Blood test, clotting time (PT/INR)
Facility: Christ Hospital
Billing Code: 85610 (CPT)
- CPT Billing Code: 85610
- Insurance Median: $4
- Cash Discount Price: $19
- vs. Medicare Baseline: 0.93x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Humana | $2 - $67 | 47% |
| Aetna | $4 - $67 | 93% |
| Allied Benefits [2163] | $4 - $7 | 93% |
| Ambetter / Centene | $4 - $5 | 93% |
| Amerihealth Caritas [2230] | $4 - $67 | 93% |
| Blue Cross Blue Shield | $4 - $67 | 93% |
| Buckeye Mycare Dual [2171] | $4 | 93% |
| Caresource [2031] | $4 - $67 | 93% |
| Cigna | $4 - $67 | 93% |
| Custom Design Benefits - True Cost [3004] | $4 - $9 | 93% |
| Devoted Health Plans Oon [2250] | $4 | 93% |
| Geha [2168] | $4 | 93% |
| Golden Rule [2161] | $4 | 93% |
| Kentucky Passport/Molina [2097] | $4 | 93% |
| Medben [2222] | $4 | 93% |
| Medicaid / KanCare | $4 - $67 | 93% |
| Medical Mutual [2054] | $4 - $7 | 93% |
| Medicare (plans) | $4 | 93% |
| Medigold Ppo [2204] | $4 | 93% |
| Meridian [2185] | $4 | 93% |
| Other Workers Compensation [9999] | $4 | 93% |
| Other [9990] | $4 | 93% |
| Perennial [4200] | $4 | 93% |
| Tricare | $4 | 93% |
| United Medical Resources [2104] | $4 | 93% |
| UnitedHealthcare | $4 - $67 | 93% |
| Wellcare Of Kentucky [2191] | $4 | 93% |
| Western And Southern [2076] | $4 - $7 | 93% |
| Other Exchange Plan [9992] | $5 - $67 | 117% |
| First Health [2041] | $7 | 163% |
| Meritain Health [2224] | $7 | 163% |
| Poppins Health [2299] | $11 | 256% |
| Ohio Health Choice [2062] | $15 - $32 | 350% |
| Nalc [2178] | $16 - $36 | 373% |
| Priority Health [2225] | $16 - $36 | 373% |
| Life Synch [2080] | $19 - $40 | 443% |
| Multiplan/Phcs [2059] | $23 - $49 | 536% |
| Bccp [3079] | $31 - $67 | 723% |
| Healthcare Highways [2298] | $31 - $67 | 723% |
| Sagamore Health Network [2066] | $31 - $67 | 723% |
| Suburban Health [2408] | $31 - $67 | 723% |
| Buckeye Community Health [2028] | $67 | 1562% |