Blood test, clotting time (PT/INR)
Facility: The Medical Center of Southeast Texas
Billing Code: 85610 (CPT)
- CPT Billing Code: 85610
- Insurance Median: $6
- Cash Discount Price: $331
- vs. Medicare Baseline: 1.40x 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 | $2 - $5 | 47% |
| Amerigroup | $4 - $26 | 93% |
| Beacon Health | $4 | 93% |
| Blue Cross Blue Shield | $4 - $137 | 93% |
| Caresact | $4 | 93% |
| Cccn Pro Advantage | $4 | 93% |
| Cigna | $4 - $231 | 93% |
| Community Health Choice | $4 - $5 | 93% |
| Community Health Choice Uhrip | $4 | 93% |
| Employer Direct Healthcare | $4 - $5 | 93% |
| Harbor Hospice | $4 | 93% |
| Healthspring | $4 | 93% |
| Hospice | $4 | 93% |
| Humana | $4 - $10 | 93% |
| Medicaid / KanCare | $4 | 93% |
| Medicare (plans) | $4 | 93% |
| Medsolutions | $4 | 93% |
| Molina Healthcare | $4 - $6 | 93% |
| Provider Partners Health Plan | $4 | 93% |
| Rice Land Hospice | $4 | 93% |
| Selectcare | $4 | 93% |
| Superior Healthplan | $4 | 93% |
| Texas Childrens Health Plan | $4 | 93% |
| Texas Medical Management Partners | $4 - $5 | 93% |
| Tihp (Texas Independence Health Plan) | $4 | 93% |
| Triwest | $4 | 93% |
| Wellcare Of Texas | $4 | 93% |
| League Medical Concepts | $5 | 117% |
| Tricare | $5 | 117% |
| Wellpath | $5 | 117% |
| Corporate Remedies | $6 | 140% |
| Elap Services | $8 | 186% |
| Texas Workers Compensation | $9 | 210% |
| Self Pay Emergent | $50 | 1166% |
| Dept Of Assistive And Rehabilitative Services | $165 | 3846% |
| Aetna | $192 - $218 | 4476% |
| Iasis Employees | $198 | 4615% |
| Magellan Behavioral Health | $198 | 4615% |
| First Health | $231 | 5385% |
| Galaxy Health Network | $231 | 5385% |
| Private Healthcare Systems | $231 | 5385% |
| Texas Municipal League | $231 | 5385% |
| Healthsmart | $248 | 5781% |
| Multiplan | $265 | 6177% |
| Commercial Non-Contracted | $331 | 7716% |
| Heart To Heart Hospice | $331 | 7716% |
| Lifesynch | $331 | 7716% |
| Mhnet | $331 | 7716% |
| Self Pay - Mcd Pending 100 Percent | $331 | 7716% |
| Single Case Agreement | $331 | 7716% |
| United Behavioral Health | $331 | 7716% |