CMS Price Transparency Data
Blood test, clotting time (PT/INR)
Facility: Schuyler Hospital
Billing Code: 85610 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$10
about 2.5× the $4 Medicare rate · typically $4–$24
modeled estimate · not a bill or quote
Medicare pays $4 Fair price $10 Cash price $8 Hospital's list price $41
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 - $29 | 140% |
| Blue Cross Blue Shieldmajor | $20 - $37 | 466% |
| Aetnamajor | $10 | 233% |
| Cignamajor | $20 - $25 | 466% |
| Fidelis Care | $17 - $37 | 396% |
| Independent Health | $39 | 909% |
| WellCare | $20 | 466% |
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Other Procedures at Schuyler Hospital
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.