CMS Price Transparency Data
Blood test, clotting time (PT/INR)
Facility: Orange City Area Health System
Billing Code: 85610 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$16
about 4.0× the $4 Medicare rate · typically $5–$28
modeled estimate · not a bill or quote
Medicare pays $4 Fair price $16 Cash price $22 Hospital's list price $28
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 | $25 | 583% |
| Blue Cross Blue Shieldmajor | $24 | 559% |
| HealthPartners | $25 | 583% |
| Sanford Health Plan | $27 | 629% |
| + 1 smaller / regional plan | $27 |
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Orange City Area Health System
Compare: Blood test, clotting time (PT/INR) at other IA hospitals
- Unitypoint Health - Marshalltown · Marshalltown $4
- Trinity Muscatine · Muscatine $4
- Trinity Regional Medical Center · Fort Dodge $4
- University of Iowa Health Care Medical Center Down · Iowa City $4
- Mary Greeley Medical Center · Ames $4
- Genesis Medical Center-Davenport · Davenport $4
- St Lukes Hospital · Cedar Rapids $4
- University of Iowa Hospital & Clinics · Iowa City $4
Insurance negotiated median for the same procedure, sorted lowest first.