CMS Price Transparency Data

Blood test, clotting time (PT/INR)

Facility: HCA Florida Blake Hospital

Billing Code: 85610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85610
  • Insurance Median: $8
  • Cash Discount Price: $527
  • vs. Medicare Baseline: 1.86x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PT/INR) at HCA Florida Blake Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $527. Compared to the federal Medicare reimbursement reference rate of $4.29, this hospital’s rate is 1.86x the Medicare baseline. Located in 2020 59Th St W, Bradenton, FL.
Cash / Self-Pay
$527

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $527 (12284%)
Insurance Median: $8 (186%)
Cash: $527 (12284% of Medicare)
Ins. Median: $8 (186% 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

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
Access 2 Healthcare Physicians Freedom Optimum Group Members $1 - $48 23%
Access 2 Healthcare Physicians Freedom Health $2 - $74 47%
Access 2 Healthcare Physicians Optimum $2 - $74 47%
Avmed $2 - $257 47%
Freedom Health Care $2 - $80 47%
Optimum Healthcare $2 - $80 47%
Aetna $4 - $308 93%
Blue Cross Blue Shield $4 93%
Caresource $4 93%
Devoted Health $4 93%
Humana $4 - $287 93%
Ndms Definitive Care $4 93%
Sunshine State $4 93%
Ultimate Health Plan $4 93%
United $4 - $462 93%
United Va Ccn $4 93%
Wellcare $4 93%
Wellmed $4 93%
Align Senior Care $5 117%
American Health Plan $5 117%
Careplus $5 117%
Centurion $5 117%
Cigna $5 117%
Clear Spring Health $5 117%
Florida Complete Care $5 117%
Gold Kidney Of Florida $5 117%
Molina $5 - $277 117%
Secur $5 117%
Simply Healthcare $5 - $174 117%
Evolutions Healthcare Systems $6 - $944 140%
Oscar $7 163%
Sunshine State Health Plan $7 - $262 163%
Behealthy America $11 - $400 256%
Healthcare Sarasota $14 - $513 326%
Plotkin Health $14 - $513 326%
Prime Health Sheriff $14 - $513 326%
Multiplan $21 - $872 490%
Corvel Corporation $99 2308%
Rockport Healthcare Group $99 2308%
Prime Health $102 2378%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2020 59Th St W, Bradenton, FL 34209
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals