Blood test, clotting time (PT/INR)
Facility: Hammond Henry Hospital
Billing Code: 85610 (CPT)
- CPT Billing Code: 85610
- Insurance Median: $61
- Cash Discount Price: $75
- vs. Medicare Baseline: 14.22x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 1422% of the Medicare baseline (a markup of 1322%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Quad City Community Hc-All Plans | $4 | 93% |
| Aetna | $9 - $62 | 210% |
| Blue Cross Blue Shield | $9 - $50 | 210% |
| Meridian Health Plan-All Plans | $9 | 210% |
| Geneseo Good Samaritan Village Op Only-All Plans | $18 | 420% |
| Tricare | $22 | 513% |
| Health Alliance Mcare Adv | $24 | 559% |
| Humana | $24 - $75 | 559% |
| UnitedHealthcare | $24 - $61 | 559% |
| Wellmark Of Ia-All Plans | $42 | 979% |
| Springfield Armory-All Plans | $54 | 1259% |
| Ambetter / Centene | $58 | 1352% |
| Health Alliance-All Other Plans | $62 | 1445% |
| Multiplan Integrated Hp | $62 | 1445% |
| Cigna | $64 | 1492% |
| Multiplan Pponext | $66 | 1538% |
| Osf Direct Access Network-All Plans | $66 | 1538% |
| Multiplan-All Other Plans | $71 | 1655% |
| Corvel-All Plans | $75 | 1748% |
| Healthsmart Adult-All Other Plans | $75 | 1748% |
| Healthsmart Pediatric | $75 | 1748% |
| Hfn-All Plans | $75 | 1748% |
| Multiplan Beech Street | $75 | 1748% |
| Multiplan Phcs Adult | $75 | 1748% |
| Multiplan Phcs Pediatric | $75 | 1748% |
| Usa Mco-All Plans | $75 | 1748% |