CMS Price Transparency Data
Blood test, clotting time (PT/INR)
Facility: Penobscot Valley Hospital
Billing Code: 85610 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$23
about 5.8× the $4 Medicare rate · typically $10–$34
modeled estimate · not a bill or quote
Medicare pays $4 Fair price $23 Cash price $40 Hospital's list price $50
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 | $11 - $66 | 256% |
| Blue Cross Blue Shieldmajor | $11 - $61 | 256% |
| Aetnamajor | $11 - $79 | 256% |
| Cignamajor | $23 - $77 | 536% |
| Humanamajor | $11 - $38 | 256% |
| Harvard Pilgrim | $23 - $78 | 536% |
| WellCare | $11 - $38 | 256% |
Government programs also on file: Medicare.
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Other Procedures at Penobscot Valley Hospital
Compare: Blood test, clotting time (PT/INR) at other ME hospitals
- Mainehealth Mid Coast Hospital · Brunswick $4
- Central Maine Medical Center · Lewiston $4
- Cary Medical Center · Caribou $4
- Mainehealth Pen Bay Hospital · Rockport $4
- Mainehealth Maine Medical Center · Portland $5
- Lincolnhealth · Damariscotta $5
- Mainehealth Stephens Hospital · Norway $5
- Mainehealth Franklin Hospital · Farmington $5
Insurance negotiated median for the same procedure, sorted lowest first.