CMS Price Transparency Data
Blood test, clotting time (PT/INR)
Facility: Aurora Psychiatric Hospital
Billing Code: 85610 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$8
about 2.0× the $4 Medicare rate · typically $5–$14
modeled estimate · not a bill or quote
Medicare pays $4 Fair price $8 Cash price $35 Hospital's list price $70
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✓ Aetna✓ Cigna HumanaKaiser 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 | $3 - $59 | 70% |
| Blue Cross Blue Shieldmajor | $4 - $60 | 93% |
| Aetnamajor | $10 - $58 | 233% |
| Cignamajor | $12 - $59 | 280% |
| HealthPartners | $11 - $52 | 256% |
| Molina | $12 | 280% |
| Quartz | $11 - $12 | 256% |
| + 10 smaller / regional plans | $4 - $56 |
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Other Procedures at Aurora Psychiatric Hospital
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.