CMS Price Transparency Data
Blood test, clotting time (PT/INR)
Facility: Dunes Surgical Hospital
Billing Code: 85610 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$10
about 2.5× the $4 Medicare rate · typically $5–$13
modeled estimate · not a bill or quote
Medicare pays $4 Fair price $10 Cash price $7 Hospital's list price $36
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✓ Cigna AetnaHumanaKaiser 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 | $4 - $29 | 93% |
| Blue Cross Blue Shieldmajor | $5 - $20 | 117% |
| Cignamajor | $25 | 583% |
| Amerigroup | $5 | 117% |
| HealthPartners | $35 | 816% |
| Molina | $5 | 117% |
| Oscar Health | $5 | 117% |
| Sanford Health Plan | $31 | 723% |
| + 5 smaller / regional plans | $5 - $31 |
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Dunes Surgical Hospital
Compare: Blood test, clotting time (PT/INR) at other SD hospitals
- Sanford Usd Medical Center · Sioux Falls $4
- Black Hills Surgical Hospital LLC · Rapid City $4
- Sanford Medical Center Aberdeen · Aberdeen $4
- Faulkton Area Medical Center · Faulkton $5
- Monument Health Rapid City Hospital · Rapid City $7
Insurance negotiated median for the same procedure, sorted lowest first.