CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Marinhealth Medical Center

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85730
  • Insurance Median: $8
  • Cash Discount Price: $4
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Marinhealth Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 1.33x the Medicare baseline. Located in 250 Bon Air Road, Greenbrae, CA.
Cash / Self-Pay
$4

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $4 (67%)
Insurance Median: $8 (133%)
Cash: $4 (67% of Medicare)
Ins. Median: $8 (133% 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 $2 - $13 33%
Blue Cross Blue Shield $2 - $9 33%
Cigna $2 - $18 33%
UnitedHealthcare $2 - $2,330 33%
Brown And Tolan $6 100%
Healthnet Tailored Network $6 100%
Kaiser $6 100%
Marin Cancer Care $6 100%
Canopy Hill Physicians $8 - $35 133%
Healthnet Hmo/Ppo Hill Physicians $8 - $40 133%
Hills Blue Shield Hmo/Ppo $8 - $40 133%
Ca Prison Health Care Services $10 166%
Healthnet Enhancedcare $16 266%
Provider Network Of America $29 483%
Canopy $35 582%
Blue Shield Cpic/Epo $36 599%
Providers Network Of America $38 632%
Blue Shield Hmo/Ppo $40 666%
Healthnet Hmo/Ppo $40 666%
Blue Shield Aco $41 682%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 250 Bon Air Road, Greenbrae, CA 94904
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals