CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: UF Health Shands Hospital

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85730
  • Insurance Median: $7
  • Cash Discount Price: $16
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at UF Health Shands Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 1.16x the Medicare baseline. Located in 1600 Sw Archer Rd, Gainesville, FL.
Cash / Self-Pay
$16

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $16 (266%)
Insurance Median: $7 (116%)
Cash: $16 (266% of Medicare)
Ins. Median: $7 (116% 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
Beacon Health Strategies $2 33%
Humana $2 - $6 33%
Sunshine State Health Plan $2 33%
UnitedHealthcare $2 - $6 33%
Aetna $3 - $35 50%
Amerihealth Caritas Florida $3 50%
Community Care Plan $3 50%
Florida Community Care $3 50%
Molina $3 50%
Simply Healthcare $3 50%
Blue Cross Blue Shield $4 - $23 67%
Ambetter / Centene $6 - $17 100%
Avmed $6 100%
Capital Health Plan $6 - $22 100%
Carelon Health $6 100%
Careplus $6 100%
North Central Hospice $6 100%
Uaa $6 - $16 100%
Vha $6 100%
Wellcare $6 100%
Ahf Mco Of Fl $7 116%
Devoted Health Plan $7 116%
Freedom Health- Inc./Optimum Healthcare- Inc. $7 116%
Northeast Fl Hospital $7 - $19 116%
Positive Healthcare Partners $7 116%
Florida Health Care Plan $8 - $22 133%
Ghilcrest County $8 133%
Levy County $8 133%
Health First $10 - $30 166%
Prime Health Services $10 - $30 166%
Wellpath $10 166%
Archbold Medical Center $11 - $32 183%
Cigna $11 - $32 183%
Genex $11 - $32 183%
Corvel Corp $13 - $37 216%
Geha $14 - $39 233%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1600 Sw Archer Rd, Gainesville, FL 32610
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals