CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Paradise Valley Hospital

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85730
  • Insurance Median: $6
  • Cash Discount Price: $6
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Paradise Valley Hospital is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 1.00x the Medicare baseline. Located in 2400 East 4Th St, National City, CA.
Cash / Self-Pay
$6

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $6 (100%)
Insurance Median: $6 (100%)
Cash: $6 (100% of Medicare)
Ins. Median: $6 (100% 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 - $8 100%
Blue Sheid Of Promise $6 100%
Blue Shield Of Ca, Va $6 100%
Brand New Day $6 - $9 100%
Ca Foundation For Medical Care $6 100%
Central Health $6 100%
Choice Physicians Network $6 100%
Clever Care Of Golden State, Inc $6 100%
Community Health Group $6 - $7 100%
County Of San Diego $6 100%
Golden Physicians Medical Group $6 - $8 100%
Health Excel Ins $6 100%
Health Net Of Ca $6 - $9 100%
Heritage Provider Netwrok $6 - $8 100%
Imperial Health Plan Of Ca $6 100%
Managed Health Network $6 100%
Medicare (plans) $6 100%
Molina $6 100%
Renal Payer Solutions $6 100%
Traditional Medi-Cal $6 100%
Tricare $6 100%
UnitedHealthcare $6 - $10 100%
Usa Senior Care Network $6 100%
Verda Health Plan $6 100%
Ca Dept Of Correction & Rehab $8 133%
Employer Direct Healthcare $8 133%
Health Net Federal Service (Cdcr) $8 133%
Integrated Medical Solutions $8 133%
Veterans Evaluation Services $8 133%
Worker Comp $8 133%
Naphcare $9 - $12 150%
Scripps Health $10 166%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 East 4Th St, National City, CA 91950
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals