CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Los Robles Hospital & Medical Center

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85730
Insurance Median: $37
Cash Discount Price: $118
vs. Medicare Baseline: 6.16x Medicare

The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Los Robles Hospital & Medical Center is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $118. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 6.16x the Medicare baseline. Located in 215 W Janss Rd, Thousand Oaks, CA.

Cash / Self-Pay

$118

Average discount available for prompt cash payment at this facility.

Insurance Median

$37

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: $118 (1963%)

Insurance Median: $37 (616%)

Cash: $118 (1963% of Medicare)

Ins. Median: $37 (616% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 616% of the Medicare baseline (a markup of 516%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Medcare Partners	$4 - $152	67%
Aetna	$5 - $1,012	83%
Alignment Health Plan	$6	100%
Blue Cross Blue Shield	$6 - $31	100%
Blue Shield	$6 - $127	100%
Brand New Day	$6 - $8	100%
Care1St Health Plan	$6	100%
Central Health Plan	$6	100%
Clever Care Of Golden State	$6	100%
Easy Choice Health Plan	$6	100%
Facey Medical Group	$6 - $8	100%
Health Net	$6 - $412	100%
Humana	$6	100%
La Care	$6	100%
Scan Health Plan	$6	100%
Triwest Healthcare Alliance	$6	100%
United	$6 - $284	100%
Corvel Corporation	$7	116%
Ventura County Foundation	$7 - $911	116%
Gold Coast Health Plan	$8	133%
Bright Health	$15	250%
First Health	$18 - $810	300%
Choicecare Network	$19 - $709	316%
Cigna	$21	349%
Multiplan	$22 - $962	366%
Ppo Next	$22 - $810	366%
Interplan Corporation	$24 - $911	399%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $118.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 85730.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Los Robles Hospital & Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 85730.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.