CMS Price Transparency Data
Blood test, clotting time (PT/INR)
Facility: Gateway Rehabilitation Hospital
Billing Code: 85610 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$11
about 2.8× the $4 Medicare rate · typically $4–$50
modeled estimate · not a bill or quote
Medicare pays $4 Fair price $11 Hospital's list price $37
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 | $37 | 862% |
| Blue Cross Blue Shieldmajor | $37 | 862% |
| Aetnamajor | $37 | 862% |
| Cignamajor | $37 | 862% |
| Humanamajor | $37 | 862% |
| CareSource | $37 | 862% |
| Devoted Health | $37 | 862% |
| Molina | $37 | 862% |
| WellCare | $37 | 862% |
| + 1 smaller / regional plan | $37 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Gateway Rehabilitation Hospital
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.