CMS Price Transparency Data
Blood test, clotting time (PT/INR)
Facility: Holy Cross Hospital
Billing Code: 85610 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 85610
- Insurance Median: $4
- Cash Discount Price: $96
- vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PT/INR) at Holy Cross Hospital is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $96. Compared to the federal Medicare reimbursement reference rate of $4.29, this hospital’s rate is 0.93x the Medicare baseline. Located in 4725 N Federal Hwy, Ft Lauderdale, FL.
Cash / Self-Pay
$96
Average discount available for prompt cash payment at this facility.
Insurance Median
$4
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: $96 (2238%)
Insurance Median: $4 (93%)
Cash: $96 (2238% of Medicare)
Ins. Median: $4 (93% 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.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Avmed Health Plan | $2 - $42 | 47% |
| Geha | $2 - $5 | 47% |
| Medicaid / KanCare | $2 - $166 | 47% |
| UnitedHealthcare | $2 - $136 | 47% |
| Aetna | $3 - $136 | 70% |
| Albany County Correctional Facility | $3 | 70% |
| Ambetter / Centene | $3 - $8 | 70% |
| Amish Mennonite | $3 | 70% |
| Ascension St. Vincent Public Safety Medical | $3 | 70% |
| Bcccp-Michigan | $3 | 70% |
| Bccp | $3 | 70% |
| Bcn Domestic | $3 - $183 | 70% |
| Blue Benefit Administrators Of Massachusetts | $3 - $183 | 70% |
| Blue Care Network | $3 - $183 | 70% |
| Blue Cross Blue Shield | $3 - $216 | 70% |
| Blue Distinction Transplant | $3 - $183 | 70% |
| Blue Shield - Ca | $3 - $183 | 70% |
| Blue Shield - Id (Regence) | $3 - $183 | 70% |
| Blue Shield - Ny Highmark Northeastern | $3 - $183 | 70% |
| Blue Shield - Ny Highmark Western | $3 - $183 | 70% |
| Blue Shield - Pa (Highmark) | $3 - $183 | 70% |
| Blue Shield - Wa (Regence) | $3 - $183 | 70% |
| Bmc Healthnet | $3 | 70% |
| Breast Grant-Connecticut | $3 | 70% |
| Broward County Dept Of Health | $3 | 70% |
| California Health And Wellness | $3 | 70% |
| Cardinal Innovations Lme | $3 | 70% |
| Care Connections Of Northern Iowa | $3 | 70% |
| Care Oregon Ohp | $3 | 70% |
| Cencal Health Plan | $3 | 70% |
| Cenpatico | $3 | 70% |
| Chhuny | $3 | 70% |
| Childrens Comm Health Plan | $3 | 70% |
| Childrens Medical Services Title 19 | $3 | 70% |
| Cigna | $3 - $140 | 70% |
| City Of Philadelphia | $3 | 70% |
| Cmh Allegan County | $3 | 70% |
| Cmh Ausable Valley | $3 | 70% |
| Cmh Barry County | $3 | 70% |
| Cmh Bay-Arenac County | $3 | 70% |
| Cmh Berrien County | $3 | 70% |
| Cmh Cass County | $3 | 70% |
| Cmh Central Mi County | $3 | 70% |
| Cmh Clinton-Eaton-Ingham County | $3 | 70% |
| Cmh Detroit Wayne Integrated Health Network | $3 | 70% |
| Cmh Genesee County | $3 | 70% |
| Cmh Ionia County | $3 | 70% |
| Cmh Jackson County/Lifeways | $3 | 70% |
| Cmh Kalamazoo | $3 | 70% |
| Cmh Kent County | $3 | 70% |
| Cmh Lenawee County | $3 | 70% |
| Cmh Livingston County | $3 | 70% |
| Cmh Macomb | $3 | 70% |
| Cmh Misc | $3 | 70% |
| Cmh Monroe County | $3 | 70% |
| Cmh Montcalm County | $3 | 70% |
| Cmh Muskegon County | $3 | 70% |
| Cmh Newaygo County | $3 | 70% |
| Cmh North Country | $3 | 70% |
| Cmh Northern Lakes County | $3 | 70% |
| Cmh Oakland County | $3 | 70% |
| Cmh Ottawa County | $3 | 70% |
| Cmh Van Buren County | $3 | 70% |
| Cmh Washtenaw County | $3 | 70% |
| Cmh Wayne County/Carelink | $3 | 70% |
| Cmh Wayne Cty/Com Liv Svcs | $3 | 70% |
| Cmh West Mi County | $3 | 70% |
| Community Benefit Health | $3 | 70% |
| Community Care Behavorial Health | $3 | 70% |
| Community Care Partners | $3 | 70% |
| Community Health Choice | $3 | 70% |
| Connections Csp | $3 | 70% |
| County Coroner | $3 | 70% |
| County Funding Generic | $3 | 70% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $3 | 70% |
| Dean Wi Badgercare | $3 | 70% |
| Delaware County Department Of Health | $3 | 70% |
| Delaware First Health | $3 | 70% |
| Delta Dental Nj | $3 | 70% |
| Dph Tb Program | $3 | 70% |
| Dscc | $3 | 70% |
| Eastpointe Lme | $3 | 70% |
| Family Health Network | $3 | 70% |
| First Health | $3 - $97 | 70% |
| Freedom First Healthcare | $3 | 70% |
| Fresno County Ccs | $3 | 70% |
| Ghc Scw Wi Badgercare | $3 | 70% |
| Harbor Health | $3 | 70% |
| Health Choices | $3 - $183 | 70% |
| Health Safety Net | $3 | 70% |
| Healthy Blue Ne | $3 | 70% |
| Hennepin Health | $3 | 70% |
| Humana | $3 - $166 | 70% |
| Id County Ada | $3 | 70% |
| Id County Canyon | $3 | 70% |
| Id County Cat Fund | $3 | 70% |
| Id County Other | $3 | 70% |
| Id County Payette | $3 | 70% |
| Idaho Dept Health And Wellfare | $3 | 70% |
| Idaho Womens Health Check | $3 | 70% |
| Indiana Breast Cervical Cancer | $3 | 70% |
| Inland Empire Health Plan | $3 | 70% |
| Intercommunity Health Ohp | $3 | 70% |
| Iowa Total Care | $3 | 70% |
| Jai Medical System | $3 | 70% |
| Kaiser Domestic | $3 - $183 | 70% |
| Kern Family Health Plan | $3 | 70% |
| Keystone First | $3 | 70% |
| Keystone First Chip | $3 | 70% |
| La Care Health Plan | $3 | 70% |
| Lakeland Care Inc | $3 | 70% |
| Managed Health Services - Indiana | $3 | 70% |
| Maryland Breast & Cervical Program | $3 | 70% |
| Maryland Healthy Smiles - Scion Dental | $3 | 70% |
| Maryland Physicians Care | $3 | 70% |
| Massachusetts Behavioral Health Partnership | $3 | 70% |
| Mdwise | $3 | 70% |
| Medi-Cal | $3 | 70% |
| Medi-Cal Healthnet | $3 | 70% |
| Medstar Dc Healthy Family | $3 | 70% |
| Medstar Md Health Choice | $3 | 70% |
| Mo Home State Health Plan | $3 | 70% |
| Molina Centennial Care | $3 | 70% |
| Nascentia Health Options | $3 | 70% |
| Nebraska Total Care | $3 | 70% |
| New York Cancer Services Program | $3 | 70% |
| Nextlevel Health | $3 | 70% |
| Oregon Screenwise | $3 | 70% |
| Pace Of Southwest Michigan | $3 - $4 | 70% |
| Paramount Advantage | $3 | 70% |
| Parkland Community Health Plan | $3 | 70% |
| Partners Behavioral Lme | $3 | 70% |
| Peach State Healthplan | $3 | 70% |
| Philadelphia County Funding | $3 | 70% |
| Pre-Employment | $3 - $183 | 70% |
| Presbyterian Centennial Care | $3 | 70% |
| Prestige Health Choice | $3 | 70% |
| Priority Partners | $3 | 70% |
| Robert F Sing Program | $3 | 70% |
| Rx 340B Pass Along | $3 | 70% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $3 | 70% |
| Rx Medi-Cal | $3 | 70% |
| Rx Meridian Rx | $3 | 70% |
| Ryan White Florida Mssrp | $3 - $139 | 70% |
| Sandhills Center Lme | $3 | 70% |
| Screening For Life | $3 | 70% |
| St Joseph County Hlth Dpt | $3 | 70% |
| Stephenson Cty Health | $3 | 70% |
| Sunshine State Health Plan | $3 - $166 | 70% |
| Superior Health | $3 | 70% |
| Tenncare | $3 | 70% |
| Texas Children'S Health Plan | $3 | 70% |
| Trillium Community Ohp | $3 | 70% |
| Tufts Health Public Plans | $3 | 70% |
| Vaya Health Lme | $3 | 70% |
| Washtenaw Health Plan | $3 | 70% |
| Wc Domestic | $3 - $183 | 70% |
| Wellsense Health Plan | $3 | 70% |
| Wi Womens Wellness | $3 | 70% |
| Align Senior Care | $4 | 93% |
| Ally Align Care Adv | $4 | 93% |
| American Health Advantage Of Idaho | $4 | 93% |
| American Health Plan | $4 | 93% |
| Aurora Special Needs | $4 | 93% |
| Blue Care Network Advantage | $4 | 93% |
| Blue Shield - De (Highmark) Medciare Advantage | $4 | 93% |
| Bridge Health | $4 - $83 | 93% |
| Care Dimensions | $4 | 93% |
| Care Improvement Plus | $4 | 93% |
| Care Resources Pace | $4 | 93% |
| Careplus Health Plans | $4 - $139 | 93% |
| Catholic Hospice | $4 | 93% |
| Cca - Zing Health | $4 | 93% |
| Cca Senior Care Options | $4 | 93% |
| Central Valley Medical Services Corp Pace | $4 | 93% |
| Champion Health Plan Mcr Advantage | $4 | 93% |
| Clear Spring Health | $4 | 93% |
| Clover Health | $4 | 93% |
| Commonwealth Care Alliance | $4 | 93% |
| Community Care Plan | $4 - $166 | 93% |
| Community Pace At Home | $4 | 93% |
| Coventry | $4 - $14 | 93% |
| Curative | $4 - $8 | 93% |
| Eddy Senior Care-Pace | $4 | 93% |
| Eddy Seniorcare Pace | $4 | 93% |
| Elementcare | $4 | 93% |
| Evercare | $4 | 93% |
| Everence | $4 | 93% |
| Gateway Health Plan | $4 | 93% |
| Genesys Pace Of Genesee County | $4 | 93% |
| Georgia Health Advantage | $4 | 93% |
| Gold Advantage | $4 | 93% |
| Gpa Croell Redi Mix | $4 | 93% |
| Health America Advantra | $4 | 93% |
| Highmark Health Options Dual Plan | $4 | 93% |
| Hope Select Pace | $4 | 93% |
| Horizon Nj Total Care | $4 | 93% |
| Hudson Headwaters Pace | $4 | 93% |
| Huron Valley Pace | $4 | 93% |
| Innovative Integrated Health Community Plans | $4 | 93% |
| Iowa Health Advantage | $4 | 93% |
| Johns Hopkins Advantage Md | $4 | 93% |
| Lasso Healthcare Msa | $4 | 93% |
| Life St Marys Pace | $4 | 93% |
| Lifecircles Pace | $4 | 93% |
| Longevity Health Plan | $4 | 93% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $4 | 93% |
| Martins Point Generations Advantage | $4 | 93% |
| Mass General Brigham Mcr Adv | $4 | 93% |
| Medicare (plans) | $4 - $146 | 93% |
| Medipak Advantage | $4 | 93% |
| Memorial Integrated Health | $4 - $90 | 93% |
| Mercy Life | $4 | 93% |
| Mercyone Cedar Valley | $4 | 93% |
| Meridian Complete | $4 | 93% |
| Meritain | $4 - $14 | 93% |
| Michigan Complete Health | $4 | 93% |
| Mvp | $4 - $78 | 93% |
| Nascentia Health Plus | $4 | 93% |
| New Centry Health Careplus | $4 | 93% |
| Osu Prime Care Advantage | $4 | 93% |
| Pace Cny | $4 | 93% |
| Pace Iowa Immanuel Pathways | $4 | 93% |
| Pace Southeast | $4 | 93% |
| Pace-Trinity Health | $4 | 93% |
| Peak Pace Solutions | $4 | 93% |
| Perennial Advantage | $4 | 93% |
| Preferred Care Partners | $4 - $136 | 93% |
| Presbyterian Senior Plan | $4 | 93% |
| Provider Partners Health Plan Of Illinois | $4 | 93% |
| Provider Partners Health Plan Of Indiana | $4 | 93% |
| Pruitthealth Premier | $4 | 93% |
| Reliance Community Care Partners Care Resources Pace | $4 | 93% |
| Rx Allwin | $4 | 93% |
| Rx Grane Grnmedd | $4 | 93% |
| Rx Retiree Rx Care | $4 | 93% |
| Scan Health Plan Mcr Ipa Meritage Oon | $4 | 93% |
| Secure Horizons Ma Pffs | $4 | 93% |
| Serenity Pace | $4 | 93% |
| Siouxland Pace | $4 | 93% |
| Solis Health Plans | $4 - $146 | 93% |
| Sunnyview-Pace Finance Dept | $4 | 93% |
| Texan Plus | $4 | 93% |
| The Health Plan | $4 | 93% |
| Thome Pace | $4 | 93% |
| Todays Options | $4 | 93% |
| Tribute Health Plans | $4 | 93% |
| Trustbridge | $4 | 93% |
| Um Health Advantage | $4 | 93% |
| Union Health Service | $4 | 93% |
| Upmc Health Plan | $4 - $78 | 93% |
| Veterans Administration | $4 | 93% |
| Vitas Healthcare Corp | $4 | 93% |
| Wc Broward County | $4 - $26 | 93% |
| Wc Corvel | $4 - $18 | 93% |
| Wc Heritage Summit | $4 - $26 | 93% |
| Welbe Health | $4 | 93% |
| Wellmed | $4 | 93% |
| Allianz Global Assistance | $5 - $100 | 117% |
| Axa Assistance Us | $5 - $100 | 117% |
| Axis Services | $5 - $100 | 117% |
| Cmn Global | $5 - $100 | 117% |
| Connecticare | $5 - $97 | 117% |
| Desjardins Financial Security Life Assurance | $5 - $100 | 117% |
| Emblem Health | $5 - $97 | 117% |
| Global Benefits Group | $5 - $100 | 117% |
| Global Health Claim Services | $5 - $100 | 117% |
| Global Medical Management | $5 - $100 | 117% |
| Guardian | $5 - $100 | 117% |
| International Generic | $5 - $108 | 117% |
| Molina Marketplace | $5 - $8 | 117% |
| Morgan White Administrators | $5 - $100 | 117% |
| National Healthcare Solutions | $5 - $100 | 117% |
| Olympus Managed Health Care | $5 - $100 | 117% |
| Penfield Care | $5 - $100 | 117% |
| Quality Health Management | $5 - $100 | 117% |
| Sanus Healthcare | $5 - $100 | 117% |
| Sunmed International | $5 - $103 | 117% |
| Ww Concierge Healthcare Service | $5 - $100 | 117% |
| Centivo | $6 - $9 | 140% |
| Multiplan | $6 - $146 | 140% |
| Oscar | $6 - $7 | 140% |
| Phcs | $6 - $116 | 140% |
| Unicare | $6 - $116 | 140% |
| General Electric | $8 - $166 | 186% |
| Heartland Hospice | $8 - $166 | 186% |
| Hospice Vitas | $8 - $166 | 186% |
| Sunbelt International | $8 - $166 | 186% |
| Allied Benefit Systems | $14 | 326% |
| Selectcare Worldwide | $21 | 490% |
| Star Healthcare Network | $21 | 490% |
| Auto Liabililty Praxis | $25 | 583% |
| Wc Praxis Health Network | $25 | 583% |