CMS Price Transparency Data
Blood test, clotting time (PTT)
Facility: Whittier Hospital Medical Center
Billing Code: 85730 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 85730
- Insurance Median: $8
- Cash Discount Price: $3
- vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Whittier Hospital Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 1.33x the Medicare baseline. Located in 9080 Colima Rd, Whittier, CA.
Cash / Self-Pay
$3
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: $3 (50%)
Insurance Median: $8 (133%)
Cash: $3 (50% 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
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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 |
|---|---|---|
| Physician Healthways | $1 - $31 | 17% |
| Ahmc Reciprocity | $3 - $94 | 50% |
| Ahmc Reciprocity Agreement Senior/Commercial | $3 - $94 | 50% |
| Pacific Independent Physician Association | $3 - $94 | 50% |
| Physicians Healthways Medical Corporation | $3 - $78 | 50% |
| Wear And Wood | $3 - $126 | 50% |
| Blue Cross Blue Shield | $4 - $157 | 67% |
| Central Health Plan Of California | $4 - $126 | 67% |
| Edward Medical Group | $4 - $110 | 67% |
| Molina Medical Center | $4 - $122 | 67% |
| UnitedHealthcare | $4 - $273 | 67% |
| Veterans Administration | $4 | 67% |
| Ahmc Medi-Cal Reciprocity Agreement | $5 | 83% |
| Aids Healthcare Foundation | $5 - $6 | 83% |
| Allied Physicians | $5 - $9 | 83% |
| Allied Physicians Ipa | $5 - $141 | 83% |
| Alta Med Health Network | $5 - $6 | 83% |
| Altamed Health Services Corporation | $5 | 83% |
| Beverly Hospital | $5 - $7 | 83% |
| Blue Shield Of California | $5 - $157 | 83% |
| Brand New Day | $5 - $7 | 83% |
| Emanate Health | $5 - $7 | 83% |
| Health Net | $5 - $188 | 83% |
| Healthy Way La | $5 | 83% |
| Heritage Provider Network | $5 - $8 | 83% |
| Kaiser Foundation | $5 - $220 | 83% |
| La Care Healthy Families/Healthy Kids | $5 | 83% |
| Non Contracted Medi-Cal | $5 | 83% |
| Prospect Health Plan | $5 - $10 | 83% |
| Synermed | $5 - $6 | 83% |
| Aetna | $6 - $229 | 100% |
| Alignment Health Plan | $6 | 100% |
| Alta Los Angeles Hospitals Inc | $6 | 100% |
| Apa/Aco Inc | $6 | 100% |
| Avanti | $6 - $7 | 100% |
| Caloptima | $6 - $7 | 100% |
| Care 1St Health Plan | $6 - $188 | 100% |
| Care First Health Plan | $6 | 100% |
| Caremore | $6 | 100% |
| Central Health Plan | $6 | 100% |
| County Of Los Angeles Dept Of Health Services | $6 | 100% |
| Cov19 Hrsa Uninsured Testing And Treatment Fund | $6 | 100% |
| Easy Choice Health Plan | $6 | 100% |
| Hollywood Presbyterian Adv Med Mcal | $6 | 100% |
| Hollywood Presbyterian Medpoint Mcal | $6 | 100% |
| Humana | $6 | 100% |
| La Care Covered Direct | $6 | 100% |
| La Care Health Plan | $6 - $173 | 100% |
| Medi Caid/ Medi Cal | $6 | 100% |
| Medicare (plans) | $6 | 100% |
| Molina Healthcare Of California | $6 | 100% |
| New Horizon Medical Group Inc | $6 - $188 | 100% |
| Pacific Alliance Medical Center | $6 | 100% |
| Pacificare Of California | $6 | 100% |
| Private Pay | $6 | 100% |
| Prospect Medical | $6 - $173 | 100% |
| Scan Health Plan | $6 | 100% |
| Self-Pay | $6 | 100% |
| Applecare Medical Group | $7 | 116% |
| Asi/Flex | $7 - $220 | 116% |
| Athens Administrators Ahmc Work Comp | $7 | 116% |
| Chinatown Service Center Pace | $7 | 116% |
| Cigna | $7 | 116% |
| Cost Containment | $7 - $204 | 116% |
| Davita Healthcare Partners | $7 - $204 | 116% |
| Fmc Los Angeles County | $7 - $236 | 116% |
| Health Net Inc | $7 - $204 | 116% |
| Healthnet | $7 - $218 | 116% |
| Interplan Health Group | $7 | 116% |
| Misc 1 | $7 | 116% |
| Monarch Healthplan | $7 | 116% |
| Multiplan Wc | $7 | 116% |
| San Miguel Health Plan | $7 | 116% |
| Tricare | $7 | 116% |
| Universal Care | $7 - $220 | 116% |
| Us Comp Care | $7 - $220 | 116% |
| Value Healthplan Of California | $7 - $220 | 116% |
| Ahmc Health | $8 | 133% |
| Community Care Network | $8 - $236 | 133% |
| Coventry Health Care | $8 - $236 | 133% |
| Coventry Health Care National Network | $8 - $236 | 133% |
| Interplan Corporation | $8 - $236 | 133% |
| Knox-Keene Act | $8 | 133% |
| Managed Care Administrators | $8 - $236 | 133% |
| Prohealth | $8 - $236 | 133% |
| Multiplan | $9 - $267 | 150% |
| Commercial Non Contract | $10 - $314 | 166% |
| Medi-Cal Sub Acute | $10 - $314 | 166% |
| One Legacy | $10 - $314 | 166% |
| Capnet | $13 | 216% |
| Great-West Healthcare Of California | $2,500 | 41597% |