CMS Price Transparency Data
Blood test, clotting time (PT/INR)
Facility: Great Plains Health
Billing Code: 85610 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$26
about 6.5× the $4 Medicare rate · typically $11–$64
modeled estimate · not a bill or quote
Medicare pays $4 Fair price $26 Cash price $43 Hospital's list price $72
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✓ Aetna CignaHumanaKaiser 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 | $68 | 1585% |
| Blue Cross Blue Shieldmajor | $64 | 1492% |
| Aetnamajor | $68 | 1585% |
| Ambetter (Centene) | $66 | 1538% |
| GEHA | $68 | 1585% |
| Medica | $66 | 1538% |
| Oscar Health | $67 | 1562% |
| + 2 smaller / regional plans | $61 - $68 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Great Plains Health
Compare: Blood test, clotting time (PT/INR) at other NE hospitals
- Lincoln Surgical Hospital · Lincoln $3
- Memorial Community Hospital & Health System · Blair $3
- The Nebraska Medical Center · Omaha $4
- Mary Lanning Healthcare · Hastings $4
- Faith Regional Health Services · Norfolk $4
- Fillmore County Hospital · Geneva $4
- Valley County Health System · Ord $4
- Children's Nebraska · Omaha $4
Insurance negotiated median for the same procedure, sorted lowest first.