CMS Price Transparency Data

Blood test, clotting time (PT/INR)

Facility: Mercy Health Lakeshore Campus

Billing Code: 85610 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$5
about 1.3× the $4 Medicare rate · typically $4–$13
modeled estimate · not a bill or quote
What this hospital charges insurers
$4
Below the fair price — a good deal
about $1 under the fair price · 1.0× Medicare
Medicare pays $4 Fair price $5 This hospital $4 Cash price $9 Hospital's list price $10

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 $5 (about 1.3× the $4 Medicare rate). Mercy Health Lakeshore Campus charges insurers about $4, or about $9 in cash — below the fair price — a good deal. Located in Shelby, 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 - $36 93%
Blue Cross Blue Shieldmajor $3 - $34 70%
Aetnamajor $4 - $32 93%
Cignamajor $4 - $35 93%
Humanamajor $4 - $36 93%
Kaiser Permanentemajor $6 - $34 140%
Ambetter (Centene) $4 93%
AmeriHealth $5 - $36 117%
Dean Health Plan $6 - $34 140%
GEHA $5 - $36 117%
Health Net $4 - $5 93%
HealthPartners $4 - $5 93%
MagnaCare $5 - $6 117%
Medical Mutual $5 - $36 117%
Meridian $4 93%
Molina $3 - $17 70%
MVP Health Care $6 - $34 140%
Oscar Health $2 - $12 47%
Paramount $4 - $34 93%
Presbyterian $4 93%
Priority Health $5 - $36 117%
Tufts Health Plan $4 - $5 93%
UniCare $5 - $36 117%
WellSense $4 93%
+ 355 smaller / regional plans $4 - $36
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: 72 South State Street, Shelby, MI 49455
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals