CMS Price Transparency Data
Blood test, clotting time (PT/INR)
Facility: Southwest Health Center
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–$25
modeled estimate · not a bill or quote
Medicare pays $4 Fair price $13 Cash price $44 Hospital's list price $58
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser 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 | $17 - $63 | 396% |
| Blue Cross Blue Shieldmajor | $16 - $77 | 373% |
| Cignamajor | $41 - $58 | 956% |
| Humanamajor | $50 - $69 | 1166% |
| Dean Health Plan | $25 | 583% |
| Quartz | $34 - $60 | 793% |
| + 5 smaller / regional plans | $16 - $77 |
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Other Procedures at Southwest Health Center
Compare: Blood test, clotting time (PT/INR) at other WI hospitals
- St Josephs Community Hospital West Bend · West Bend $4
- Fort Memorial Hospital · Fort Atkinson $4
- Marshfield Medical Center - Beaver Dam (Mmc-Bd) · Beaver Dam $4
- Gundersen Lutheran Medical Center · La Crosse $4
- Unitypoint Health - Meriter · Madison $4
- Sauk Prairie Hospital · Prairie Du Sac $4
- University of Wi Hospitals & Clinics Authority · Madison $4
- Beloit Health System · Beloit $4
Insurance negotiated median for the same procedure, sorted lowest first.