CMS Price Transparency Data
Blood test, clotting time (PT/INR)
Facility: CHI Health Lakeside
Billing Code: 85610 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$22
about 5.5× the $4 Medicare rate · typically $7–$32
modeled estimate · not a bill or quote
Medicare pays $4 Fair price $22 Cash price $55 Hospital's list price $131
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 - $22 | 93% |
| Blue Cross Blue Shieldmajor | $4 | 93% |
| Humanamajor | $4 | 93% |
| Ambetter (Centene) | $4 - $22 | 93% |
| Amerigroup | $4 | 93% |
| Medica | $4 - $71 | 93% |
| Molina | $4 | 93% |
| + 11 smaller / regional plans | $4 - $82 |
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at CHI Health Lakeside
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.