CMS Price Transparency Data

Blood test, clotting time (PT/INR)

Facility: Jacobi Medical Center

Billing Code: 85610 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$17
about 4.3× the $4 Medicare rate · typically $6–$56
modeled estimate · not a bill or quote
Medicare pays $4 Fair price $17 Hospital's list price $14

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $6 - $74 140%
Blue Cross Blue Shieldmajor $13 - $132 303%
Aetnamajor $3 - $10 70%
Cignamajor $10 233%
Fidelis Care $4 - $132 93%
MagnaCare $5 117%
Oscar Health $6 140%
WellCare $9 210%
+ 13 smaller / regional plans $3 - $132
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Facility Profile & Credentials

  • Address: 1400 Pelham Parkway South, Bronx, NY 10461
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals