CMS Price Transparency Data
Blood test, clotting time (PT/INR)
Facility: North Central Health Care
Billing Code: 85610 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$18
about 4.5× the $4 Medicare rate · typically $7–$36
modeled estimate · not a bill or quote
Medicare pays $4 Fair price $18 Cash price $27 Hospital's list price $27
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
0 of 6 major insurers have a published price at this hospital
UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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 |
|---|---|---|
| Security Health Plan | $18 | 420% |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at North Central Health Care
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.