Blood test, clotting time (PT/INR)
Facility: Rio Grande Regional Hospital
Billing Code: 85610 (CPT)
- CPT Billing Code: 85610
- Insurance Median: $6
- Cash Discount Price: $872
- 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 |
|---|---|---|
| Aetna | $4 | 93% |
| Allegian Health | $4 - $349 | 93% |
| American Health Plan | $4 | 93% |
| Blue Cross Blue Shield | $4 - $392 | 93% |
| Cigna | $4 - $16 | 93% |
| Driscoll Children'S Health Plan | $4 | 93% |
| Humana | $4 - $14 | 93% |
| Independent Medical System | $4 | 93% |
| Molina Healthcare | $4 - $10 | 93% |
| Physicians Health Choice | $4 | 93% |
| Prominence Health | $4 | 93% |
| Shared Health | $4 | 93% |
| Superior Health Plan | $4 - $61 | 93% |
| Texas Health Network | $4 | 93% |
| Triwest Healthcare Alliance | $4 | 93% |
| United | $4 - $392 | 93% |
| Wellmed | $4 | 93% |
| Molina | $5 | 117% |
| Provider Partners Health Plan Of Texas | $5 | 117% |
| Triwest Health Alliance | $5 | 117% |
| Universal Health Care | $5 | 117% |
| Superior | $7 | 163% |
| Corvel Corporation | $8 | 186% |
| Focus Healthcare | $9 | 210% |
| Omni Healthcare | $9 | 210% |
| Oscar | $10 | 233% |
| Healthcare Highways | $12 | 280% |
| Texas Workforce Commission | $209 | 4872% |
| Averde Health | $288 | 6713% |
| Healthsmart Preferred Care | $375 - $741 | 8741% |
| First Health | $501 | 11678% |
| National Healthcare Solutions | $523 | 12191% |
| Southwest Medical | $523 | 12191% |
| Coastal Comp | $566 | 13193% |
| Usa Managed Care | $566 - $697 | 13193% |
| Ppo Next/ Medical Control | $654 | 15245% |
| Beech Street | $697 | 16247% |
| Multiplan | $697 | 16247% |