CMS Price Transparency Data
Blood test, clotting time (PT/INR)
Facility: University Hospitals Avon Rehabilitation Hospital
Billing Code: 85610 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$12
about 3.0× the $4 Medicare rate · typically $4–$27
modeled estimate · not a bill or quote
Medicare pays $4 Fair price $12 Cash price $53 Hospital's list price $53
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 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 | $14 - $81 | 326% |
| Blue Cross Blue Shieldmajor | $8 - $81 | 186% |
| Aetnamajor | $14 - $81 | 326% |
| Cignamajor | $14 - $81 | 326% |
| Humanamajor | $14 - $81 | 326% |
| Ambetter (Centene) | $14 - $81 | 326% |
| AmeriHealth | $14 - $81 | 326% |
| CareSource | $14 - $81 | 326% |
| Devoted Health | $14 - $81 | 326% |
| Medical Mutual | $14 - $81 | 326% |
| Molina | $14 - $81 | 326% |
| Paramount | $10 - $81 | 233% |
| WellCare | $14 - $81 | 326% |
| + 13 smaller / regional plans | $5 - $81 |
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at University Hospitals Avon Rehabilitation Hospital
Compare: Blood test, clotting time (PT/INR) at other OH hospitals
- University Hospitals Samaritan Medical Center · Ashland $4
- Southern Ohio Medical Center · Portsmouth $4
- Union Hospital · Dover $4
- Marion General Hospital · Marion $4
- Mount Carmel St Ann's · Westerville $4
- Wilson Memorial Hospital · Sidney $4
- Ohiohealth O'Bleness Hospital · Athens $4
- Wood County Hospital · Bowling Green $4
Insurance negotiated median for the same procedure, sorted lowest first.