CMS Price Transparency Data
Blood test, clotting time (PT/INR)
Facility: Hospital District #1 of Rice County
Billing Code: 85610 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$15
about 3.8× the $4 Medicare rate · typically $7–$33
modeled estimate · not a bill or quote
Medicare pays $4 Fair price $15 Cash price $41 Hospital's list price $54
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 | $4 - $49 | 93% |
| Blue Cross Blue Shieldmajor | $16 | 373% |
| Aetnamajor | $21 - $44 | 490% |
| Cignamajor | $26 - $54 | 606% |
| Ambetter (Centene) | $16 - $33 | 373% |
| HealthPartners | $26 - $54 | 606% |
| + 4 smaller / regional plans | $4 - $44 |
Government programs also on file: Medicaid.
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Other Procedures at Hospital District #1 of Rice County
Compare: Blood test, clotting time (PT/INR) at other KS hospitals
- Manhattan Surgical Hospital LLC · Manhattan $3
- Mercy Hospital Pittsburg, Inc · Pittsburg $4
- St. Catherine Hospital - Garden City · Garden City $4
- Labette Health · Parsons $4
- Ascension Via Christi Hospitals Wichita, Inc. · Wichita $4
- Wesley Medical Center · Wichita $4
- Centura St. Catherine-Dodge City · Dodge City $4
- Overland Park Reg Med Ctr · Overland Park $4
Insurance negotiated median for the same procedure, sorted lowest first.