CMS Price Transparency Data
Blood test, clotting time (PT/INR)
Facility: Wellspan Waynesboro Hospital
Billing Code: 85610 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$17
about 4.3× the $4 Medicare rate · typically $17–$18
modeled estimate · not a bill or quote
Medicare pays $4 Fair price $17 Cash price $15 Hospital's list price $71
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 - $37 | 163% |
| Aetnamajor | $4 - $52 | 93% |
| Cignamajor | $52 - $63 | 1212% |
| Geisinger | $53 | 1235% |
| UPMC Health Plan | $43 | 1002% |
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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Other Procedures at Wellspan Waynesboro Hospital
Compare: Blood test, clotting time (PT/INR) at other PA hospitals
- Geisinger-Bloomsburg Hospital · Bloomsburg $4
- Saint Vincent Hospital · Erie $4
- Allegheny Valley Hospital · Natrona $4
- Uniontown Hospital · Uniontown $4
- Washington Hospital, The · Washington $4
- UPMC Williamsport · Williamsport $4
- Allegheny General Hospital · Pittsburgh $4
- West Penn Hospital · Pittsburgh $4
Insurance negotiated median for the same procedure, sorted lowest first.