Blood test, clotting time (PT/INR)
Facility: Kosciusko Community Hospital
Billing Code: 85610 (CPT)
- CPT Billing Code: 85610
- Insurance Median: $8
- Cash Discount Price: $7
- vs. Medicare Baseline: 1.86x 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 |
|---|---|---|
| Aetna | $1 - $64 | 23% |
| Amish Aid | $1 - $25 | 23% |
| Encore | $1 - $48 | 23% |
| Lutheran Preferred Network | $1 - $97 | 23% |
| Php Freedom Network | $1 - $47 | 23% |
| Physicians Health Plan | $1 - $56 | 23% |
| Self Pay | $1 - $47 | 23% |
| Trma Inc | $1 - $54 | 23% |
| UnitedHealthcare | $1 - $64 | 23% |
| Advantage Health | $2 - $100 | 47% |
| Cigna | $2 - $76 | 47% |
| Connecticut General Life Insurance Company | $2 - $71 | 47% |
| Encore Health Network | $2 - $113 | 47% |
| First Health Network | $2 - $91 | 47% |
| Prime Health Services | $2 - $91 | 47% |
| Private Healthcare Systems | $2 - $104 | 47% |
| Sagamore | $2 - $114 | 47% |
| Tricare | $2 - $4 | 47% |
| Blue Cross Blue Shield | $3 - $7 | 70% |
| Department Of Veterans Affairs | $3 - $4 | 70% |
| Humana | $3 - $4 | 70% |
| In Dept Of Correction | $3 - $4 | 70% |
| Iu Health | $3 - $4 | 70% |
| Medicare (plans) | $3 - $4 | 70% |
| Mhs | $3 - $4 | 70% |
| Node Devoted Health Mcr Adv | $3 - $4 | 70% |
| Node Non Par Hospice Agree | $3 - $4 | 70% |
| Node Pphp Mcr Adv | $3 - $4 | 70% |
| Node Va | $3 - $4 | 70% |
| Us Department Of Labor | $3 - $5 | 70% |
| Veterans Eval Services | $3 - $4 | 70% |
| Align In Work Comp | $4 - $7 | 93% |
| Caresource | $4 | 93% |
| Lutheran Advanced Network | $4 - $6 | 93% |
| Lutheran Preferred | $4 - $9 | 93% |
| Managed Health Services | $4 | 93% |
| Medicaid / KanCare | $4 | 93% |
| One Call Work Comp | $4 - $7 | 93% |
| Encore Work Comp In | $5 - $8 | 117% |
| Managed Health Services Exchange | $5 - $9 | 117% |
| Workers Comp | $5 - $9 | 117% |
| Encore Kba Epo | $6 - $10 | 140% |
| Encore Kba Ppo | $8 - $13 | 186% |