CMS Price Transparency Data
Blood test, clotting time (PT/INR)
Facility: University Medical Center
Billing Code: 85610 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 85610
- Insurance Median: $5
- Cash Discount Price: $63
- vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PT/INR) at University Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of $4.29, this hospital’s rate is 1.17x the Medicare baseline. Located in 1800 W Charleston Blvd, Las Vegas, NV.
Cash / Self-Pay
$63
Average discount available for prompt cash payment at this facility.
Insurance Median
$5
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: $63 (1469%)
Insurance Median: $5 (117%)
Cash: $63 (1469% of Medicare)
Ins. Median: $5 (117% 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.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aig | $2 - $120 | 47% |
| Beech Street | $2 - $120 | 47% |
| Blue Cross Blue Shield | $2 - $4 | 47% |
| Boyd Group | $2 - $65 | 47% |
| Bricklayers Local 13 | $2 - $65 | 47% |
| Caesar'S Entertainment | $2 - $65 | 47% |
| California Ironwork Field Welfare | $2 | 47% |
| Cement Masons & Plasters H&W | $2 - $65 | 47% |
| Electrical Workers | $2 - $65 | 47% |
| Laborers Health And Welfare | $2 - $65 | 47% |
| Operating Engineers | $2 - $65 | 47% |
| Plumbers & Pipefitters Loc 525 | $2 - $65 | 47% |
| Sheet Metal Workers | $2 | 47% |
| So Ca Pipe Trades H&W | $2 | 47% |
| Southwest Carpenters H&W | $2 | 47% |
| Teamsters Local 14 | $2 - $65 | 47% |
| Teamsters Local 631 | $2 - $65 | 47% |
| Teamsters Local 986 | $2 - $65 | 47% |
| Ufcw Local 711 Retail Clerks | $2 - $65 | 47% |
| Ambetter / Centene | $3 - $7 | 70% |
| American Postal Workers Health Plan | $3 | 70% |
| Cigna | $3 - $7 | 70% |
| Cirque De Soleil | $3 - $7 | 70% |
| City Of North Las Vegas | $3 - $65 | 70% |
| Great West Healthcare | $3 - $7 | 70% |
| Kaiser | $3 - $7 | 70% |
| Las Vegas Sand Corps | $3 - $6 | 70% |
| Molina | $3 - $8 | 70% |
| National Security Technologies | $3 - $7 | 70% |
| Sierra Health And Life | $3 - $124 | 70% |
| Surest | $3 | 70% |
| UnitedHealthcare | $3 - $5 | 70% |
| Advantra Freedom | $4 | 93% |
| Aetna | $4 - $108 | 93% |
| Alignment Health | $4 | 93% |
| Allwell | $4 | 93% |
| Arroweye Solutions | $4 - $124 | 93% |
| City Of Henderson | $4 - $65 | 93% |
| Clark County Epo | $4 - $65 | 93% |
| Clark County Self Funded | $4 - $65 | 93% |
| Dignity Health | $4 - $124 | 93% |
| Golden Entertainment | $4 - $124 | 93% |
| Golden Nugget Hotel & Casino | $4 - $124 | 93% |
| Healthcare Partners Of Nevada | $4 | 93% |
| Las Vegas Metro Police Dept | $4 - $65 | 93% |
| Marshall Retail Group | $4 - $124 | 93% |
| Mgm Grand | $4 - $65 | 93% |
| Mirage Las Vegas | $4 - $65 | 93% |
| P3 Health Partners | $4 - $124 | 93% |
| P3 Health Partners Nevada | $4 | 93% |
| Pli Las Vegas | $4 - $124 | 93% |
| Rebel Oil Company | $4 - $124 | 93% |
| Resorts World Las Vegas | $4 - $65 | 93% |
| Scan | $4 | 93% |
| Selecthealth | $4 - $6 | 93% |
| State Of Nevada | $4 - $124 | 93% |
| Stations Casinos | $4 - $124 | 93% |
| Teacher'S Health Trust | $4 - $124 | 93% |
| Truline Corporation | $4 - $124 | 93% |
| Va Pc3 (Va Choice) | $4 | 93% |
| Venetian/Palazzo | $4 - $124 | 93% |
| Wynn Resorts | $4 - $65 | 93% |
| Clark County Firefighters 1908 | $5 - $65 | 117% |
| Coventry | $5 - $6 | 117% |
| Culinary Workers Hwf | $5 - $65 | 117% |
| Employee Painters Trust | $5 - $65 | 117% |
| First Health | $5 - $7 | 117% |
| Geha | $5 - $6 | 117% |
| Health Net | $5 - $203 | 117% |
| Mail Handlers Benefit Plan | $5 - $6 | 117% |
| Nevada Energy | $5 - $6 | 117% |
| Three Rivers Provider Network | $5 - $7 | 117% |
| Hometown Health Plan Nevada | $6 | 140% |
| Jw Marriott | $6 - $8 | 140% |
| Nevada Preferred Professionals | $6 - $9 | 140% |
| One Health Plan | $6 - $76 | 140% |
| Prominence Health Plan | $6 - $9 | 140% |
| Universal Health Network (Uhn) | $6 - $9 | 140% |
| Health Direct Partners | $7 | 163% |
| Las Vegas Firefighters 1285 | $65 | 1515% |
| Nevada Hand | $65 | 1515% |
| Switch | $65 | 1515% |
| Laughlin Coalition | $66 - $93 | 1538% |
| Clark County Detention Center | $72 | 1678% |
| Hometown Health Plan Of Nevada | $76 | 1772% |
| Zuffa | $101 - $143 | 2354% |