CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Banner-University Medical Center South Campus

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85730
  • Insurance Median: $12
  • Cash Discount Price: $8
  • vs. Medicare Baseline: 2.00x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Banner-University Medical Center South Campus is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 2.00x the Medicare baseline. Located in 2800 East Ajo Way, Tucson, AZ.
Cash / Self-Pay
$8

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $8 (133%)
Insurance Median: $12 (200%)
Cash: $8 (133% of Medicare)
Ins. Median: $12 (200% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Aetna $6 - $33 100%
Arizona Physicians Ipa $6 100%
Banner Health $6 100%
Banner University Health Plan $6 100%
Blue Cross Blue Shield $6 - $24 100%
Care 1St $6 100%
Carelon $6 100%
Cigna $6 - $12 100%
Devoted Health Services $6 100%
Gila River Health Care Corporation $6 100%
Health Choice Arizona, Inc. $6 - $9 100%
Health Net $6 - $9 100%
Humana $6 100%
Kaiser Foundation Health Plan $6 100%
Mercy Care $6 100%
Triwest Healthcare Alliance Corp - Va Ccn $6 100%
UnitedHealthcare $6 - $14 100%
Upmc Health Plan $6 100%
Wellpoint $6 100%
Arizona Priority Care $7 116%
Gold Kidney Health Plan $7 116%
Naphcare $8 133%
Oscar Health Plan $10 166%
University Of Arizona (Kasser Medical Treatment Center) $19 - $22 316%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $24 - $28 399%
Plotkin Health $24 - $28 399%
Quiktrip Corporation $29 - $33 483%
Provider Network Of America $40 - $46 666%
Arizona Medical Network $43 - $50 715%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2800 East Ajo Way, Tucson, AZ 85713
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals