CMS Price Transparency Data

Blood test, clotting time (PT/INR)

Facility: Curry General Hospital

Billing Code: 85610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85610
Insurance Median: $84
Cash Discount Price: $88
vs. Medicare Baseline: 19.58x Medicare

The contracted insurance negotiated median rate for a Blood test, clotting time (PT/INR) at Curry General Hospital is $84. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $88. Compared to the federal Medicare reimbursement reference rate of $4.29, this hospital’s rate is 19.58x the Medicare baseline. Located in 94220 Fourth Street, Gold Beach, OR.

Cash / Self-Pay

$88

Average discount available for prompt cash payment at this facility.

Insurance Median

$84

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$4.29

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $4.29 (100%)

Cash / Self-Pay: $88 (2051%)

Insurance Median: $84 (1958%)

Cash: $88 (2051% of Medicare)

Ins. Median: $84 (1958% of 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1958% of the Medicare baseline (a markup of 1858%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Medicaid / KanCare	$3 - $55	70%
Partnership Health Plan Of Calif Mdcd Hmo [2008]	$4	93%
Blue Cross Blue Shield	$5 - $88	117%
Tricare	$27	629%
Covid19 Hrsa Uninsured Testing And Treatment Fund [2271]	$38	886%
Medicare (plans)	$38 - $57	886%
Department Of Corrections [1051]	$57	1329%
Coordinated Care Commercial [1649]	$75	1748%
Pacificsource [1148]	$75	1748%
Moda [512]	$76 - $79	1772%
Multiplan [1131]	$80	1865%
Asuris [1258]	$84	1958%
First Choice Health Admin [1294]	$84	1958%
First Choice [528]	$84	1958%
Operating Engineers [1144]	$84	1958%
Regence [1351]	$84 - $88	1958%
Cigna	$86 - $88	2005%
Coventry First Health Managed Care [1774]	$86	2005%
Coventry Health [1046]	$86	2005%
Providence Health Plan Plm Alt [1692]	$86	2005%
Providence Health Plan [567]	$86	2005%
Aetna	$88	2051%
Employee Bene Admin Mgmt [525]	$88	2051%
Geha [531]	$88	2051%
Mailhandlers Benefit Pln [547]	$88	2051%
Meritain [550]	$88	2051%
Nw Sheet Metal Workers [597]	$88	2051%
Trustmark [524]	$88	2051%
UnitedHealthcare	$88	2051%
Zenith Administrators [586]	$88	2051%
Allcare Alt [2598]	$300	6993%
Allcare [1695]	$300	6993%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $88.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 85610.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Curry General Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 85610.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.