CMS Price Transparency Data

Blood test, clotting time (PT/INR)

Facility: Henry Ford Allegiance Health

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 Allegiance Health 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 205 N East Ave, Jackson, 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%
Blue Cross Blue Shield $2 - $14 47%
Hap Caresource $2 - $4 47%
Mclaren $2 47%
Meridian Health Plan Of Mi $2 - $6 47%
Molina $2 - $4 47%
Priority Health $2 - $15 47%
Bcn $4 93%
Cca Health Mi $4 93%
Cca Health Michigan $4 93%
Hap $4 - $23 93%
Health Alliance Plan Of Michigan $4 93%
Humana $4 - $24 93%
Mclaren Health $4 - $19 93%
Mclaren Health Plan Inc. $4 93%
Meridian $4 93%
Molina Mi Health Link $4 93%
Priority $4 93%
Thomas Pace $4 93%
United Behavioral Health, Inc. $4 93%
UnitedHealthcare $4 - $27 93%
Veterans Evaluation Services $4 93%
Cigna $6 - $33 140%
Cofinity $10 233%
Vitalcore Physicians Group Of Mi $18 420%
Jackson County Offiice Of The Sheriff $19 443%
Immergrun Inc $22 513%
University Of Michigan $26 606%
Frontpath $32 - $33 746%
Cofinity Group Health $33 769%
Multiplan, Inc. $33 769%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 205 N East Ave, Jackson, MI 49201
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals