CMS Price Transparency Data

Blood test, clotting time (PT/INR)

Facility: Mount Carmel St Ann's

Billing Code: 85610 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$7
about 1.8× the $4 Medicare rate · typically $4–$15
modeled estimate · not a bill or quote
What this hospital charges insurers
$4
Below the fair price — a good deal
about $3 under the fair price · 1.0× Medicare
Medicare pays $4 Fair price $7 This hospital $4 Cash price $20 Hospital's list price $29

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

One of the lower prices — 0 of 8 other OH hospitals charge more for the same procedure.

Cheapest $4 Priciest $4

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Blood test, clotting time (PT/INR) is about $7 (about 1.8× the $4 Medicare rate). Mount Carmel St Ann's charges insurers about $4, or about $20 in cash — below the fair price — a good deal. Located in Westerville, OH.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 - $69 93%
Blue Cross Blue Shieldmajor $4 - $48 93%
Aetnamajor $4 - $48 93%
Cignamajor $9 - $17 210%
Humanamajor $4 - $48 93%
Kaiser Permanentemajor $9 210%
Ambetter (Centene) $9 210%
AmeriHealth $9 - $22 210%
AvMed $9 210%
Bright Health $9 210%
CareSource $9 - $35 210%
Clover Health $9 210%
Dean Health Plan $9 210%
Fidelis Care $9 210%
Friday Health $9 210%
GEHA $9 - $69 210%
Geisinger $9 210%
Harvard Pilgrim $9 210%
Health Net $9 210%
HealthLink $9 - $36 210%
HealthPartners $9 - $17 210%
Independent Health $9 210%
MagnaCare $9 - $22 210%
Medica $9 210%
Medical Mutual $8 - $38 186%
Meridian $9 210%
Moda Health $9 210%
Molina $9 210%
MVP Health Care $9 - $17 210%
Oscar Health $4 - $9 93%
PacificSource $9 210%
Paramount $9 - $25 210%
Presbyterian $9 210%
Priority Health $9 - $17 210%
Providence Health Plan $9 210%
Sanford Health Plan $9 210%
Security Health Plan $9 210%
SelectHealth $9 210%
Sentara $9 - $48 210%
Tufts Health Plan $9 210%
UCare $9 210%
UniCare $9 - $22 210%
UPMC Health Plan $9 210%
WellCare $9 210%
WellMed $9 210%
WellSense $9 210%
+ 1049 smaller / regional plans $4 - $632
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 42 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 500 South Cleveland Avenue, Westerville, OH 43081
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals