CMS Price Transparency Data
Blood test, clotting time (PT/INR)
Facility: Sparta Community Hospital
Billing Code: 85610 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$8
about 2.0× the $4 Medicare rate · typically $4–$23
modeled estimate · not a bill or quote
Medicare pays $4 Fair price $8 Cash price $103 Hospital's list price $103
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 | $22 - $70 | 513% |
| Blue Cross Blue Shieldmajor | $6 - $23 | 140% |
| Aetnamajor | $21 - $79 | 490% |
| Cignamajor | $74 - $77 | 1725% |
| Humanamajor | $23 | 536% |
| Molina | $22 | 513% |
Government programs also on file: Medicare, Medicaid.
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Other Procedures at Sparta Community Hospital
Compare: Blood test, clotting time (PT/INR) at other IL hospitals
- Loyola Gottlieb Memorial Hospital · Melrose Park $4
- OSF Saint Katharine Medical Center · Dixon $4
- Carle Health Proctor Hospital · Peoria $4
- St Anthonys Memorial Hospital · Effingham $4
- Good Samaritan Regional Hlth Center · Mount Vernon $4
- West Suburban Medical Center · Oak Park $4
- OSF Saint Anthony's Health Center · Alton $4
- Macneal Hospital · Berwyn $4
Insurance negotiated median for the same procedure, sorted lowest first.