CMS Price Transparency Data

Blood test, clotting time (PT/INR)

Facility: Wellstar Sylvan Grove Medical Center

Billing Code: 85610 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$14
about 3.5× the $4 Medicare rate · typically $8–$33
modeled estimate · not a bill or quote
Medicare pays $4 Fair price $14 Cash price $38 Hospital's list price $98

How we calculate the fair BaseRate →

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 $7 163%
Blue Cross Blue Shieldmajor $15 - $16 350%
Aetnamajor $7 163%
Cignamajor $12 280%

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 1050 McDonough Road, Jackson, GA 30233
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals