CMS Price Transparency Data

Blood test, clotting time (PT/INR)

Facility: Decatur Health

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–$32
modeled estimate · not a bill or quote
Medicare pays $4 Fair price $15 Cash price $27 Hospital's list price $30

How we calculate the fair BaseRate →

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✓ Humana CignaKaiser 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 $18 - $23 420%
Blue Cross Blue Shieldmajor $21 490%
Aetnamajor $27 - $30 629%
Humanamajor $18 420%
+ 1 smaller / regional plan $18
Government programs also on file: Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 810 W Columbia Street, Oberlin, KS 67749
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals