CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: University of Colorado Hospital Authority

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85730
Insurance Median: $37
Cash Discount Price: $29
vs. Medicare Baseline: 6.16x Medicare

The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at University of Colorado Hospital Authority is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $29. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 6.16x the Medicare baseline. Located in 12605 E 16Th Ave, Aurora, CO.

Cash / Self-Pay

$29

Average discount available for prompt cash payment at this facility.

Insurance Median

$37

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: $29 (483%)

Insurance Median: $37 (616%)

Cash: $29 (483% of Medicare)

Ins. Median: $37 (616% 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 616% of the Medicare baseline (a markup of 516%). 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
Aetna	$6 - $30	100%
Blue Cross Blue Shield	$6 - $134	100%
Cigna	$6 - $14	100%
Cms	$6	100%
Denver Health Medical Plan	$6 - $120	100%
Devoted Health	$6	100%
Humana	$6	100%
Kaiser	$6 - $134	100%
Select Health	$6 - $16	100%
UnitedHealthcare	$6 - $15	100%
Rocky Mountain Health Plan	$24 - $116	399%
Simplified Benefits Administration	$25 - $84	416%
Kaiser Public Option	$28 - $89	466%
Phcs	$40 - $125	666%
Multiplan	$43 - $136	715%
First Health	$50 - $159	832%
Midlands Choice	$50 - $159	832%

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 $29.
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 University of Colorado Hospital Authority 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.