Blood test, clotting time (PT/INR)
Facility: Via Christi Hospital Wichita St Teresa, Inc
Billing Code: 85610 (CPT)
- CPT Billing Code: 85610
- Insurance Median: $4
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.93x 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 |
|---|---|---|
| Smarthealth | $3 - $6 | 70% |
| Vc Hope | $4 | 93% |
| Va | $4 | 93% |
| Medicare (plans) | $4 | 93% |
| Saint Lukes Health Systems | $4 | 93% |
| Via Christi Research | $4 | 93% |
| Blue Cross Blue Shield | $4 | 93% |
| Humana | $4 | 93% |
| UnitedHealthcare | $4 - $12 | 93% |
| Corizon | $5 | 117% |
| Medicaid / KanCare | $7 | 163% |
| Aetna | $13 | 303% |
| Coventry City Of Wichita | $16 | 373% |
Consumer Guidance & Cost Commentary
For patients at Via Christi Hospital Wichita St Teresa, Inc, the negotiated payment for a blood clotting time test (CPT 85610) is $4.00, which is slightly lower than the Medicare benchmark of $4.29. This facility is a voluntary non-profit church-owned acute care hospital located in Wichita, Kansas, and participates in 13 different payer plans, including major networks like UnitedHealthcare and Aetna. While the facility does not list specific cash or median paid amounts in the current data, patients with high-deductible plans should consider that paying cash upfront might be more cost-effective if the insurance negotiated rate exceeds the cash price. It is important to ask the hospital directly about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can significantly reduce the final bill by bypassing administrative claim processing fees.
When reviewing your final statement, ensure you receive a full itemized bill rather than a summary invoice, as over 80% of hospital bills contain errors such as double-billing or unbundled codes. If you encounter a balance bill for services rendered at this in-network facility, you may be protected under the No Surprises Act, which bans balance billing for emergency care and non-emergency services from out-of-network providers at in-network hospitals. Since the facility's negotiated rate is already close to the Medicare benchmark, there is limited room for markup, but patients should still verify their specific plan's allowed amount and deductible status to avoid unexpected out-of-pocket costs. Always request a written audit dispute if you believe any charges are incorrect, rather than settling verbally, to ensure all errors are formally corrected.