How much does prothrombin time (PT/INR) cost in California?

CPT 85610 — the fair price, every hospital's price, and the Medicare benchmark for California.

Estimates only. Educational estimates from public Medicare benchmarks and hospital-published prices — not a guarantee, and not legal, medical, or financial advice.
85610 Prothrombin time (PT/INR)
Ask to pay
$9
About 2.0× what Medicare pays — most hospitals accept a self-pay rate in this range.
What Medicare paysⓘ
$4
Typical price near you
$51
Cash / self-pay price
$55
Prices near you — 92 facilities, lowest first
FacilityTypePricevs MedicareQuality
Adventist Health Glendale (Glendale) lowest ⚠ likely error Hospital $1cash 0.1× ★★★★★
Adventist Health Bakersfield (Bakersfield) ⚠ likely error Hospital $1cash 0.1× —
Adventist Health Simi Valley (Simi Valley) ⚠ likely error Hospital $1cash 0.1× —
Adventist Health White Memorial (Los Angeles) ⚠ likely error Hospital $1cash 0.1× —
Tri-City Medical Center (Oceanside) Hospital $2cash 0.4× —
UCI Medical Center (Orange) Hospital $2cash 0.5× ★★★★★
Eisenhower Medical Center (Rancho Mirage) Hospital $2cash 0.5× ★★★★★
Dignity St. John's Regional Medical Center (Oxnard) Hospital $3cash 0.7× —
Centinela Hospital Medical Center (Inglewood) Hospital $4cash 0.9× —
UCLA Santa Monica Medical Center (Santa Monica) Hospital $5negotiated 1.1× ★★★★★
Ronald Reagan UCLA Medical Center (Los Angeles) Hospital $5negotiated 1.1× ★★★★★
Pomona Valley Hospital Medical Center (Pomona) Hospital $5cash 1.1× ★★★★★
Prices from each hospital's public machine-readable file; imaging & surgery-center prices are published self-pay rates (often the cheapest option). vs Medicare is how many times the Medicare rate each facility charges. 9 unusually low/high prices excluded from the typical price as likely data errors.
💬 What to say — negotiation scripts
  • For 85610 (Prothrombin time (PT/INR)), Medicare's benchmark rate is $4.29. A fair self-pay target for this line is $8.58. If I was charged more than that, please reduce it toward this benchmark.
  • Your own published cash / self-pay price for 85610 is $54.90, and negotiated rates at nearby facilities run $23.15–$114.54. Please apply a rate in that range to my bill rather than the gross charge.
  • Please send a fully itemized bill listing every CPT/HCPCS/DRG code and its individual charge, so I can review each line against published rates.
  • Separately, what is your financial assistance / charity care policy, and am I eligible? Please send me the application and the income thresholds.
See prothrombin time (PT/INR) prices in another area

What should 85610 cost in California?

For prothrombin time (PT/INR) (CPT 85610) in California, a fair self-pay price is around $51, with hospitals ranging from $23 to $115 across 92 facilities. Medicare's benchmark rate is $4, the floor to negotiate toward. The card above lists each hospital's price, cheapest first, with CMS quality stars.

Frequently asked questions

How much does prothrombin time (PT/INR) cost in California?

A fair self-pay price for prothrombin time (PT/INR) (CPT 85610) in California is around $51, with hospital prices ranging from $23 to $115 across 92 facilities. These are estimates from hospital-published prices, not a guarantee.

What is the Medicare rate for CPT 85610?

Medicare pays about $4 for prothrombin time (PT/INR) (CPT 85610). That's the negotiation floor — a fair cash-pay target is roughly 1.5–2× it, well below typical gross charges.

Can I negotiate the price of prothrombin time (PT/INR)?

Yes. Under the federal Hospital Price Transparency rule hospitals must publish these rates, so you can ask to pay the cash or negotiated rate instead of the gross charge. Paste your bill on the home page for a ready-to-send appeal letter and the exact numbers to cite.

Got a bill for this?

If you were charged more than the fair price, you can usually negotiate it down. Paste your itemized bill to get a personalized appeal letter, the exact numbers to cite, an AI negotiation coach, and a charity-care eligibility check — free.

Compare other procedures in California

Prices last refreshed September 2026 from each hospital's official CMS machine-readable file. Medicare rate: CY2025 OPPS/PFS/CLFS. Estimates only — not a guarantee.