Blood test, clotting time (PT/INR)
Facility: Methodist Dallas Medical Center
Billing Code: 85610 (CPT)
- CPT Billing Code: 85610
- Insurance Median: $7
- Cash Discount Price: $32
- vs. Medicare Baseline: 1.63x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $4.29 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| UnitedHealthcare | $3 - $5 | 70% |
| Aetna | $4 - $164 | 93% |
| American Health Advantage Of Texas [7099] | $4 | 93% |
| Blue Cross Blue Shield | $4 - $14 | 93% |
| Cigna | $4 - $8 | 93% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund [6005] | $4 | 93% |
| Globalhealth [1003] | $4 | 93% |
| Medicaid / KanCare | $4 - $15 | 93% |
| Medicare (plans) | $4 - $5 | 93% |
| Procare Advantage [7018] | $4 | 93% |
| Ust Health Proof [1005] | $4 | 93% |
| Wellcare [7016] | $4 | 93% |
| Alternative Service Concepts [8005] | $5 | 117% |
| Coralvita [9216] | $5 | 117% |
| Humana | $5 | 117% |
| Provider Partners Health Plan [7025] | $5 | 117% |
| Southwestern Health Resources Swhr [7015] | $5 | 117% |
| Bright Healthcare [2222] | $6 | 140% |
| Molina [3017] | $6 | 140% |
| Oscar Insurance Company [2057] | $6 | 140% |
| 90 Degree Benefit [3057] | $7 | 163% |
| Allied National [2031] | $7 | 163% |
| Ambetter / Centene | $7 | 163% |
| Entrust/90 Degree [2058] | $7 | 163% |
| Friday Health Plan [2061] | $7 | 163% |
| Kempton Group Administrators, Tower Extrusions [3061] | $7 | 163% |
| Wellpoint Marketplace Exchange [3071] | $7 | 163% |
| Imperial Insurance Companies [3073] | $8 | 186% |
| Web Tpa [3049] | $8 - $19 | 186% |
| Department Of Labor [8004] | $9 | 210% |
| Evry Health [1013] | $9 | 210% |
| Generic Workers Comp Tx Non Par [9010] | $9 | 210% |
| Generic Workers Comp Tx Par [8002] | $9 | 210% |
| Generic Workers Comp Tx Par [9011] | $9 | 210% |
| Sana Benefits [3069] | $9 | 210% |
| Velocity [3070] | $9 | 210% |
| Health Plans Inc [5017] | $11 | 256% |
| Medical Cost Containment Professionals [3059] | $11 | 256% |
| Dart Member Care [3039] | $12 | 280% |
| Healthscope Benefits [2052] | $12 | 280% |
| Healthscope Benefits [3063] | $12 | 280% |
| Scott & White Health Plan Trs [3062] | $17 | 396% |