CMS Price Transparency Data
Blood test, clotting time (PTT)
Facility: Clovis Community Medical Center
Billing Code: 85730 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 85730
- Insurance Median: $6
- Cash Discount Price: $110
- vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Clovis Community Medical Center is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $110. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 1.00x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$110
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: $110 (1830%)
Insurance Median: $6 (100%)
Cash: $110 (1830% 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.
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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 |
|---|---|---|
| Blue Cross Blue Shield | $5 - $73 | 83% |
| Blue Shield | $5 - $66 | 83% |
| Cal Caloptima | $5 | 83% |
| Ccs Fresno | $5 | 83% |
| Ccs Kern | $5 | 83% |
| Ccs Kings | $5 | 83% |
| Ccs Madera/Sacramento | $5 | 83% |
| Ccs Mariposa | $5 | 83% |
| Ccs Merced | $5 | 83% |
| Ccs Stanislaus | $5 | 83% |
| Ccs Tulare | $5 | 83% |
| Chdp | $5 | 83% |
| Fresno County Funded Specialty Care | $5 | 83% |
| Generic Care Out Of County | $5 | 83% |
| Generic Ccs Other Counties | $5 | 83% |
| Genetically Handicapped Person | $5 | 83% |
| Gold Coast Medi-Cal | $5 | 83% |
| Medi-Cal Alameda Alliance For Health | $5 | 83% |
| Medi-Cal Blue Shield Promise Health | $5 | 83% |
| Medi-Cal California Health & Wellness Plan | $5 | 83% |
| Medi-Cal Cencal Health | $5 | 83% |
| Medi-Cal Community Health Group | $5 | 83% |
| Medi-Cal Contra Costa Health Plan | $5 | 83% |
| Medi-Cal Health Plan Of San Mateo | $5 | 83% |
| Medi-Cal Inland Empire Health | $5 | 83% |
| Medi-Cal Kern Family Health | $5 | 83% |
| Medi-Cal La Care Health | $5 | 83% |
| Medi-Cal Molina | $5 | 83% |
| Medi-Cal Partnership Health Plan Of Ca | $5 | 83% |
| San Francisco Health Plan Medi-Cal | $5 | 83% |
| Santa Clara Family Health Plan - Premier Health | $5 | 83% |
| Santa Clara Family Health Plan - Valley Health | $5 | 83% |
| Advantek Table Mountain Rancheria Tribal Member | $6 | 100% |
| Aetna | $6 - $58 | 100% |
| Blue Shield 65 Plus Hmo Ehs | $6 | 100% |
| Blue Shield 65 Plus Hmo First Choice | $6 | 100% |
| Blue Shield Hmo-Cvmp/Medpro | $6 | 100% |
| Blue Shield Promise - Imperial | $6 | 100% |
| Blue Shield Saint Agnes | $6 | 100% |
| Blue Shield Sante | $6 | 100% |
| Brand New Day | $6 | 100% |
| Bscphp - Dhmso | $6 | 100% |
| Bscphp - First Choice | $6 | 100% |
| Bscphp Hmo - First Choice | $6 | 100% |
| Care1St Hmo - Ehs | $6 | 100% |
| Cares Act Provider Relief Fund | $6 | 100% |
| Cigna | $6 - $71 | 100% |
| Gemcare Hmo | $6 | 100% |
| Generic | $6 | 100% |
| Generic Bscphp | $6 | 100% |
| Generic Victims Of Crime | $6 | 100% |
| Hartford Life Supplement | $6 | 100% |
| Healthnet Hmo - Cvmp/Medpro | $6 | 100% |
| Healthnet Hmo - Dhmso | $6 | 100% |
| Healthnet Hmo - La Salle | $6 | 100% |
| Healthnet Hmo - Sante | $6 | 100% |
| Healthnet Sante | $6 | 100% |
| Healthnet Sante - Sub Cap Dual Risk | $6 | 100% |
| Healthnet Sante Dual Risk | $6 | 100% |
| Humana | $6 - $98 | 100% |
| Kaiser | $6 | 100% |
| Medi-Cal Innovative Integrated Health | $6 | 100% |
| Medicare (plans) | $6 | 100% |
| Meritage Blue Shield 65 Plus | $6 | 100% |
| Meritage Brand New Day | $6 | 100% |
| Meritage Healthnet Hmo | $6 | 100% |
| Railroad Part A | $6 | 100% |
| Railroad Part A & B | $6 | 100% |
| Railroad Part B | $6 | 100% |
| Sante | $6 - $8 | 100% |
| Sante Sub Cap Healthnet Seniority | $6 | 100% |
| Sante Sub Cap-Blue Shield/Sante | $6 | 100% |
| Sante-Blue Shield/Sante | $6 | 100% |
| Sante-Healthnet Seniority | $6 | 100% |
| Sante-Sub Cap Ma Brand New Day | $6 | 100% |
| Scan Health Plan | $6 | 100% |
| Sequoia Pace - Peak Tpa | $6 | 100% |
| Todays Pyramid | $6 | 100% |
| UnitedHealthcare | $6 - $60 | 100% |
| Us Marshal | $6 | 100% |
| Victims Of Crime | $6 | 100% |
| Wellcare | $6 | 100% |
| Alignment Health Plan | $7 | 116% |
| Champion Health Plan Of California Ma | $7 | 116% |
| Imperial Health Plan Hmo | $7 | 116% |
| Innovative Integrated Health Community Plans Hmo | $7 | 116% |
| Correctcare Integrated Health | $8 | 133% |
| Health Plan Of San Joaquin | $8 | 133% |
| Sequoia Pace | $8 | 133% |
| Adventist -Mcl Calviva Sub Cap | $9 | 150% |
| Healthnet | $10 - $68 | 166% |
| Coalinga State Hospital | $12 | 200% |
| Naphcare Inc-Mendota | $13 | 216% |
| Central Valley Medical Providers | $29 - $81 | 483% |
| Community Care | $29 - $41 | 483% |
| Employer 90/40 | $46 | 765% |
| Central Ca Indian Health | $63 - $88 | 1048% |
| Nx Health Network Ppo | $63 | 1048% |
| Healthsmart | $78 - $92 | 1298% |
| Coventry Health Care (First Health Network) | $86 | 1431% |
| Network By Design | $86 | 1431% |
| Generic Multiplan | $98 | 1631% |
| Phcs | $98 | 1631% |
| Well Path (Cfmg) | $127 - $176 | 2113% |