CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: San Luis Valley Regional Medical Center

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85730
Insurance Median: $72
Cash Discount Price: $45
vs. Medicare Baseline: 11.98x Medicare

The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at San Luis Valley Regional Medical Center is $72. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $45. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 11.98x the Medicare baseline. Located in 106 Blanca Ave, Alamosa, CO.

Cash / Self-Pay

$45

Average discount available for prompt cash payment at this facility.

Insurance Median

$72

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: $45 (749%)

Insurance Median: $72 (1198%)

Cash: $45 (749% of Medicare)

Ins. Median: $72 (1198% 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 1198% of the Medicare baseline (a markup of 1098%). 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
Kaiser	$6 - $77	100%
Tricare	$6	100%
Triwest	$6	100%
Presbyterian Health Plan	$14	233%
Aetna	$23 - $71	383%
Co Choice Healthplan - Lutheran Hosp Assoc	$55	915%
Hmo Health Plans	$57	948%
Blue Cross Blue Shield	$71	1181%
Galaxy Health Network	$71	1181%
Multiplan	$71 - $73	1181%
UnitedHealthcare	$71 - $75	1181%
Humana	$73	1215%
Pinnacol Assurance	$75	1248%
Cigna	$77	1281%
Colorado Access	$77	1281%
Foundation Health Corp	$77	1281%
Rocky Mountain	$77	1281%
Uc Health Plan	$77	1281%
Uchpa Phs	$77	1281%

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 $45.
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 San Luis Valley Regional Medical Center 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.