CMS Price Transparency Data

Blood test, clotting time (PT/INR)

Facility: MUSC Health Columbia Medical Center Downtown

Billing Code: 85610 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$9
about 2.3× the $4 Medicare rate · typically $5–$16
modeled estimate · not a bill or quote
Medicare pays $4 Fair price $9 Cash price $39 Hospital's list price $79

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.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $2 47%
Blue Cross Blue Shieldmajor $4 - $59 93%
Aetnamajor $4 - $20 93%
Clover Health $4 93%
Molina $5 117%
+ 1 smaller / regional plan $5

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 2435 Forest Drive, Columbia, SC 29204
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals