Blood test, clotting time (PT/INR)
Facility: Neshoba County General Hospital
Billing Code: 85610 (CPT)
- CPT Billing Code: 85610
- Insurance Median: $9
- Cash Discount Price: $18
- vs. Medicare Baseline: 2.10x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 210% of the Medicare baseline (a markup of 110%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Humana | $4 | 93% |
| Magnolia Mcaid | $4 | 93% |
| Magnolia Mcr Adv-All Other Plans | $4 | 93% |
| Molina Comm-All Other Plans | $4 | 93% |
| Molina Mcaid | $4 | 93% |
| Molina Mcr Adv | $4 | 93% |
| Mpcn Mcaid | $4 | 93% |
| Tricare | $4 | 93% |
| UnitedHealthcare | $4 - $14 | 93% |
| Wellcare Mcr Adv-All Plans | $4 | 93% |
| Aetna | $5 - $14 | 117% |
| First Choice Comm Ip/Op Only - All Plans | $5 | 117% |
| Cigna | $6 - $18 | 140% |
| Affordable Health Care-All Plans | $8 - $23 | 186% |
| Ahs Ip/Op Only-All Plans | $8 - $20 | 186% |
| Blue Cross Blue Shield | $8 - $22 | 186% |
| Health Choice Ip/Op Only-All Plans | $8 - $23 | 186% |
| Health Link Ip/Op Only-All Plans | $8 - $23 | 186% |
| Geha-All Plans | $9 - $24 | 210% |
| Multiplan-All Plans | $9 - $24 | 210% |
| Mpcn Ip/Op Only-All Other Plans | $12 - $34 | 280% |