CMS Price Transparency Data
Blood test, clotting time (PT/INR)
Facility: CHI St Alexius Health
Billing Code: 85610 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$10
about 2.5× the $4 Medicare rate · typically $5–$13
modeled estimate · not a bill or quote
Medicare pays $4 Fair price $10 Cash price $31 Hospital's list price $61
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 - $8 | 93% |
| Blue Cross Blue Shieldmajor | $4 | 93% |
| Humanamajor | $4 | 93% |
| HealthPartners | $46 | 1072% |
| Medica | $4 - $45 | 93% |
| Sanford Health Plan | $12 | 280% |
| + 1 smaller / regional plan | $4 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at CHI St Alexius Health
Compare: Blood test, clotting time (PT/INR) at other ND hospitals
- Trinity Hospitals · Minot $4
- Sanford Medical Center Fargo · Fargo $4
- Sanford Medical Center Bismarck · Bismarck $4
- Altru Hospital · Grand Forks $4
- Essentia Health · Fargo $4
- PAM Rehabilitation Hospital of Fargo · Fargo $4
- McKenzie County Healthcare Systems Inc · Watford City $9
Insurance negotiated median for the same procedure, sorted lowest first.