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $68 | 1585% |
| Blue Cross Blue Shieldmajor | $4 - $60 | 93% |
| Aetnamajor | $5 - $46 | 117% |
| Cignamajor | $4 - $44 | 93% |
| AmeriHealth | $60 | 1399% |
| GEHA | $68 | 1585% |
| + 5 smaller / regional plans | $4 - $46 |
Government programs also on file: Medicare, Medicaid.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at St Francis Hospital
Compare: Blood test, clotting time (PT/INR) at other DE hospitals
- PAM Rehabilitation Hospital of Dover · Dover $4
- PAM Health Rehabilitation Hospital of Georgetown · Georgetown $4
- Christiana Hospital · Newark $5
- Bayhealth Medical Center, Kent Campus · Dover $6
- Bayhealth Hospital, Sussex Campus · Milford $6
- Nemours Children's Hospital, Delaware · Wilmington $7
Insurance negotiated median for the same procedure, sorted lowest first.