CMS Price Transparency Data

Blood test, clotting time (PT/INR)

Facility: Parrish Medical Center

Billing Code: 85610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85610
  • Insurance Median: $43
  • Cash Discount Price: $37
  • vs. Medicare Baseline: 10.02x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PT/INR) at Parrish Medical Center is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $37. Compared to the federal Medicare reimbursement reference rate of $4.29, this hospital’s rate is 10.02x the Medicare baseline. Located in 951 N Washington Ave, Titusville, FL.
Cash / Self-Pay
$37

Average discount available for prompt cash payment at this facility.

Insurance Median
$43

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$4.29

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $4.29 (100%)
Cash / Self-Pay: $37 (862%)
Insurance Median: $43 (1002%)
Cash: $37 (862% of Medicare)
Ins. Median: $43 (1002% of 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 1002% of the Medicare baseline (a markup of 902%). 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Careplus Health Plans Inc. $1 - $16 23%
Florida Health Care Plan Commercial $1 - $71 23%
Aetna $2 - $47 47%
Blue Cross Blue Shield $2 - $92 47%
Freedom Health $2 - $4 47%
Health First Health Plans $2 - $118 47%
Healthease/Staywell Of Florida Inc $2 47%
Humana $2 - $59 47%
Medicaid / KanCare $2 - $3 47%
Molina Healthcare Of Florida $2 47%
Sunshine State Health Plan $2 47%
Florida Mhs Inc $3 70%
Pmc Hpi Employee Plan $3 - $45 70%
Pmc Preferred Benefit Administrators $3 - $45 70%
Simply Healthcare Plans $3 70%
UnitedHealthcare $3 - $4 70%
Veterans $3 70%
Brevard County Commissioners $4 - $57 93%
Brevard School Board $4 - $57 93%
Cigna $4 - $83 93%
Medicare (plans) $4 93%
Tricare $4 93%
Florida Health Care Plan $7 - $9 163%
Webtpa $7 - $9 163%
Coventry Healthcare $8 - $106 186%
Coventry Helthcare Inc $8 - $106 186%
First Health Group Corp $8 - $106 186%
Auto $9 210%
Beech Street Corporation $9 - $112 210%
Early Steps $9 - $118 210%
Multiplan Inc $9 - $112 210%
No Contract $9 - $118 210%
Private Healthcare Systems Inc $9 - $112 210%
Self Pay $9 - $118 210%
Corvel Healthcare Corporation $107 2494%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 951 N Washington Ave, Titusville, FL 32796
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals