CMS Price Transparency Data

Blood test, clotting time (PT/INR)

Facility: Merit Health Natchez

Billing Code: 85610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85610
  • Insurance Median: $4
  • Cash Discount Price: $164
  • vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PT/INR) at Merit Health Natchez is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $164. Compared to the federal Medicare reimbursement reference rate of $4.29, this hospital’s rate is 0.93x the Medicare baseline. Located in 52 Sergeant Prentiss Drive, Natchez, MS.
Cash / Self-Pay
$164

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%)
Cash / Self-Pay: $164 (3823%)
Insurance Median: $4 (93%)
Cash: $164 (3823% of Medicare)
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 $4 - $309 93%
Caresource Truecare $4 93%
First Choice $4 - $383 93%
Humana $4 93%
Medicaid / KanCare $4 93%
Medicare (plans) $4 93%
Molina Chip $4 93%
Node Champva $4 93%
Node Devoted Health Mcr Adv $4 93%
Node Dignity Care Mcr Adv $4 93%
Node First Choice American Health Of Ms Mcr Adv $4 93%
Node First Choice Ice $4 93%
Node First Choice Wellcare Mcr Adv $4 93%
Node Hospice Non Par Agree $4 93%
Node Magnolia Mcr Adv $4 93%
Node Molina $4 93%
Node Peoples Health Mcr Adv $4 93%
Node Va $4 93%
Node Vantage Mcr Adv $4 93%
Tricare $4 93%
UnitedHealthcare $4 - $59 93%
Veterans Eval Services $4 93%
Node Healthy Mississippi Mcr Adv $5 117%
Node Us Dept Of Labor $5 117%
Cigna $6 140%
Prime Health Wc $7 163%
Work Comp $7 163%
Advanced Health Systems $8 186%
Blue Cross Blue Shield $8 186%
Magnolia Exchange $8 186%
Molina Exchange $8 186%
Vantage Commercial $10 233%
Vantage Ppaca Tiered $10 233%
Medpartners $27 629%
Self Pay $98 - $230 2284%
Trimed Billing Solutions $164 3823%
Prime Health Services $438 10210%
Ms Dept Of Rehabilitation Services $547 12751%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 52 Sergeant Prentiss Drive, Natchez, MS 39120
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals