CMS Price Transparency Data
Blood test, clotting time (PT/INR)
Facility: Houlton Regional Hospital
Billing Code: 85610 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$13
about 3.3× the $4 Medicare rate · typically $5–$24
modeled estimate · not a bill or quote
Medicare pays $4 Fair price $13 Cash price $47 Hospital's list price $49
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✓ Cigna HumanaKaiser 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 | $47 | 1096% |
| Blue Cross Blue Shieldmajor | $16 - $22 | 373% |
| Aetnamajor | $22 | 513% |
| Cignamajor | $45 | 1049% |
| WellCare | $22 | 513% |
| + 2 smaller / regional plans | $25 - $43 |
Government programs also on file: Military & VA.
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 Houlton Regional 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.