CMS Price Transparency Data

Blood test, clotting time (PT/INR)

Facility: Wellspan Good Samaritan Hospital

Billing Code: 85610 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$13
about 3.3× the $4 Medicare rate · typically $13–$14
modeled estimate · not a bill or quote
Medicare pays $4 Fair price $13 Cash price $15 Hospital's list price $44

How we calculate the fair BaseRate →

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 $13 303%
Blue Cross Blue Shieldmajor $7 - $62 163%
Aetnamajor $4 - $18 93%
Cignamajor $37 862%
Geisinger $26 606%
UPMC Health Plan $26 606%
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 252 South 4Th Street, Lebanon, PA 17042
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals