CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Adventist Health Twin Cities

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85730
Insurance Median: $14
Cash Discount Price: $2
vs. Medicare Baseline: 2.33x Medicare

The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Adventist Health Twin Cities is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 2.33x the Medicare baseline. Located in 1100 Las Tablas Rd, Templeton, CA.

Cash / Self-Pay

Average discount available for prompt cash payment at this facility.

Insurance Median

$14

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: $2 (33%)

Insurance Median: $14 (233%)

Cash: $2 (33% of Medicare)

Ins. Median: $14 (233% 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 233% of the Medicare baseline (a markup of 133%). 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
UnitedHealthcare	$3 - $17	50%
Aetna	$6	100%
Cencal Mcr Adv - All Other Plans	$6	100%
Tricare	$6	100%
Blue Shield Epn	$7 - $18	116%
Hpn-Heritage Prov Ntwrk-All Plans	$7 - $17	116%
Cfmg-Ca Forensic Med Grp Op/Profee Only-All Plans	$8	133%
Blue Shield Hmo/Pos	$9 - $41	150%
Blue Shield Epo/Ppo - All Other Plans	$10 - $48	166%
Cencal Mcal	$10 - $24	166%
Ah Employee Health Plan - All Plans	$11	183%
Chn-Community Hlth Ntwrk-All Plans	$11 - $28	183%
Coalinga-All Plans	$11 - $27	183%
Nbd-Ntwrks By Design Exlus-All Other Plans	$12 - $382	200%
Nbd-Ntwrks By Design Non-Exlus	$12 - $29	200%
Pacific Health Alliance-All Plans	$19 - $45	316%
Medi-Cal	$21 - $99	349%
Blue Shield Promise Mcal	$25 - $795	416%
Ccah-Centrl Ca Allince Mcal-All Plans	$27 - $129	449%

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 $2.
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 Adventist Health Twin Cities 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.