CMS Price Transparency Data
Blood test, clotting time (PT/INR)
Facility: Stephens Memorial Hospital
Billing Code: 85610 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$13
about 3.3× the $4 Medicare rate · typically $4–$33
modeled estimate · not a bill or quote
Medicare pays $4 Fair price $13 Cash price $53 Hospital's list price $76
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 - $35 | 93% |
| Blue Cross Blue Shieldmajor | $12 - $64 | 280% |
| Aetnamajor | $6 - $29 | 140% |
| Cignamajor | $54 | 1259% |
| Humanamajor | $4 | 93% |
| + 1 smaller / regional plan | $18 |
Government programs also on file: Medicaid.
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Other Procedures at Stephens Memorial Hospital
Compare: Blood test, clotting time (PT/INR) at other TX hospitals
- Hunt Regional Medical Center · Greenville $3
- PAM Specialty Hospital of San Antonio Medical Center · San Antonio $3
- PAM Specialty Hospital of Texarkana North · Texarkana $3
- Peterson Regional Medical Center · Kerrville $4
- Parkland Health & Hospital System · Dallas $4
- University Medical Center of El Paso · El Paso $4
- University of Texas M. D. Anderson Cancer Center · Houston $4
- North Texas Medical Center · Gainesville $4
Insurance negotiated median for the same procedure, sorted lowest first.