CMS Price Transparency Data
Blood test, clotting time (PTT)
Facility: Chapman Global Medical Center
Billing Code: 85730 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 85730
- Insurance Median: $12
- Cash Discount Price: $33
- vs. Medicare Baseline: 2.00x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Chapman Global Medical Center is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 2.00x the Medicare baseline. Located in 2601 E Chapman Ave, Orange, CA.
Cash / Self-Pay
$33
Average discount available for prompt cash payment at this facility.
Insurance Median
$12
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: $33 (549%)
Insurance Median: $12 (200%)
Cash: $33 (549% of Medicare)
Ins. Median: $12 (200% 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 |
|---|---|---|
| Ihhi | $4 - $11 | 67% |
| Monarch Health Plan | $5 - $8 | 83% |
| Aetna | $6 - $20 | 100% |
| Altamed | $6 - $8 | 100% |
| Altamed Mcal Hmo (Ancillary) | $6 | 100% |
| Altamed Health Services | $6 | 100% |
| Apex Hospice | $6 | 100% |
| Astiva | $6 | 100% |
| Blue Shield Of California | $6 - $23 | 100% |
| Brand New Day | $6 - $8 | 100% |
| Caloptima | $6 - $8 | 100% |
| Central Health Plan | $6 | 100% |
| Champ | $6 | 100% |
| Champion Health Plan | $6 | 100% |
| Champus | $6 | 100% |
| Choice Physicians Network | $6 | 100% |
| Citizen Choice Health Plan | $6 | 100% |
| Clever Care | $6 | 100% |
| Coventry Health | $6 - $7 | 100% |
| Easy Choice | $6 | 100% |
| For Your Benefit | $6 | 100% |
| Health Net | $6 - $27 | 100% |
| Healthcare Partners | $6 | 100% |
| Healthcare Partners Hmo | $6 | 100% |
| Healthcare Partners Sr Hmo | $6 | 100% |
| Heritage Provider Network | $6 - $22 | 100% |
| Hollywood Presbyterian | $6 | 100% |
| Humana | $6 | 100% |
| Imperial Health Plan Of Ca | $6 | 100% |
| Innovative Integrated Health | $6 | 100% |
| Kaiser | $6 - $23 | 100% |
| Medcare Partners Health Plan | $6 | 100% |
| Medi-Cal | $6 | 100% |
| Medicare (plans) | $6 | 100% |
| Monarch Sr | $6 | 100% |
| Onecare | $6 | 100% |
| Onecare/Connect | $6 | 100% |
| Prime Health Services | $6 - $30 | 100% |
| Prospect Health Plan | $6 - $9 | 100% |
| Scan Health Plan | $6 | 100% |
| Scan/Altamed | $6 | 100% |
| Self Pay | $6 | 100% |
| St Joseph | $6 | 100% |
| State Of California | $6 | 100% |
| UnitedHealthcare | $6 | 100% |
| Us Department Of Labor/Workers Comp | $6 | 100% |
| Us Federal Marshall/Department Of Immigration | $6 | 100% |
| Velocity National Provider Network Sr | $6 | 100% |
| Verda Health Plan | $6 | 100% |
| Veterans Administration | $6 | 100% |
| Victim Of Violent Crime | $6 | 100% |
| Victoria Hospice | $6 | 100% |
| Align Senior Care | $7 | 116% |
| Indemnity Workers Comp California Fee Schedule | $7 | 116% |
| Interplan | $7 - $28 | 116% |
| Multiplan | $7 | 116% |
| Three Rivers Wc | $7 | 116% |
| Velocity National Provider Network Auto Med Ppo | $7 - $17 | 116% |
| Velocity National Provider Network Wc | $7 | 116% |
| Altamed Whole Child Model/Caloptima | $8 | 133% |
| Choc Health Alliance | $8 | 133% |
| County Of Orange | $8 | 133% |
| Family Choice | $8 | 133% |
| First Health | $8 - $19 | 133% |
| Staywell/Island Home Ins | $8 | 133% |
| Veterans Evaluation Services | $8 | 133% |
| Magellan | $9 - $22 | 150% |
| Magellan Behavioral Health | $9 - $22 | 150% |
| Cigna | $10 - $30 | 166% |
| Multiplan/Master | $10 - $26 | 166% |
| Networks By Design | $10 - $26 | 166% |
| Healthsmart Preferred Network | $11 - $28 | 183% |
| Three Rivers Network | $11 | 183% |
| Velocity National Provider Network Ppo | $11 | 183% |
| Pnoa-Provider Network Of America | $12 - $30 | 200% |
| Prime Health Services/Network | $13 - $31 | 216% |
| Clinics | $15 - $37 | 250% |
| Lucet Bh Scan Sr | $15 - $37 | 250% |
| Managed Health Network | $15 - $37 | 250% |
| Opiate Detox Institute | $15 - $37 | 250% |
| Other Insurance | $15 - $37 | 250% |
| Other Non Contracted Insurance Plans | $15 - $37 | 250% |
| Private Pay | $15 - $37 | 250% |
| Silverado Hospice | $15 - $37 | 250% |
| Us Behavioral Health | $15 - $37 | 250% |
| Waismann Method Medical Group | $15 - $37 | 250% |
| West Coast Hospice Care | $15 - $37 | 250% |