CMS Price Transparency Data

Blood test, clotting time (PT/INR)

Facility: St Joe Mercy Hospital System Livonia

Billing Code: 85610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85610
  • Insurance Median: $5
  • Cash Discount Price: $11
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PT/INR) at St Joe Mercy Hospital System Livonia is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11. Compared to the federal Medicare reimbursement reference rate of $4.29, this hospital’s rate is 1.17x the Medicare baseline. Located in 36475 Five Mile Road, Livonia, MI.
Cash / Self-Pay
$11

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $11 (256%)
Insurance Median: $5 (117%)
Cash: $11 (256% of Medicare)
Ins. Median: $5 (117% 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 $2 - $19 47%
Blue Cross Blue Shield $2 - $4 47%
Medicaid / KanCare $2 - $14 47%
Wc Accident Fund $2 - $12 47%
Wc Advantage $2 - $12 47%
Wc Aig $2 - $12 47%
Wc Allied $2 - $12 47%
Wc Amerisure $2 - $12 47%
Wc Amtrust $2 - $12 47%
Wc Asu Risk Mgt $2 - $12 47%
Wc Berkley Admin $2 - $12 47%
Wc Broadspire $2 - $12 47%
Wc Bunch & Associates $2 - $12 47%
Wc Ccmsi $2 - $12 47%
Wc Emc Insurance Company $2 - $12 47%
Wc Esis $2 - $12 47%
Wc Fcci $2 - $12 47%
Wc Federated $2 - $12 47%
Wc Gallagher Bassett $2 - $12 47%
Wc Genex Care For Ohio $2 - $12 47%
Wc Guard Insurance Company $2 - $12 47%
Wc Hartford $2 - $12 47%
Wc Liberty Mutual $2 - $12 47%
Wc Meijers $2 - $12 47%
Wc Michigan $2 - $12 47%
Wc Mitchell Frankenmuth $2 - $12 47%
Wc Pma $2 - $12 47%
Wc Sedgwick $2 - $12 47%
Wc Sentry $2 - $12 47%
Wc Travelers $2 - $12 47%
Wc Tristar $2 - $12 47%
Wc Walmart $2 - $12 47%
Wc Zurich $2 - $12 47%
Acs Benefit Services $3 - $18 70%
Allied Benefit Systems $3 - $18 70%
Claimchoice Adminstrators $3 - $18 70%
Consociate $3 - $18 70%
Cypress Benefit Administrators $3 - $18 70%
Forest County Potawatomi $3 - $18 70%
Health Smart $3 - $18 70%
Healthgram $3 - $18 70%
Healthscope $3 - $18 70%
Secureone Preferred United Plans $3 - $18 70%
Sisco Benefits $3 - $18 70%
The Health Plan $3 - $18 70%
Trustmark Small Business Benefits $3 - $18 70%
Unified Group Services $3 - $18 70%
Webtpa $3 - $18 70%
1199 National Benefit Fund $4 - $28 93%
Access Health $4 - $27 93%
Acclaim $4 - $27 93%
Administrative Concepts $4 - $27 93%
Albany County Correctional Facility $4 93%
Align Senior Care $4 93%
Allegeant $4 - $27 93%
Allied National Global Care $4 - $28 93%
Ally Align Care Adv $4 93%
Ambetter / Centene $4 93%
Ameriben $4 - $27 93%
American Family $4 - $27 93%
American Health Advantage Of Idaho $4 93%
American Health Plan $4 93%
American Healthcare Alliance $4 - $27 93%
American National $4 - $27 93%
American Postal Workers Secondary $4 93%
American Republic $4 - $27 93%
Amerihealth $4 - $27 93%
Amish Mennonite $4 93%
Angela Hospice $4 93%
Ascension St. Vincent Public Safety Medical $4 93%
Asrm - Reliance Standard Life Insurance $4 - $28 93%
Aultcare $4 - $27 93%
Aurora Special Needs $4 93%
Automated Benefit Services $4 - $27 93%
Auxiant $4 - $27 93%
Bccp $4 93%
Bcn Domestic $4 93%
Benefit Administrative Systems,Llc $4 - $27 93%
Blue Benefit Administrators Of Massachusetts $4 93%
Blue Care Network $4 93%
Blue Care Network Advantage $4 93%
Blue Distinction Transplant $4 93%
Blue Shield - Ca $4 93%
Blue Shield - De (Highmark) Medciare Advantage $4 93%
Blue Shield - Id (Regence) $4 93%
Blue Shield - Ny Highmark Northeastern $4 93%
Blue Shield - Ny Highmark Western $4 93%
Blue Shield - Pa (Highmark) $4 93%
Blue Shield - Wa (Regence) $4 93%
Bmc Healthnet $4 93%
Boon Chapman $4 - $27 93%
Breast Grant-Connecticut $4 93%
Broward County Dept Of Health $4 93%
California Health And Wellness $4 93%
Cam Administrative Services $4 - $27 93%
Cardinal Innovations Lme $4 93%
Care Connections Of Northern Iowa $4 93%
Care Dimensions $4 93%
Care Improvement Plus $4 93%
Care Oregon Ohp $4 93%
Care Resources Pace $4 93%
Careplus Health Plans $4 93%
Cca Senior Care Options $4 93%
Cencal Health Plan $4 93%
Cenpatico $4 93%
Central Valley Medical Services Corp Pace $4 93%
Champion Health Plan Mcr Advantage $4 93%
Champva $4 93%
Chhuny $4 93%
Childrens Comm Health Plan $4 93%
Childrens Medical Services Title 19 $4 93%
Christian Brother Services $4 - $27 93%
Christian Brothers Holy Cross $4 - $27 93%
Christian Care Ministry $4 - $28 93%
Cigna $4 - $34 93%
City Of Philadelphia $4 93%
Clear Spring Health $4 93%
Clover Health $4 93%
Cmh Allegan County $4 93%
Cmh Ausable Valley $4 93%
Cmh Barry County $4 93%
Cmh Bay-Arenac County $4 93%
Cmh Berrien County $4 93%
Cmh Cass County $4 93%
Cmh Central Mi County $4 93%
Cmh Clinton-Eaton-Ingham County $4 93%
Cmh Detroit Wayne Integrated Health Network $4 - $43 93%
Cmh Genesee County $4 93%
Cmh Ionia County $4 93%
Cmh Jackson County/Lifeways $4 93%
Cmh Kalamazoo $4 93%
Cmh Kent County $4 93%
Cmh Lenawee County $4 - $43 93%
Cmh Livingston County $4 - $43 93%
Cmh Macomb $4 93%
Cmh Misc $4 - $43 93%
Cmh Monroe County $4 - $43 93%
Cmh Montcalm County $4 93%
Cmh Muskegon County $4 93%
Cmh Newaygo County $4 93%
Cmh North Country $4 93%
Cmh Northern Lakes County $4 93%
Cmh Oakland County $4 93%
Cmh Ottawa County $4 93%
Cmh Van Buren County $4 93%
Cmh Washtenaw County $4 - $43 93%
Cmh Wayne County/Carelink $4 93%
Cmh Wayne Cty/Com Liv Svcs $4 93%
Cmh West Mi County $4 93%
Commonwealth Care Alliance $4 93%
Community Benefit Health $4 93%
Community Care Behavorial Health $4 93%
Community Care Partners $4 93%
Community Health Choice $4 93%
Community Pace At Home $4 93%
Comprehensive Benefits $4 - $27 93%
Connections Csp $4 93%
Continental Life Insurance $4 - $27 93%
County Coroner $4 93%
County Funding Generic $4 93%
Covid19 Hrsa Uninsured Testing And Treatment Fund $4 93%
Custom Benefit Administrators $4 - $27 93%
Dean Health $4 - $28 93%
Dean Wi Badgercare $4 93%
Delaware County Department Of Health $4 93%
Delaware First Health $4 93%
Delta Dental Nj $4 93%
Dph Tb Program $4 93%
Dscc $4 93%
Eastpointe Lme $4 93%
Eddy Senior Care-Pace $4 93%
Eddy Seniorcare Pace $4 93%
Elementcare $4 93%
Employee Benefit Concepts $4 - $27 93%
Employee Benefit Management $4 - $27 93%
Enterprise Group Planning $4 - $27 93%
Evercare $4 93%
Everence $4 93%
Fallon Health $4 - $28 93%
Family Health Network $4 93%
Family Life Insurance Company $4 - $28 93%
First Health $4 - $28 93%
Freedom First Healthcare $4 93%
Freedom Life Insurance Company $4 - $27 93%
Fresno County Ccs $4 93%
Gateway Health Plan $4 93%
Geha $4 - $28 93%
Genesys Pace Of Genesee County $4 93%
Georgia Health Advantage $4 93%
Ghc Scw $4 - $28 93%
Ghc Scw Wi Badgercare $4 93%
Gold Advantage $4 93%
Gpa Croell Redi Mix $4 93%
Group Administrators $4 - $27 93%
Group Marketing Services $4 - $27 93%
Group Pension Administrators $4 - $28 93%
Guardian $4 - $27 93%
Hap $4 - $26 93%
Harbor Health $4 93%
Health America $4 - $27 93%
Health America Advantra $4 93%
Health Choices $4 - $27 93%
Health Partners $4 - $26 93%
Health Safety Net $4 93%
Healthcare Management Admin $4 - $27 93%
Healthez $4 - $27 93%
Healthy Blue Ne $4 93%
Hennepin Health $4 93%
Highmark Health Options Dual Plan $4 93%
Hope Select Pace $4 93%
Horizon Nj Total Care $4 93%
Hospice Of Michigan $4 93%
Hudson Headwaters Pace $4 93%
Humana $4 - $27 93%
Huron Valley Pace $4 93%
Id County Ada $4 93%
Id County Canyon $4 93%
Id County Cat Fund $4 93%
Id County Other $4 93%
Id County Payette $4 93%
Idaho Dept Health And Wellfare $4 93%
Idaho Womens Health Check $4 93%
Indiana Breast Cervical Cancer $4 93%
Inland Empire Health Plan $4 93%
Innovative Integrated Health Community Plans $4 93%
Insight $4 - $27 93%
Intercare $4 - $27 93%
Intercommunity Health Ohp $4 93%
International Benefit Administrators $4 - $28 93%
Iowa Health Advantage $4 93%
Iowa Total Care $4 93%
Jai Medical System $4 93%
Jfp Benefit Management $4 - $27 93%
Johns Hopkins Advantage Md $4 93%
Jp Farley Corporation $4 - $27 93%
Kaiser Domestic $4 93%
Kern Family Health Plan $4 93%
Key Benefit Administrator $4 - $27 93%
Keystone First $4 93%
Keystone First Chip $4 93%
La Care Health Plan $4 93%
Lakeland Care Inc $4 93%
Lasso Healthcare Msa $4 93%
Liberty Union Life Assurance Co $4 - $27 93%
Life St Marys Pace $4 93%
Lifecircles Pace $4 93%
Lifetime Benefit Solutions $4 - $28 93%
Longevity Health Plan $4 93%
Lucent Health $4 - $27 93%
Luminare Health $4 - $27 93%
Magnacare $4 - $27 93%
Managed Health Services - Indiana $4 93%
Manhattan Life $4 - $28 93%
Martins Point Generations Advantage $4 93%
Maryland Breast & Cervical Program $4 93%
Maryland Healthy Smiles - Scion Dental $4 93%
Maryland Physicians Care $4 93%
Mass General Brigham Mcr Adv $4 93%
Massachusetts Behavioral Health Partnership $4 93%
Mdwise $4 93%
Medben $4 - $27 93%
Medcost $4 - $27 93%
Medi Share $4 - $28 93%
Medi-Cal $4 93%
Medi-Cal Healthnet $4 93%
Medical Mutual $4 - $27 93%
Medicare (plans) $4 93%
Medipak Advantage $4 93%
Medstar Dc Healthy Family $4 93%
Medstar Md Health Choice $4 93%
Mercy Life $4 93%
Mercyone Cedar Valley $4 93%
Meridian Complete $4 93%
Michigan Complete Health $4 93%
Mo Home State Health Plan $4 93%
Molina Centennial Care $4 93%
Multiplan $4 - $28 93%
Mutual Health Services $4 - $27 93%
Mutual Of Omaha $4 - $27 93%
Mvp $4 - $28 93%
Nascentia Health Options $4 93%
Nascentia Health Plus $4 93%
Ncas $4 - $27 93%
Nebraska Total Care $4 93%
New Centry Health Careplus $4 93%
New York Cancer Services Program $4 93%
Nextlevel Health $4 93%
Nippon Life Ins $4 - $27 93%
Nova $4 - $27 93%
Oregon Screenwise $4 93%
Osu Prime Care Advantage $4 93%
Pace Cny $4 93%
Pace Iowa Immanuel Pathways $4 93%
Pace Of Southwest Michigan $4 93%
Pace Southeast $4 93%
Pace-Trinity Health $4 93%
Pai $4 - $28 93%
Painters Union Insurance Fund $4 - $27 93%
Pan-American Life $4 - $28 93%
Paramount Advantage $4 93%
Paramount Hmo $4 - $28 93%
Parkland Community Health Plan $4 93%
Partners Behavioral Lme $4 93%
Peach State Healthplan $4 93%
Peak Pace Solutions $4 93%
Perennial Advantage $4 93%
Phcs $4 - $28 93%
Philadelphia County Funding $4 93%
Physicians Mutual $4 - $27 93%
Plumbers Local 98 Insurance Fund $4 - $27 93%
Prairie States $4 - $27 93%
Preferred Care Partners $4 93%
Preferred One $4 - $27 93%
Presbyterian Centennial Care $4 93%
Presbyterian Senior Plan $4 93%
Prestige Health Choice $4 93%
Primary Physician Care $4 - $27 93%
Priority Health $4 - $10 93%
Priority Partners $4 93%
Professional Benefit Administrators $4 - $27 93%
Provider Partners Health Plan Of Illinois $4 93%
Provider Partners Health Plan Of Indiana $4 93%
Pruitthealth Premier $4 93%
Reliance Community Care Partners Care Resources Pace $4 93%
Robert F Sing Program $4 93%
Rx 340B Pass Along $4 93%
Rx Allwin $4 93%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $4 93%
Rx Grane Grnmedd $4 93%
Rx Medi-Cal $4 93%
Rx Meridian Rx $4 93%
Rx Retiree Rx Care $4 93%
Ryan White Florida Mssrp $4 93%
Sandhills Center Lme $4 93%
Scan Health Plan Mcr Ipa Meritage Oon $4 93%
Screening For Life $4 93%
Secure Horizons Ma Pffs $4 93%
Serenity Pace $4 93%
Siho Insurance Services $4 - $27 93%
Siouxland Pace $4 93%
Solis Health Plans $4 93%
St Joseph County Hlth Dpt $4 93%
Stephenson Cty Health $4 93%
Sunnyview-Pace Finance Dept $4 93%
Sunshine State Health Plan $4 93%
Superior Health $4 93%
Tenncare $4 93%
Texan Plus $4 93%
Texas Children'S Health Plan $4 93%
The Loomis Company $4 - $27 93%
Thome Pace $4 93%
Todays Options $4 93%
Tribute Health Plans $4 93%
Tricare $4 93%
Trillium Community Ohp $4 93%
Trinity Health Share $4 - $28 93%
Triwest Health Alliance $4 93%
Tufts Health Plan $4 - $26 93%
Tufts Health Public Plans $4 93%
Um Health Advantage $4 93%
Unicare $4 - $27 93%
Union Health Service $4 93%
UnitedHealthcare $4 - $28 93%
Us Family Health Plan $4 93%
Us Health And Life $4 - $27 93%
Valenz $4 - $27 93%
Vaya Health Lme $4 93%
Veterans Administration $4 93%
Veterans Eval Services $4 93%
Washtenaw Health Plan $4 93%
Welbe Health $4 93%
Wellmed $4 93%
Wellsense Health Plan $4 93%
Western & Southern Financial Group $4 - $27 93%
Wi Womens Wellness $4 93%
Wps $4 - $27 93%
Andrie Inc $5 117%
Asr Health Benefits $5 - $15 117%
Cca - Zing Health $5 117%
Coventry $5 - $34 117%
East Greenbush Central School District $5 117%
Genex Wc $5 117%
Healthsmart Workers Comp $5 117%
Jag Source $5 117%
Longevity Ipa Of Michigan Llc Health Plan Isnp $5 117%
Luminare Health (Detroit) $5 - $8 117%
Mclaren Health $5 117%
Meritain $5 - $6 117%
New York State Insurance Fund $5 117%
Njm Insurance Group $5 117%
Prime Health Services $5 - $34 117%
Rx Heatlhcomp $5 117%
Rx Restat $5 117%
Rx Saif Opdp Wc $5 117%
Rx Worker'S Comp $5 117%
Varipro $5 - $15 117%
Wc Ace $5 117%
Wc Acs Federal Employees $5 117%
Wc Acuity $5 117%
Wc Aegis $5 117%
Wc Aims $5 117%
Wc Alaska National Ins $5 117%
Wc Align Network $5 117%
Wc Am Trust N America $5 117%
Wc American Claims Mgmt $5 117%
Wc Benetech $5 117%
Wc Broward County $5 117%
Wc California State Comp Ins $5 117%
Wc California State Ins Fund $5 117%
Wc Capitol Area Health Consortium $5 117%
Wc Chartis $5 117%
Wc Chubb $5 117%
Wc Cirma $5 117%
Wc City Of Albany $5 117%
Wc City Of Sioux City $5 117%
Wc Claims Mgmt Inc $5 117%
Wc Cna $5 117%
Wc Comp One Admin C/O Manageability $5 117%
Wc Compone Admin $5 117%
Wc Corvel $5 117%
Wc Ct Healthcare Trust $5 117%
Wc Donegal Insurance Group $5 117%
Wc Employee Mutual $5 117%
Wc Enablecomp $5 117%
Wc Encore Health Network $5 117%
Wc Erie $5 117%
Wc Evolutions $5 117%
Wc Fed Ex $5 117%
Wc Federal Black Lung $5 117%
Wc Finley Occupational Health $5 117%
Wc First Agency/Occunet $5 117%
Wc Ford Motor $5 117%
Wc Fresno Unified Emp $5 117%
Wc General Motors $5 117%
Wc Generic $5 117%
Wc Great West Casualty $5 117%
Wc Guarantee Insurance $5 117%
Wc Hab $5 117%
Wc Hastings $5 117%
Wc Health Management $5 117%
Wc Heritage Summit $5 117%
Wc Hireright $5 117%
Wc Horizon $5 117%
Wc Icw Group $5 117%
Wc Idaho State Ins Fund $5 117%
Wc Intercare Insurance $5 117%
Wc Intermountain $5 117%
Wc Johns Eastern $5 117%
Wc Kemberton $5 117%
Wc Key Ins & Benefit Solutions $5 117%
Wc Mac Risk Management $5 117%
Wc Massachusetts $5 117%
Wc Mdia $5 117%
Wc Meadowbrook Claim $5 117%
Wc Medical Administrators $5 117%
Wc Memic $5 117%
Wc Mercy Workcare $5 117%
Wc Michigan Millers Mutual $5 117%
Wc Mra $5 117%
Wc Nationwide $5 117%
Wc Nca Comp $5 117%
Wc New York $5 117%
Wc New York Special Funds $5 117%
Wc North American Rishces $5 117%
Wc Northeast Health $5 117%
Wc Notre Dame $5 117%
Wc Novanet $5 117%
Wc O'Hara Corp $5 117%
Wc Occ Health Allen $5 117%
Wc Ohio Bureau $5 117%
Wc One Call Medical $5 117%
Wc Paradigm $5 117%
Wc Peerless $5 117%
Wc Praxis Health Network $5 117%
Wc Price Chopper $5 117%
Wc Procura Management $5 117%
Wc Qualcare $5 117%
Wc Quiktrip $5 117%
Wc Reny Company $5 117%
Wc Rev Claims $5 117%
Wc Risico $5 117%
Wc Rural Mutual $5 117%
Wc Saif Oregon $5 117%
Wc Secura $5 117%
Wc Sheakley Unicomp $5 117%
Wc Smile Lodge $5 117%
Wc Society $5 117%
Wc Srs $5 117%
Wc Taconic (Mro) $5 117%
Wc Taconic Farms $5 117%
Wc Triad Group $5 117%
Wc Troy Ny $5 117%
Wc Tyson $5 117%
Wc Unified Health Services $5 117%
Wc United Heartland $5 117%
Wc Us Dept Of Labor $5 117%
Wc Velocity $5 117%
Wc West Bend $5 117%
Wc West Bend Mutual/Argent $5 117%
Wc Winnebago Industries $5 117%
Wc Yankee Trails $5 117%
Wc York Risk $5 117%
Wc Zenith $5 117%
Molina Marketplace $6 140%
Partners Direct Health - Brio $6 140%
Three Rivers Provider Network $6 - $39 140%
Wellpath $6 - $7 140%
Carelon Behavioral Health $7 - $43 163%
Claimdoc $7 163%
Health Cost Solutions $7 163%
Kent County Jail $7 163%
Magellan Behavioral Health $7 - $43 163%
Muskegon County Jail $7 163%
U Of M Health Plan $7 - $9 163%
Vitalcore $7 163%
Bcccp-Michigan $9 - $14 210%
Employee Benefit Logistic $10 233%
Caresource $15 350%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 36475 Five Mile Road, Livonia, MI 48154
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals