CMS Price Transparency Data
Blood test, clotting time (PTT)
Facility: Coastal Communities Hospital
Billing Code: 85730 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 85730
- Insurance Median: $11
- Cash Discount Price: $33
- vs. Medicare Baseline: 1.83x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Coastal Communities Hospital is $11. 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 1.83x the Medicare baseline. Located in 2701 S Bristol St, Santa Ana, CA.
Cash / Self-Pay
$33
Average discount available for prompt cash payment at this facility.
Insurance Median
$11
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: $11 (183%)
Cash: $33 (549% of Medicare)
Ins. Median: $11 (183% 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 Reciprocity | $4 - $11 | 67% |
| Monarch | $5 - $6 | 83% |
| Altamed Health Services | $6 - $8 | 100% |
| Altamed Mcal Hmo (Ancillary) | $6 | 100% |
| Blue Shield | $6 - $23 | 100% |
| Caloptima | $6 - $8 | 100% |
| Central Health Plan Of California | $6 | 100% |
| Champion Health Plan | $6 | 100% |
| Champus | $6 | 100% |
| Choice Physicians Network | $6 | 100% |
| Citizens Choice Health Plan | $6 | 100% |
| Clever Care Health Plan | $6 | 100% |
| Coventry Auto Network | $6 | 100% |
| Easy Choice Health Plan | $6 | 100% |
| For Your Benefit | $6 | 100% |
| Health Net | $6 - $27 | 100% |
| Healthcare Partners | $6 | 100% |
| Healthcare Partners Sr Hmo | $6 | 100% |
| Heritage | $6 | 100% |
| Hollywood Presbyterian | $6 | 100% |
| Humana | $6 | 100% |
| Imperial Health Plan Of Ca | $6 | 100% |
| Innovative Integrated Health | $6 | 100% |
| Kaiser | $6 - $23 | 100% |
| Kpc Healthcare Inc | $6 - $8 | 100% |
| Medcare Partners | $6 | 100% |
| Medi-Cal Hmo/Non Contract | $6 | 100% |
| Medicaid / KanCare | $6 | 100% |
| Onecare | $6 | 100% |
| Onecare Connect | $6 | 100% |
| Other Senior Non Contract | $6 | 100% |
| Prime Health Srvs/Wc | $6 | 100% |
| Prospect Health Plan | $6 - $9 | 100% |
| Scan Health Plan | $6 | 100% |
| Self Pay Ab774/Cbo Use Only | $6 | 100% |
| UnitedHealthcare | $6 | 100% |
| Us Dept Of Labor | $6 | 100% |
| Us Federal Marshall/Department Of Immigration | $6 | 100% |
| Velocity Provider Network Sr | $6 | 100% |
| Verda Health Plan Sr | $6 | 100% |
| Veterans Administration | $6 | 100% |
| Victim Of Violent Crime | $6 | 100% |
| Victoria Hospice | $6 | 100% |
| Brand New Day | $7 | 116% |
| Coventry Wc | $7 | 116% |
| Interplan | $7 - $28 | 116% |
| Monarch Health Plan | $7 | 116% |
| Multiplan | $7 - $26 | 116% |
| Prime Health Srvs | $7 - $30 | 116% |
| Three Rivers | $7 | 116% |
| Velocity National Provider Network Wc | $7 | 116% |
| Workers Comp State Of California | $7 | 116% |
| Choc Health Alliance | $8 | 133% |
| County Of Orange | $8 | 133% |
| County Of Orange/Custody/Advanced Medmgt | $8 | 133% |
| Family Choice | $8 | 133% |
| First Health | $8 - $19 | 133% |
| Heritage Provider Network | $8 - $22 | 133% |
| Staywell/Island Home Ins | $8 | 133% |
| Veterans Evaluation Services | $8 | 133% |
| Magellan | $9 - $22 | 150% |
| Cigna | $10 - $24 | 166% |
| Networks By Design | $10 - $26 | 166% |
| Networks By Design Wc | $10 - $26 | 166% |
| Healthsmart | $11 - $28 | 183% |
| Prime Health | $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 Srvs/Network | $13 - $31 | 216% |
| Aetna | $15 - $20 | 250% |
| Lucet Behavioral Health Sr | $15 - $37 | 250% |
| Managed Health Network | $15 - $37 | 250% |
| Other Insurance Loa | $15 - $37 | 250% |
| Other Non Contracted Plans | $15 - $37 | 250% |
| Private Pay | $15 - $37 | 250% |
| Us Behavioral Health Plan | $15 - $37 | 250% |
| Vitas Hospice | $15 - $37 | 250% |