CMS Price Transparency Data

Blood test, clotting time (PT/INR)

Facility: Baptist Memorial Hospital Union County

Billing Code: 85610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85610
  • Insurance Median: $8
  • Cash Discount Price: $50
  • vs. Medicare Baseline: 1.86x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PT/INR) at Baptist Memorial Hospital Union County is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $4.29, this hospital’s rate is 1.86x the Medicare baseline. Located in 200 Hwy 30 West, New Albany, MS.
Cash / Self-Pay
$50

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $50 (1166%)
Insurance Median: $8 (186%)
Cash: $50 (1166% of Medicare)
Ins. Median: $8 (186% 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 $4 - $130 93%
American Health Plan $4 93%
Blue Cross Blue Shield $4 - $8 93%
Devoted Health $4 93%
Humana $4 - $137 93%
Molina $4 - $104 93%
Ms Breast And Cervical $4 93%
Shared Health $4 93%
Triwest $4 93%
Vaccn $4 93%
Veterans Evaluation Services $4 93%
UnitedHealthcare $5 117%
Magnolia Ms $6 140%
First State Bank Trust $7 163%
Advanced Health Systems Inc. $8 186%
Arlington Community Schools $8 186%
Armstrong Relocation $8 186%
Ashley Furniture Stores $8 186%
Bartlett City Schools $8 186%
Brimhall Foods $8 186%
Building Plastic $8 186%
Burch Food Services $8 186%
Cannon Motor Company $8 186%
Carlisle $8 186%
City Of Bartlett $8 186%
City Of Lakeland $8 186%
Collierville Schools $8 186%
Crittenden County $8 186%
Davidson Hospitality $8 186%
Delta Industries $8 186%
Desoto Co Board Of Supervisors $8 186%
Dunn Investment Company $8 186%
Eas Mssc Schools $8 186%
First Choice Health Plan Of Ms $8 - $145 186%
First Community Bank $8 186%
French Camp Academy $8 186%
Gossett Motor Cars $8 186%
Hattiesburg Clinic $8 186%
Heartland Catfish Company $8 186%
Heavy Machines $8 186%
Hollowell Industries $8 186%
Hospitality Management Advisors $8 186%
Jas D Collier $8 186%
Lakeland School System $8 186%
Malco Theaters $8 186%
Mechanical Systems $8 186%
Mid-South Transport $8 186%
Minact $8 186%
Patterson Warehouses $8 186%
Radians $8 186%
Rei Nation $8 186%
Retzer Resources $8 186%
Ritchey Automotive $8 186%
Security One $8 186%
Silver Tree $8 186%
State Systems $8 186%
Town Of Collierville $8 186%
United Tn Holdings $8 186%
Vaughn Electric $8 186%
W G Yates $8 186%
W W Wood Products $8 186%
Watkins Uiberall $8 186%
Y K Auto Group $8 186%
Employers Health Network $9 210%
Harding Academy $9 210%
Mpcn $9 210%
Primewell $12 280%
Ppo Holdings $79 1841%
Magnolia Regional Health Center $83 1935%
Littler $104 2424%
Cigna $114 2657%
Multiplan $155 3613%
Novasys $155 3613%
Christian Health Aid $166 3869%
Ppo Plus $176 4103%
Qca $186 4336%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 Hwy 30 West, New Albany, MS 38652
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals