CMS Price Transparency Data

Blood test, clotting time (PT/INR)

Facility: Mercyone Elkader Medical Center

Billing Code: 85610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85610
  • Insurance Median: $5
  • Cash Discount Price: $33
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PT/INR) at Mercyone Elkader Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of $4.29, this hospital’s rate is 1.17x the Medicare baseline. Located in 901 Davidson Street Nw, Elkader, IA.
Cash / Self-Pay
$33

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $33 (769%)
Insurance Median: $5 (117%)
Cash: $33 (769% of Medicare)
Ins. Median: $5 (117% 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
Medicaid / KanCare $3 - $42 70%
Aetna $4 - $49 93%
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%
Bcn Domestic $4 93%
Blue Benefit Administrators Of Massachusetts $4 93%
Blue Care Network $4 93%
Blue Care Network Advantage $4 93%
Blue Cross Blue Shield $4 - $34 93%
Blue Distinction Transplant $4 93%
Blue Shield - Ca $4 93%
Blue Shield - De (Highmark) Medciare Advantage $4 93%
Blue Shield - Id (Regence) $4 93%
Blue Shield - Ny Highmark Northeastern $4 93%
Blue Shield - Ny Highmark Western $4 93%
Blue Shield - Pa (Highmark) $4 93%
Blue Shield - Wa (Regence) $4 93%
Care Dimensions $4 93%
Care Improvement Plus $4 93%
Care Resources Pace $4 93%
Careplus Health Plans $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%
Champva $4 93%
Cigna $4 - $65 93%
Clear Spring Health $4 93%
Clover Health $4 93%
Commonwealth Care Alliance $4 93%
Community Pace At Home $4 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%
Geha $4 - $50 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%
Health Choices $4 - $53 93%
Health Partners $4 - $63 93%
Highmark Health Options Dual Plan $4 93%
Hope Select Pace $4 93%
Horizon Nj Total Care $4 93%
Hudson Headwaters Pace $4 93%
Humana $4 - $5 93%
Huron Valley Pace $4 93%
Innovative Integrated Health Community Plans $4 93%
Iowa Health Advantage $4 93%
Johns Hopkins Advantage Md $4 93%
Kaiser Domestic $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 - $36 93%
Medipak Advantage $4 93%
Mercy Life $4 93%
Mercyone Cedar Valley $4 93%
Meridian Complete $4 93%
Michigan Complete Health $4 93%
Nascentia Health Plus $4 93%
Nebraska Total Care $4 - $13 93%
New Centry Health Careplus $4 93%
Oscar $4 93%
Osu Prime Care Advantage $4 93%
Pace Cny $4 93%
Pace Iowa Immanuel Pathways $4 93%
Pace Of Southwest Michigan $4 - $5 93%
Pace Southeast $4 93%
Pace-Trinity Health $4 93%
Peak Pace Solutions $4 93%
Perennial Advantage $4 93%
Pre-Employment $4 93%
Preferred Care Partners $4 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 93%
Stephenson Cty Health $4 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%
Tricare $4 93%
Triwest Health Alliance $4 93%
Um Health Advantage $4 93%
Union Health Service $4 93%
UnitedHealthcare $4 - $50 93%
Us Family Health Plan $4 93%
Veterans Administration $4 93%
Veterans Eval Services $4 93%
Wc Corvel $4 93%
Wc Domestic $4 93%
Welbe Health $4 93%
Wellmed $4 93%
Albany County Correctional Facility $5 117%
Allied Benefit Systems $5 - $49 117%
Ambetter / Centene $5 - $58 117%
Amish Mennonite $5 117%
Ascension St. Vincent Public Safety Medical $5 117%
Auxiant $5 - $65 117%
Bcccp-Michigan $5 117%
Bccp $5 117%
Bmc Healthnet $5 117%
Breast Grant-Connecticut $5 117%
Broward County Dept Of Health $5 117%
California Health And Wellness $5 117%
Can Community Health Inc $5 117%
Cardinal Innovations Lme $5 117%
Care Connections Of Northern Iowa $5 117%
Care Oregon Ohp $5 117%
Cencal Health Plan $5 117%
Cenpatico $5 117%
Centivo $5 - $51 117%
Chhuny $5 117%
Childrens Comm Health Plan $5 117%
Childrens Medical Services Title 19 $5 117%
City Of Philadelphia $5 117%
Cmh Allegan County $5 117%
Cmh Ausable Valley $5 117%
Cmh Barry County $5 117%
Cmh Bay-Arenac County $5 117%
Cmh Berrien County $5 117%
Cmh Cass County $5 117%
Cmh Central Mi County $5 117%
Cmh Clinton-Eaton-Ingham County $5 117%
Cmh Detroit Wayne Integrated Health Network $5 117%
Cmh Genesee County $5 117%
Cmh Ionia County $5 117%
Cmh Jackson County/Lifeways $5 117%
Cmh Kalamazoo $5 117%
Cmh Kent County $5 117%
Cmh Lenawee County $5 117%
Cmh Livingston County $5 117%
Cmh Macomb $5 117%
Cmh Misc $5 117%
Cmh Monroe County $5 117%
Cmh Montcalm County $5 117%
Cmh Muskegon County $5 117%
Cmh Newaygo County $5 117%
Cmh North Country $5 117%
Cmh Northern Lakes County $5 117%
Cmh Oakland County $5 117%
Cmh Ottawa County $5 117%
Cmh Van Buren County $5 117%
Cmh Washtenaw County $5 117%
Cmh Wayne County/Carelink $5 117%
Cmh Wayne Cty/Com Liv Svcs $5 117%
Cmh West Mi County $5 117%
Community Benefit Health $5 117%
Community Care Behavorial Health $5 117%
Community Care Partners $5 117%
Community Health Choice $5 117%
Connections Csp $5 117%
County Coroner $5 117%
County Funding Generic $5 117%
Covid19 Hrsa Uninsured Testing And Treatment Fund $5 117%
Dean Wi Badgercare $5 117%
Delaware County Department Of Health $5 117%
Delaware First Health $5 117%
Delta Dental Nj $5 117%
Dph Tb Program $5 117%
Dscc $5 117%
Eastpointe Lme $5 117%
Family Health Network $5 117%
First Choice Health $5 117%
Freedom First Healthcare $5 117%
Fresno County Ccs $5 117%
Ghc Scw Wi Badgercare $5 117%
Group Administrators $5 117%
Harbor Health $5 117%
Health Safety Net $5 117%
Healthy Blue Ne $5 117%
Hennepin Health $5 117%
Id County Ada $5 117%
Id County Canyon $5 117%
Id County Cat Fund $5 117%
Id County Other $5 117%
Id County Payette $5 117%
Idaho Dept Health And Wellfare $5 117%
Idaho Womens Health Check $5 117%
Indiana Breast Cervical Cancer $5 117%
Inland Empire Health Plan $5 117%
Intercommunity Health Ohp $5 117%
Iowa Total Care $5 - $41 117%
Jai Medical System $5 117%
Kern Family Health Plan $5 117%
Keystone First $5 117%
Keystone First Chip $5 117%
La Care Health Plan $5 117%
Lakeland Care Inc $5 117%
Managed Health Services - Indiana $5 117%
Maryland Breast & Cervical Program $5 117%
Maryland Healthy Smiles - Scion Dental $5 117%
Maryland Physicians Care $5 117%
Massachusetts Behavioral Health Partnership $5 117%
Mdwise $5 117%
Medi-Cal $5 117%
Medi-Cal Healthnet $5 117%
Medstar Dc Healthy Family $5 117%
Medstar Md Health Choice $5 117%
Midlands $5 - $65 117%
Midlands Choice $5 - $65 117%
Mo Home State Health Plan $5 117%
Molina Centennial Care $5 117%
Nascentia Health Options $5 117%
New York Cancer Services Program $5 117%
Nextlevel Health $5 117%
Oregon Screenwise $5 117%
Paramount Advantage $5 117%
Parkland Community Health Plan $5 117%
Partners Behavioral Lme $5 117%
Peach State Healthplan $5 117%
Philadelphia County Funding $5 117%
Presbyterian Centennial Care $5 117%
Prestige Health Choice $5 117%
Priority Partners $5 117%
Robert F Sing Program $5 117%
Rx 340B Pass Along $5 117%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $5 117%
Rx Medi-Cal $5 117%
Rx Meridian Rx $5 117%
Ryan White Florida Mssrp $5 117%
Sandhills Center Lme $5 117%
Screening For Life $5 117%
St Joseph County Hlth Dpt $5 117%
Sunshine State Health Plan $5 117%
Superior Health $5 117%
Tenncare $5 117%
Texas Children'S Health Plan $5 117%
Trillium Community Ohp $5 117%
Tufts Health Public Plans $5 117%
Vaya Health Lme $5 117%
Washtenaw Health Plan $5 117%
Wellpoint $5 117%
Wellsense Health Plan $5 117%
Wi Womens Wellness $5 117%
Amish Hospital Aid $6 - $46 140%
Amps $6 140%
Avera $6 140%
Meritain $6 - $49 140%
Newton Correctional Facility $6 - $9 140%
Preferred One $6 140%
Medical Associates $7 - $53 163%
Sanford Health Plan $7 163%
Ucare $7 163%
Genex Wc $8 - $18 186%
Health Smart $8 186%
Lucent Health $8 - $49 186%
Multiplan $8 186%
Quiktrip $8 186%
Usa Managed Care $8 186%
Wc Align Network $8 - $19 186%
Wc Praxis Health Network $8 - $20 186%
Auto Velocity $9 - $21 210%
Claimdoc $9 - $69 210%
The Alliance $9 210%
Wc O'Hara Corp $9 - $21 210%
Wc Reny Company $9 - $21 210%
Wc Velocity $9 - $21 210%
Andrie Inc $10 - $24 233%
East Greenbush Central School District $10 - $24 233%
Global Excel $10 233%
Healthsmart Workers Comp $10 - $24 233%
Iowa Dept Of Public Health $10 - $66 233%
Jag Source $10 - $24 233%
New York State Insurance Fund $10 - $24 233%
Njm Insurance Group $10 - $24 233%
Rx Heatlhcomp $10 - $24 233%
Rx Restat $10 - $24 233%
Rx Saif Opdp Wc $10 - $24 233%
Rx Worker'S Comp $10 - $24 233%
Velocity $10 233%
Wc Accident Fund $10 - $24 233%
Wc Ace $10 - $24 233%
Wc Acs Federal Employees $10 - $24 233%
Wc Acuity $10 - $24 233%
Wc Advantage $10 - $24 233%
Wc Aegis $10 - $24 233%
Wc Aig $10 - $24 233%
Wc Aims $10 - $24 233%
Wc Alaska National Ins $10 - $24 233%
Wc Allied $10 - $24 233%
Wc Am Trust N America $10 - $24 233%
Wc American Claims Mgmt $10 - $24 233%
Wc Amerisure $10 - $24 233%
Wc Amtrust $10 - $24 233%
Wc Asu Risk Mgt $10 - $24 233%
Wc Benetech $10 - $24 233%
Wc Berkley Admin $10 - $24 233%
Wc Broadspire $10 - $24 233%
Wc Broward County $10 - $24 233%
Wc Bunch & Associates $10 - $24 233%
Wc California State Comp Ins $10 - $24 233%
Wc California State Ins Fund $10 - $24 233%
Wc Capitol Area Health Consortium $10 - $24 233%
Wc Ccmsi $10 - $24 233%
Wc Chartis $10 - $24 233%
Wc Chubb $10 - $24 233%
Wc Cirma $10 - $24 233%
Wc City Of Albany $10 - $24 233%
Wc City Of Sioux City $10 - $24 233%
Wc Claims Mgmt Inc $10 - $24 233%
Wc Cna $10 - $24 233%
Wc Comp One Admin C/O Manageability $10 - $24 233%
Wc Compone Admin $10 - $24 233%
Wc Ct Healthcare Trust $10 - $24 233%
Wc Donegal Insurance Group $10 - $24 233%
Wc Emc Insurance Company $10 - $24 233%
Wc Employee Mutual $10 - $24 233%
Wc Enablecomp $10 - $24 233%
Wc Encore Health Network $10 - $24 233%
Wc Erie $10 - $24 233%
Wc Esis $10 - $24 233%
Wc Evolutions $10 - $24 233%
Wc Fcci $10 - $24 233%
Wc Fed Ex $10 - $24 233%
Wc Federal Black Lung $10 - $24 233%
Wc Federated $10 - $24 233%
Wc Finley Occupational Health $10 - $24 233%
Wc First Agency/Occunet $10 - $24 233%
Wc Ford Motor $10 - $24 233%
Wc Fresno Unified Emp $10 - $24 233%
Wc Gallagher Bassett $10 - $24 233%
Wc General Motors $10 - $24 233%
Wc Generic $10 - $24 233%
Wc Genex Care For Ohio $10 - $24 233%
Wc Great West Casualty $10 - $24 233%
Wc Guarantee Insurance $10 - $24 233%
Wc Guard Insurance Company $10 - $24 233%
Wc Hab $10 - $24 233%
Wc Hartford $10 - $24 233%
Wc Hastings $10 - $24 233%
Wc Health Management $10 - $24 233%
Wc Heritage Summit $10 - $24 233%
Wc Hireright $10 - $24 233%
Wc Horizon $10 - $24 233%
Wc Icw Group $10 - $24 233%
Wc Idaho State Ins Fund $10 - $24 233%
Wc Intercare Insurance $10 - $24 233%
Wc Intermountain $10 - $24 233%
Wc Johns Eastern $10 - $24 233%
Wc Kemberton $10 - $24 233%
Wc Key Ins & Benefit Solutions $10 - $24 233%
Wc Liberty Mutual $10 - $24 233%
Wc Mac Risk Management $10 - $24 233%
Wc Massachusetts $10 - $24 233%
Wc Mdia $10 - $24 233%
Wc Meadowbrook Claim $10 - $24 233%
Wc Medical Administrators $10 - $24 233%
Wc Meijers $10 - $24 233%
Wc Memic $10 - $24 233%
Wc Mercy Workcare $10 - $24 233%
Wc Michigan $10 - $24 233%
Wc Michigan Millers Mutual $10 - $24 233%
Wc Mitchell Frankenmuth $10 - $24 233%
Wc Mra $10 - $24 233%
Wc Nationwide $10 - $24 233%
Wc Nca Comp $10 - $24 233%
Wc New York $10 - $24 233%
Wc New York Special Funds $10 - $24 233%
Wc North American Rishces $10 - $24 233%
Wc Northeast Health $10 - $24 233%
Wc Notre Dame $10 - $24 233%
Wc Novanet $10 - $24 233%
Wc Occ Health Allen $10 - $24 233%
Wc Ohio Bureau $10 - $24 233%
Wc One Call Medical $10 - $24 233%
Wc Paradigm $10 - $24 233%
Wc Peerless $10 - $24 233%
Wc Pma $10 - $24 233%
Wc Price Chopper $10 - $24 233%
Wc Procura Management $10 - $24 233%
Wc Qualcare $10 - $24 233%
Wc Quiktrip $10 - $24 233%
Wc Rev Claims $10 - $24 233%
Wc Risico $10 - $24 233%
Wc Rural Mutual $10 - $24 233%
Wc Saif Oregon $10 - $24 233%
Wc Secura $10 - $24 233%
Wc Sedgwick $10 - $24 233%
Wc Sentry $10 - $24 233%
Wc Sheakley Unicomp $10 - $24 233%
Wc Smile Lodge $10 - $24 233%
Wc Society $10 - $24 233%
Wc Srs $10 - $24 233%
Wc Taconic (Mro) $10 - $24 233%
Wc Taconic Farms $10 - $24 233%
Wc Travelers $10 - $24 233%
Wc Triad Group $10 - $24 233%
Wc Tristar $10 - $24 233%
Wc Troy Ny $10 - $24 233%
Wc Tyson $10 - $24 233%
Wc Unified Health Services $10 - $24 233%
Wc United Heartland $10 - $24 233%
Wc Us Dept Of Labor $10 - $24 233%
Wc Walmart $10 - $24 233%
Wc West Bend $10 - $24 233%
Wc West Bend Mutual/Argent $10 - $24 233%
Wc Winnebago Industries $10 - $24 233%
Wc Yankee Trails $10 - $24 233%
Wc York Risk $10 - $24 233%
Wc Zenith $10 - $24 233%
Wc Zurich $10 - $24 233%
1199 National Benefit Fund $49 1142%
Asr Health Benefits $49 1142%
Christian Brother Services $49 1142%
Coventry $49 1142%
First Health $49 1142%
Luminare Health $49 1142%
Medical Mutual $49 1142%
Trustmark Small Business Benefits $49 1142%
Webtpa $49 1142%
Medica $65 1515%
Crime Victim Assistance $66 1538%
Nova $69 1608%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

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