CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Adventist Health White Memorial Montebello

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85730
  • Insurance Median: $7
  • Cash Discount Price: $6
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Adventist Health White Memorial Montebello is $7. 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 1.16x the Medicare baseline. Located in 309 W Beverly Blvd, Montebello, CA.
Cash / Self-Pay
$6

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: $6 (100%)
Insurance Median: $7 (116%)
Cash: $6 (100% 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

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 - $191 100%
Alignment Health Plan-All Plans $6 100%
Altamed Mcare-All Other Plans $6 100%
Blue Shield Mcare Adv $6 100%
Brand New Day Mcare-All Other Plans $6 100%
Brandman Health Plan-All Plans $6 100%
Caremore-All Plans $6 100%
Clever Care Hp-All Plans $6 100%
Easy Choice Mcare Adv-All Plans $6 100%
Healthnet Med Adv $6 100%
Kaiser Mcare Adv $6 100%
Oscar-All Plans $6 100%
Scan Health-All Plans $6 100%
Altamed Mcal $7 116%
Bc Mcal $7 116%
Blue Shield Promise Mcal $7 116%
Brand New Day Mcal $7 116%
Healthnet Mcal $7 116%
Kaiser Mcal $7 116%
La Care Mcal $7 116%
Medi-Cal $7 116%
Molina Mcal - All Plans $7 116%
Blue Shield Epn Ifp $8 133%
Cigna $11 183%
Healthnet Salud $107 - $155 1780%
Healthcare Partners-All Plans $176 - $255 2928%
Blue Cross Blue Shield $238 - $346 3960%
Blue Shield Epn Core $271 4509%
Blue Shield Comm - All Other Plans $281 4676%
Healthnet Comm-All Other Plans $515 8569%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 309 W Beverly Blvd, Montebello, CA 90640
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals