CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Sky Ridge Medical Center

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85730
  • Insurance Median: $10
  • Cash Discount Price: $516
  • vs. Medicare Baseline: 1.66x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Sky Ridge Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $516. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 1.66x the Medicare baseline. Located in 10101 Ridgegate Pkwy, Lone Tree, CO.
Cash / Self-Pay
$516

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $516 (8586%)
Insurance Median: $10 (166%)
Cash: $516 (8586% of Medicare)
Ins. Median: $10 (166% 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

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Cigna $3 - $330 50%
Aetna $6 - $272 100%
Blue Cross Blue Shield $6 - $382 100%
Bright Health $6 - $155 100%
Delaware Life Insurance $6 100%
Devoted Health $6 100%
Humana $6 100%
Innovage Pace $6 100%
Kaiser $6 - $183 100%
Mutual Of Omaha $6 100%
Rocky Mountain Health $6 100%
Rocky Mountain Health Plan $6 100%
Total Longterm Care $6 100%
Triwest Health Alliance $6 100%
United $6 - $232 100%
Wellcare $6 100%
Vail Health $78 1298%
Western Plains Community Health $335 5574%
Multiplan $361 - $464 6007%
Northcare $361 6007%
Physician Health Partners $361 6007%
Pinnacol Workers Comp $387 6439%
Medical Development International $413 6872%
Prime Health $464 7720%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10101 Ridgegate Pkwy, Lone Tree, CO 80124
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals