CMS Price Transparency Data
Blood test, clotting time (PTT)
Facility: AHMC Anaheim Regional Medical Center
Billing Code: 85730 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 85730
- Insurance Median: $7
- Cash Discount Price: $19
- vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at AHMC Anaheim Regional Medical Center is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 1.16x the Medicare baseline. Located in 1111 W La Palma Avenue, Anaheim, CA.
Cash / Self-Pay
$19
Average discount available for prompt cash payment at this facility.
Insurance Median
$7
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: $19 (316%)
Insurance Median: $7 (116%)
Cash: $19 (316% of Medicare)
Ins. Median: $7 (116% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Advance Clinical Research Institute | $3 - $66 | 50% |
| Ahmc Reciprocity Agreement | $3 - $66 | 50% |
| Memorial Healthcare Ipa | $3 - $66 | 50% |
| Netcare Life And Health Insurance | $3 - $55 | 50% |
| Medical Acquisition Company | $4 - $88 | 67% |
| Veterans Administration | $4 | 67% |
| Affiliated Doctors Of Orange County | $5 | 83% |
| Allied Physicians | $5 - $9 | 83% |
| Altamed Health Network | $5 - $6 | 83% |
| Applecare Medical Group | $5 | 83% |
| Beverly Hospital | $5 - $7 | 83% |
| Brand New Day | $5 - $8 | 83% |
| Davita Heatlhcare Partners Plan Inc | $5 - $118 | 83% |
| Health Net | $5 | 83% |
| Healthcare Partners | $5 - $6 | 83% |
| Healthcare Partners Commercial | $5 - $118 | 83% |
| Healthy Way La | $5 | 83% |
| Heritage Provider Network | $5 - $8 | 83% |
| Huntington Memorial Hospital | $5 - $118 | 83% |
| Kaiser Foundation Hospitals | $5 - $6 | 83% |
| Medical Safety Net Program | $5 | 83% |
| Medicare (plans) | $5 - $110 | 83% |
| Non Contracted Medi-Cal | $5 | 83% |
| Prospect Medical Group | $5 | 83% |
| Talbert Medical Group | $5 - $6 | 83% |
| Aetna | $6 - $33 | 100% |
| Aids Health Foundation | $6 | 100% |
| Align Senior Care | $6 | 100% |
| Alignment Health Plan | $6 | 100% |
| Alta Los Angeles Hospital | $6 | 100% |
| Angels Baseball Workers Comp | $6 | 100% |
| Apa Aco Inc | $6 | 100% |
| Avanti | $6 - $7 | 100% |
| Blue Cross Blue Shield | $6 - $22 | 100% |
| Blue Shield Of California | $6 - $81 | 100% |
| California Health Plan | $6 | 100% |
| Caloptima | $6 - $8 | 100% |
| Central Health Of California | $6 | 100% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $6 | 100% |
| Emanate Health | $6 - $8 | 100% |
| Genesis Healthcare Ipa Ancillary | $6 - $131 | 100% |
| Health Net Inc | $6 - $168 | 100% |
| Healthnet | $6 | 100% |
| Healthnet Cal Optima Medi-Cal/Healthy Families | $6 | 100% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $6 | 100% |
| Hollywood Presbyterian Medpoint Mcal | $6 | 100% |
| Humana | $6 | 100% |
| Innovative Integrated Health (Iih)/Orange County Pace | $6 | 100% |
| Interplan | $6 - $153 | 100% |
| Medi-Cal | $6 | 100% |
| Memorial Healthcare Ipa/Cap/Valuation Rates | $6 | 100% |
| Monarch Health Plan | $6 - $149 | 100% |
| Nchp | $6 | 100% |
| Pacificare | $6 | 100% |
| Private Pay Flat Rate | $6 | 100% |
| Prospect Health Plan | $6 - $8 | 100% |
| Scan Health Plan | $6 | 100% |
| Self-Pay | $6 | 100% |
| Seoul Medical Group | $6 | 100% |
| Tricare | $6 | 100% |
| Wellcare | $6 | 100% |
| Affiliated Health Fund | $7 - $153 | 116% |
| Allnet Preferred Provider | $7 - $153 | 116% |
| Athens Administrators | $7 | 116% |
| Capp Care | $7 - $164 | 116% |
| Care First | $7 - $153 | 116% |
| Cigna | $7 | 116% |
| Corvel | $7 - $164 | 116% |
| First Health | $7 - $186 | 116% |
| Marriot Intl | $7 | 116% |
| Non Contracted Workers Comp | $7 | 116% |
| Orange County Preferred Provider Organization | $7 - $164 | 116% |
| Private Healthcare Systems | $7 - $153 | 116% |
| Ahmc Health Self-Insurance Epo | $8 | 133% |
| Choicecare | $8 - $164 | 133% |
| Knox-Keene Act | $8 | 133% |
| Multiplan Inc | $8 - $164 | 133% |
| National Provider Network | $8 - $175 | 133% |
| Three Rivers Providers Network | $8 - $175 | 133% |
| Health Payors Organization | $9 - $197 | 150% |
| Non Contracted Commercial | $10 - $219 | 166% |
| UnitedHealthcare | $12 - $24 | 200% |
| Monarch Healthcare Medical Group | $15 | 250% |
| Msi/Medical Services For Indigents | $52 | 865% |