CMS Price Transparency Data
Blood test, clotting time (PT/INR)
Facility: Caldwell Medical Center
Billing Code: 85610 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$12
about 3.0× the $4 Medicare rate · typically $6–$32
modeled estimate · not a bill or quote
Medicare pays $4 Fair price $12 Cash price $40 Hospital's list price $53
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 | $16 - $27 | 373% |
| Blue Cross Blue Shieldmajor | $3 - $21 | 70% |
| Aetnamajor | $4 - $19 | 93% |
| Cignamajor | $41 - $50 | 956% |
| Humanamajor | $3 - $19 | 70% |
| Molina | $17 - $21 | 396% |
| WellCare | $24 - $29 | 559% |
Government programs also on file: Medicare, Medicaid.
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Enter your details and press estimate to compare.
Other Procedures at Caldwell Medical Center
Compare: Blood test, clotting time (PT/INR) at other KY hospitals
- Spring View Hospital · Lebanon $3
- Bourbon Community Hospital · Paris $3
- Ephraim McDowell Regional Medical Center · Danville $3
- Georgetown Community Hospital · Georgetown $3
- Jackson Purchase Medical Center · Mayfield $3
- Lake Cumberland Regional Hospital · Somerset $3
- Fleming County Hospital · Flemingsburg $3
- Bluegrass Community Hospital · Versailles $3
Insurance negotiated median for the same procedure, sorted lowest first.