CMS Price Transparency Data
Blood test, clotting time (PT/INR)
Facility: Metropolitan Hospital Center
Billing Code: 85610 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$16
about 4.0× the $4 Medicare rate · typically $6–$42
modeled estimate · not a bill or quote
Medicare pays $4 Fair price $16 Hospital's list price $15
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 - $40 | 140% |
| Blue Cross Blue Shieldmajor | $13 - $71 | 303% |
| Aetnamajor | $3 - $12 | 70% |
| Cignamajor | $10 | 233% |
| Fidelis Care | $4 - $71 | 93% |
| MagnaCare | $5 | 117% |
| Oscar Health | $6 | 140% |
| WellCare | $8 - $10 | 186% |
| + 13 smaller / regional plans | $3 - $71 |
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
Other Procedures at Metropolitan Hospital Center
Compare: Blood test, clotting time (PT/INR) at other NY hospitals
- Long Island Community Hospital · Patchogue $3
- Elizabethtown Community Hospital · Elizabethtown $3
- Albany Medical Center Hospital · Albany $4
- Jamaica Hospital Medical Center · Jamaica $4
- New York Community Hospital of Brooklyn, Inc. · Brooklyn $4
- Nassau University Medical Center · East Meadow $4
- Geneva General Hospital · Geneva $4
- United Memorial Medical Center · Batavia $4
Insurance negotiated median for the same procedure, sorted lowest first.