CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Alaska Regional Hospital

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85730
Insurance Median: $42
Cash Discount Price: $69
vs. Medicare Baseline: 6.99x Medicare

The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Alaska Regional Hospital is $42. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $69. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 6.99x the Medicare baseline. Located in 2801 Debarr Road, Anchorage, AK.

Cash / Self-Pay

$69

Average discount available for prompt cash payment at this facility.

Insurance Median

$42

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$6.01

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6.01 (100%)

Cash / Self-Pay: $69 (1148%)

Insurance Median: $42 (699%)

Cash: $69 (1148% of Medicare)

Ins. Median: $42 (699% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $6.01 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 699% of the Medicare baseline (a markup of 599%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Triwest Healthcare Alliance	$6	100%
United	$6 - $186	100%
Veteran'S Administration	$6	100%
Veterans Evaluation Services	$8	133%
Union Coalition	$12 - $73	200%
Union Coalition Cement Masons	$12 - $76	200%
Moda Health	$13 - $116	216%
Premerafirst	$19 - $122	316%
Geha Ppo Usa	$20 - $216	333%
Cigna	$21 - $134	349%
Multiplan	$24 - $230	399%
Coventry Healthcare	$25 - $156	416%
Aetna	$26 - $59	433%
First Health	$27 - $173	449%
Bering Strait School District	$29 - $185	483%
Nreca Group Benefit Trust	$29 - $185	483%
Risk & Benefit Management	$29 - $185	483%
Banner Health	$31 - $197	516%
Matanuska Telephone	$31 - $197	516%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $69.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 85730.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Alaska Regional Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 85730.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.