CMS Price Transparency Data
Blood test, clotting time (PTT)
Facility: Children's Hosp of Los Angeles
Billing Code: 85730 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 85730
- Insurance Median: $1
- Cash Discount Price: $1
- vs. Medicare Baseline: 0.17x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Children's Hosp of Los Angeles is $1. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 0.17x the Medicare baseline. Located in 4650 Sunset Blvd, Ms 108, Los Angeles, CA.
Cash / Self-Pay
$1
Average discount available for prompt cash payment at this facility.
Insurance Median
$1
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: $1 (17%)
Insurance Median: $1 (17%)
Cash: $1 (17% of Medicare)
Ins. Median: $1 (17% 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 |
|---|---|---|
| Accountable Health | $1 | 17% |
| Adventist Health Physicians | $1 - $2 | 17% |
| Alhambra Hospital Medical Center | $1 | 17% |
| Allied Pacific Ipa | $1 | 17% |
| Altamed | $1 | 17% |
| Angeles Ipa | $1 | 17% |
| Applecare Medical Group | $1 | 17% |
| Asian Community Medical Group | $1 | 17% |
| Associated Hispanic Physicians Ipa | $1 | 17% |
| Avalon Ipa | $1 | 17% |
| Axminster Medical Group | $1 | 17% |
| Bella Vista Med Grp | $1 | 17% |
| Beverly Hospital | $1 | 17% |
| Blue Cross Blue Shield | $1 - $12 | 17% |
| Blue Shield | $1 | 17% |
| Cal Care Ipa | $1 | 17% |
| California Pacific Physicians Medical Group | $1 | 17% |
| Caloptima | $1 | 17% |
| Care 1St | $1 | 17% |
| Cencal Health | $1 | 17% |
| Centinela Valley Ipa | $1 | 17% |
| Choc Health Alliance | $1 | 17% |
| Community Care Ipa Mmc | $1 | 17% |
| Community Family Care Ipa | $1 | 17% |
| Crown City Medical Group | $1 | 17% |
| Culinary Health Fund | $1 | 17% |
| Dignity Health | $1 | 17% |
| El Proyecto Del Barrio | $1 | 17% |
| Employee Health Systems Med Grp | $1 | 17% |
| Exceptional Care Medical Group | $1 | 17% |
| Facey Medical Group | $1 | 17% |
| Family Care Specialists | $1 | 17% |
| Family Health Alliance Med Grp | $1 | 17% |
| Global Care Medical Group | $1 | 17% |
| Gold Coast Health Plan | $1 | 17% |
| Health Care La Ipa | $1 | 17% |
| Health Net | $1 | 17% |
| Healthy New Life Medical Corp | $1 | 17% |
| Heritage Provider Network | $1 | 17% |
| Hispanic Physician Ipa | $1 | 17% |
| Hollywood Presbyterian Medical Center | $1 | 17% |
| Imperial Health Holdings Medical Group | $1 | 17% |
| Inland Empire Health Plan | $1 | 17% |
| Intl - Aixin Life Insurance Co | $1 | 17% |
| Intl - Quality Health Management | $1 | 17% |
| Karing Physicians Medical Group | $1 | 17% |
| Kern Family Health Plan | $1 | 17% |
| La Care | $1 | 17% |
| Los Angeles Medical Center Ipa | $1 | 17% |
| Mabuhay Medical Group | $1 | 17% |
| Medi-Cal | $1 | 17% |
| Medicaid / KanCare | $1 | 17% |
| Molina | $1 | 17% |
| Noble Community Medical Associates | $1 | 17% |
| Pacific Alliance Medical Center | $1 | 17% |
| Point Comfort Underwriters | $1 | 17% |
| Preferred Ipa | $1 | 17% |
| Premier Physicians Ntwk | $1 | 17% |
| Primary Care And Pediatric Ipa | $1 | 17% |
| Providence Health Network | $1 | 17% |
| Regent Medical Group | $1 | 17% |
| San Judas Med Grp | $1 | 17% |
| Seaside Health Plan | $1 | 17% |
| Serendib Healthways Mmc | $1 | 17% |
| Serra Community Med Clinic | $1 | 17% |
| Souther California Hosp System - Mmc | $1 | 17% |
| Southern Atlantic Medical Group Mmc | $1 - $2 | 17% |
| Southland San Gabriel Valley Medical Group | $1 | 17% |
| St Francis Medical Center | $1 | 17% |
| St. John'S Health Clinic | $1 | 17% |
| Superior Choice Medical Group | $1 | 17% |
| UnitedHealthcare | $1 - $6 | 17% |
| Valley Presbyterian Hospital | $1 | 17% |
| Watts Healthcare Mmc | $1 | 17% |
| White Memorial Medical Center | $1 | 17% |
| Gemcare Ipa | $2 | 33% |
| Good Samaritan Medical Group | $2 | 33% |
| Intl - Global Excel Management | $2 | 33% |
| Managed Care Systems | $2 | 33% |
| Cigna | $11 | 183% |