CMS Price Transparency Data

Blood test, clotting time (PT/INR)

Facility: Mercy Health Saint Mary's

Billing Code: 85610 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$4
about 1.0× the $4 Medicare rate · typically $4–$10
modeled estimate · not a bill or quote
What this hospital charges insurers
$4
About the fair price
1.0× Medicare
Medicare pays $4 Fair price $4 This hospital $4 Cash price $10 Hospital's list price $12

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

One of the lower prices — 0 of 8 other MI hospitals charge more for the same procedure.

Cheapest $4 Priciest $4

Black dot = this hospital, among the 9 MI hospitals with a price for this procedure. Full list below.

A fair price for a Blood test, clotting time (PT/INR) is about $4 (about 1.0× the $4 Medicare rate). Mercy Health Saint Mary's charges insurers about $4, or about $10 in cash — about the fair price. Located in Grand Rapids, MI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 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 $4 - $40 93%
Blue Cross Blue Shieldmajor $2 - $6 47%
Aetnamajor $3 - $32 70%
Cignamajor $4 - $29 93%
Humanamajor $4 - $40 93%
Kaiser Permanentemajor $6 140%
Ambetter (Centene) $4 93%
AmeriHealth $5 - $30 117%
CareSource $4 - $26 93%
Clover Health $4 93%
Dean Health Plan $5 - $29 117%
GEHA $5 - $30 117%
Health Net $4 - $5 93%
HealthPartners $4 - $5 93%
MagnaCare $6 - $8 140%
Medical Mutual $6 - $8 140%
Meridian $4 93%
Molina $4 - $6 93%
MVP Health Care $5 - $29 117%
Oscar Health $4 - $6 93%
Paramount $4 - $29 93%
Presbyterian $4 93%
Priority Health $4 - $24 93%
Tufts Health Plan $4 - $5 93%
UniCare $5 - $30 117%
WellMed $4 93%
WellSense $4 93%
+ 429 smaller / regional plans $3 - $40
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 16 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 200 Jefferson Avenue Se, Grand Rapids, MI 49503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals