CMS Price Transparency Data
Blood test, clotting time (PT/INR)
Facility: St Marys Rehabilitation Hospital
Billing Code: 85610 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$7
about 1.8× the $4 Medicare rate · typically $5–$27
modeled estimate · not a bill or quote
Medicare pays $4 Fair price $7 Cash price $60 Hospital's list price $60
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✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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 | $42 - $78 | 979% |
| Aetnamajor | $42 - $78 | 979% |
| Cignamajor | $42 - $78 | 979% |
| Humanamajor | $42 - $78 | 979% |
| Ambetter (Centene) | $42 - $78 | 979% |
| + 11 smaller / regional plans | $42 - $78 |
Government programs also on file: Medicare, Medicaid.
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Other Procedures at St Marys Rehabilitation 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.