CMS Price Transparency Data

Blood test, clotting time (PT/INR)

Facility: Corpus Christi Medical Center,The

Billing Code: 85610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85610
  • Insurance Median: $5
  • Cash Discount Price: $718
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PT/INR) at Corpus Christi Medical Center,The is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $718. Compared to the federal Medicare reimbursement reference rate of $4.29, this hospital’s rate is 1.17x the Medicare baseline. Located in 3315 S Alameda St, Corpus Christi, TX.
Cash / Self-Pay
$718

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$4.29

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $4.29 (100%)
Cash / Self-Pay: $718 (16737%)
Insurance Median: $5 (117%)
Cash: $718 (16737% of Medicare)
Ins. Median: $5 (117% of 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.

Input your details and click calculate to compare out-of-pocket costs.

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 - $291 93%
American Health Plan $4 93%
Amerigroup $4 93%
Blue Cross Blue Shield $4 - $277 93%
Christus Mcd $4 93%
Cigna $4 - $574 93%
Driscoll Children'S Health Plan $4 93%
Humana $4 - $20 93%
Humanna $4 93%
Independent Medical System $4 93%
Molina Healthcare $4 93%
Physicians Health Choice $4 93%
Shared Health $4 93%
Superior Health Plan $4 - $43 93%
Texas Health Network $4 93%
Triwest Healthcare Alliance $4 93%
United $4 - $323 93%
Wellmed $4 93%
Molina $5 117%
Provider Partners Health Plan Of Texas $5 117%
Pyramid Life $5 117%
Triwest Health Alliance $5 117%
Superior $7 163%
Corvel Corporation $8 186%
Omni Healthcare $9 210%
Healthcare Highways $138 3217%
Texas Workforce Commission $172 4009%
Averde Health $237 5524%
Healthsmart Preferred Care $309 - $610 7203%
Fidelis Securecare Of Tx $323 7529%
Physicians Cooperative Of Texas $395 9207%
Multiplan Phcs $431 10047%
National Healthcare Solutions $431 10047%
Olympus Managed Healthcare $431 10047%
Southwest Medical $431 10047%
Usc Health Services $431 10047%
First Health $443 10326%
Coastal Comp $466 10862%
Newton Ppo $502 11702%
Texas True Choice $538 12541%
Beech Street $574 13380%
Usa Managed Care $574 13380%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3315 S Alameda St, Corpus Christi, TX 78411
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals