CMS Price Transparency Data
Blood test, clotting time (PT/INR)
Facility: Boundary Community Hospital
Billing Code: 85610 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$13
about 3.3× the $4 Medicare rate · typically $6–$22
modeled estimate · not a bill or quote
Medicare pays $4 Fair price $13 Cash price $19 Hospital's list price $24
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 | $12 - $21 | 280% |
| Blue Cross Blue Shieldmajor | $1 | 23% |
| Aetnamajor | $14 - $16 | 326% |
| Cignamajor | $34 | 793% |
| Molina | $4 - $15 | 93% |
| PacificSource | $21 - $24 | 490% |
| + 2 smaller / regional plans | $21 - $24 |
Self-Pay How to get the cash price
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Other Procedures at Boundary Community Hospital
Compare: Blood test, clotting time (PT/INR) at other ID hospitals
- West Valley Medical Center · Caldwell $4
- Eastern Idaho Regional Medical Center · Idaho Falls $4
- Madison Memorial Hospital · Rexburg $4
- Kootenai Health · Coeur D'Alene $4
- Treasure Valley Hospital · Boise $4
- Mountain View Hospital · Idaho Falls $4
- Northwest Specialty Hospital · Post Falls $4
- St Luke's Nampa Medical Center · Nampa $4
Insurance negotiated median for the same procedure, sorted lowest first.