CMS Price Transparency Data

Blood test, clotting time (PT/INR)

Facility: Henry Ford Health Hospital

Billing Code: 85610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85610
  • Insurance Median: $4
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PT/INR) at Henry Ford Health Hospital is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $4.29, this hospital’s rate is 0.93x the Medicare baseline. Located in 2799 W Grand Blvd, Detroit, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$4

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%)
Insurance Median: $4 (93%)
Ins. Median: $4 (93% 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 - $7 47%
Hap $2 - $12 47%
Mclaren $2 47%
Meridian Health Plan Of Mi $2 - $6 47%
Molina $2 - $6 47%
Priority Health $2 - $15 47%
Blue Cross Blue Shield $3 - $6 70%
Bcn $4 93%
Cca Health Michigan $4 93%
Hap Caresource $4 93%
Humana $4 - $16 93%
Mclaren Health $4 - $15 93%
Molina Mi Health Link $4 93%
Mount Carmel Health Plan $4 93%
Pace Of Se Mi $4 93%
UnitedHealthcare $4 - $5 93%
Wellcare $4 93%
Cigna $12 - $16 280%
Vitalcore Physicians Group Of Mi $12 280%
Ontario Ministry Of Health And Long-Term Care $14 326%
Cofinity Group Health $15 350%
Multiplan, Inc. $16 373%
University Of Michigan $19 443%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2799 W Grand Blvd, Detroit, MI 48202
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals