CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Banner Ironwood Medical Center

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85730
  • Insurance Median: $9
  • Cash Discount Price: $34
  • vs. Medicare Baseline: 1.50x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Banner Ironwood Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $34. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 1.50x the Medicare baseline. Located in 37000 North Gantzel Road, Queen Creek, AZ.
Cash / Self-Pay
$34

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $34 (566%)
Insurance Median: $9 (150%)
Cash: $34 (566% of Medicare)
Ins. Median: $9 (150% 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 - $80 100%
Arizona Physicians Ipa $6 100%
Banner Health $6 100%
Banner University Health Plan $6 100%
Blue Cross Blue Shield $6 - $28 100%
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%
Oscar Health Plan $9 150%
Hospice Of The Valley $53 882%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $68 1131%
Plotkin Health $68 1131%
Quiktrip Corporation $82 1364%
Arizona Medical Network $106 1764%
Provider Network Of America $113 1880%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 37000 North Gantzel Road, Queen Creek, AZ 85140
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals