Blood test, clotting time (PT/INR)
Facility: Bluffton Regional Medical Center
Billing Code: 85610 (CPT)
- CPT Billing Code: 85610
- Insurance Median: $7
- Cash Discount Price: $5
- vs. Medicare Baseline: 1.63x 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.
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 |
|---|---|---|
| Amish Aid | $1 - $35 | 23% |
| Self Pay | $1 - $80 | 23% |
| Aetna | $2 - $65 | 47% |
| Cigna | $2 - $52 | 47% |
| Encore Ppo | $2 - $71 | 47% |
| Lutheran Preferred Network | $2 - $117 | 47% |
| Lutheran Trma | $2 - $66 | 47% |
| Php Management Systems | $2 - $57 | 47% |
| UnitedHealthcare | $2 - $72 | 47% |
| Ahg Dana Employees | $3 - $95 | 70% |
| Blue Cross Blue Shield | $3 - $7 | 70% |
| Consumer Life | $3 - $91 | 70% |
| Sagamore Health Newtork Inc | $3 - $78 | 70% |
| Sagamore Sebt | $3 - $75 | 70% |
| Advantage 360 | $4 - $121 | 93% |
| Align Networks | $4 - $102 | 93% |
| Caresource | $4 | 93% |
| Community Health Alliance | $4 - $124 | 93% |
| County Jail Health Care | $4 | 93% |
| Department Of Veterans Affairs | $4 | 93% |
| Encore Health Network | $4 - $131 | 93% |
| First Health | $4 - $126 | 93% |
| Humana | $4 | 93% |
| In Dept Of Correction | $4 | 93% |
| Medicaid / KanCare | $4 | 93% |
| Medicare (plans) | $4 | 93% |
| Mhs | $4 | 93% |
| Mhs In Hip | $4 | 93% |
| Multiplan | $4 - $117 | 93% |
| Node Caresource Mcr Adv | $4 | 93% |
| Node Devoted Health Mcr Adv | $4 | 93% |
| Node Iu Health Mcr Adv | $4 | 93% |
| Node Mhs Mcr Adv | $4 | 93% |
| Node Non Par Hospice Agree | $4 | 93% |
| Node Pphp Mcr Adv | $4 | 93% |
| Node Va | $4 | 93% |
| Northeast Hospice | $4 - $102 | 93% |
| Physicians Health Plan | $4 - $9 | 93% |
| Prime Health Services | $4 - $110 | 93% |
| Private Healthcare Systems Inc | $4 - $110 | 93% |
| Tricare | $4 | 93% |
| Veterans Eval Services | $4 | 93% |
| Allied Benefit Systems | $5 - $131 | 117% |
| Cardinal Health Alliance | $5 - $131 | 117% |
| Php | $5 - $10 | 117% |
| Php Freedom Network | $5 - $8 | 117% |
| Ppom | $5 - $131 | 117% |
| Us Department Of Labor | $5 | 117% |
| Lutheran Advanced Network | $6 | 140% |
| Lutheran Three Rivers Preferred Plus 150 | $6 | 140% |
| Encore Work Comp In | $8 | 186% |
| Lutheran Three Rivers Preferred Plus 175 | $8 | 186% |
| Lutheran Northwest Health Preferred | $9 | 210% |
| Managed Health Services Exchange | $9 | 210% |
| Workers Compensation | $9 | 210% |
| Encore Kba Epo | $10 | 233% |
| Encore Kba Ppo | $13 | 303% |