CMS Price Transparency Data

Blood test, clotting time (PT/INR)

Facility: Murray-Calloway County Hospital

Billing Code: 85610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85610
  • Insurance Median: $6
  • Cash Discount Price: $84
  • vs. Medicare Baseline: 1.40x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PT/INR) at Murray-Calloway County Hospital is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $4.29, this hospital’s rate is 1.40x the Medicare baseline. Located in 803 Poplar Street, Murray, KY.
Cash / Self-Pay
$84

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$4.29

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $4.29 (100%)
Cash / Self-Pay: $84 (1958%)
Insurance Median: $6 (140%)
Cash: $84 (1958% of Medicare)
Ins. Median: $6 (140% of 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.

Input your details and click calculate to compare out-of-pocket costs.

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 $4 93%
Blue Cross Blue Shield $4 - $89 93%
Bluegrass - All Plans $4 93%
Humana $4 - $87 93%
Medicaid / KanCare $4 93%
Passport Health - All Plans $4 93%
Tricare $4 93%
Triwest - All Plans $4 93%
Wellcare Mcr Adv $4 93%
Wellcare Health Plan Inc $5 117%
Coventry Cares Of Ky - All Plans $6 140%
Occunet - All Plans $6 140%
Medben Mcch Employees $7 163%
Ambetter / Centene $8 186%
Health Cost Solutions - All Plans $11 256%
UnitedHealthcare $66 1538%
Medben City Of Murray - All Other Plans $77 1795%
Center Care - All Plans $93 2168%
Three Rivers - All Plans $103 2401%
First Health - All Plans $116 2704%
Healthsmart - All Plans $116 2704%
Multiplan - All Plans $116 2704%
Corvel Corporation - All Plans $129 3007%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 803 Poplar Street, Murray, KY 42071
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals