CMS Price Transparency Data

Blood test, clotting time (PT/INR)

Facility: Mercyone Elkader Medical Center

Billing Code: 85610 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$12
about 3.0× the $4 Medicare rate · typically $4–$58
modeled estimate · not a bill or quote
What this hospital charges insurers
$5
Below the fair price — a good deal
about $7 under the fair price · 1.3× Medicare
Medicare pays $4 Fair price $12 This hospital $5 Cash price $33 Hospital's list price $38

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

Highest price of the 9 IA hospitals we have prices for — worth calling around.

Cheapest $4 Priciest $5

Black dot = this hospital, among the 9 IA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Blood test, clotting time (PT/INR) is about $12 (about 3.0× the $4 Medicare rate). Mercyone Elkader Medical Center charges insurers about $5, or about $33 in cash — below the fair price — a good deal. Located in Elkader, IA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 $4 - $50 93%
Blue Cross Blue Shieldmajor $4 - $34 93%
Aetnamajor $4 - $49 93%
Cignamajor $4 - $65 93%
Humanamajor $4 - $5 93%
Kaiser Permanentemajor $4 93%
Ambetter (Centene) $5 - $58 117%
Clover Health $4 93%
GEHA $4 - $50 93%
Health Net $5 - $24 117%
HealthPartners $4 - $63 93%
Medica $65 1515%
Medical Mutual $49 1142%
Meridian $4 - $5 93%
Molina $5 117%
Oscar Health $4 93%
Paramount $5 117%
Presbyterian $4 - $5 93%
Sanford Health Plan $7 163%
Tufts Health Plan $5 117%
UCare $7 163%
WellMed $4 93%
WellSense $5 117%
+ 362 smaller / regional plans $4 - $69
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 14 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 901 Davidson Street Nw, Elkader, IA 52043
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals