CMS Price Transparency Data

Blood test, clotting time (PT/INR)

Facility: Baptist Medical Center Attala

Billing Code: 85610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85610
  • Insurance Median: $36
  • Cash Discount Price: $25
  • vs. Medicare Baseline: 8.39x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PT/INR) at Baptist Medical Center Attala is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $4.29, this hospital’s rate is 8.39x the Medicare baseline. Located in 220 Hwy 12 West, Kosciusko, MS.
Cash / Self-Pay
$25

Average discount available for prompt cash payment at this facility.

Insurance Median
$36

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: $25 (583%)
Insurance Median: $36 (839%)
Cash: $25 (583% of Medicare)
Ins. Median: $36 (839% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 839% of the Medicare baseline (a markup of 739%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Magnolia Ms $4 - $21 93%
Molina $4 - $37 93%
Veterans Evaluation Services $4 93%
UnitedHealthcare $5 117%
Coventry $6 140%
Advanced Health Systems Inc. $8 186%
Blue Cross Blue Shield $8 - $21 186%
Tricare $19 443%
Devoted Health $20 466%
Ms Breast And Cervical $20 466%
Triwest $20 466%
Vaccn $20 466%
Aetna $21 - $50 490%
American Health Plan $21 490%
Cigna $21 490%
Humana $21 - $51 490%
Primewell $21 490%
Shared Health $21 490%
Wellcare $21 490%
Ppo Holdings $22 513%
Magnolia Regional Health Center $23 536%
Littler $28 653%
Burch Food Services $34 793%
First State Bank Trust $34 793%
Armstrong Relocation $36 839%
Ashley Furniture Stores $36 839%
Brimhall Foods $36 839%
Building Plastic $36 839%
Cannon Motor Company $36 839%
Carlisle $36 839%
Crittenden County $36 839%
Davidson Hospitality $36 839%
Delta Industries $36 839%
Desoto Co Board Of Supervisors $36 839%
Dunn Investment Company $36 839%
First Choice Health Plan Of Ms $36 839%
First Community Bank $36 839%
French Camp Academy $36 839%
Gossett Motor Cars $36 839%
Hattiesburg Clinic $36 839%
Heartland Catfish Company $36 839%
Heavy Machines $36 839%
Hospitality Management Advisors $36 839%
Jas D Collier $36 839%
Malco Theaters $36 839%
Mechanical Systems $36 839%
Mid-South Transport $36 839%
Minact $36 839%
Patterson Warehouses $36 839%
Radians $36 839%
Rei Nation $36 839%
Retzer Resources $36 839%
Ritchey Automotive $36 839%
Security One $36 839%
Silver Tree $36 839%
State Systems $36 839%
United Tn Holdings $36 839%
Vaughn Electric $36 839%
W G Yates $36 839%
W W Wood Products $36 839%
Watkins Uiberall $36 839%
Y K Auto Group $36 839%
Employers Health Network $40 932%
Harding Academy $40 932%
Multiplan $40 932%
Ppo Plus $40 932%
Ms Dept Of Rehab Services $57 1329%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 220 Hwy 12 West, Kosciusko, MS 39090
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals