CMS Price Transparency Data

Blood test, clotting time (PT/INR)

Facility: Story County Hospital

Billing Code: 85610 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$19
about 4.8× the $4 Medicare rate · typically $7–$23
modeled estimate · not a bill or quote
Medicare pays $4 Fair price $19 Cash price $15 Hospital's list price $19

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✓ Humana CignaKaiser 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 $14 - $25 326%
Blue Cross Blue Shieldmajor $16 - $25 373%
Aetnamajor $17 - $25 396%
Humanamajor $18 - $25 420%
HealthPartners $11 - $25 256%
Molina $18 - $25 420%
+ 1 smaller / regional plan $18 - $25

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: 640 South 19Th Street, Nevada, IA 50201
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals