CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: HCA Florida Brandon Hospital

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85730
  • Insurance Median: $8
  • Cash Discount Price: $109
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at HCA Florida Brandon Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $109. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 1.33x the Medicare baseline. Located in 119 Oakfield Dr, Brandon, FL.
Cash / Self-Pay
$109

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $109 (1814%)
Insurance Median: $8 (133%)
Cash: $109 (1814% of Medicare)
Ins. Median: $8 (133% 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
Access 2 Healthcare Physicians Freedom Optimum Group Members $5 83%
Humana $5 - $31 83%
Aetna $6 - $33 100%
Align Senior Care $6 100%
American Health Plan $6 100%
Baycare Health Plans $6 100%
Blue Cross Blue Shield $6 100%
Caresource $6 100%
Cigna $6 100%
Devoted Health $6 100%
Florida Complete Care $6 100%
Lifepath Hospice $6 100%
Ndms Definitive Care $6 100%
Secur $6 100%
Sunshine State $6 100%
Ultimate Health Plan $6 100%
United $6 - $49 100%
United Behavioral Health $6 100%
United Va Ccn $6 100%
Wellcare $6 100%
Wellmed $6 100%
Careplus $7 116%
Centurion $7 116%
Clear Spring Health $7 116%
Gold Kidney Of Florida $7 116%
Longevity Health Plan $7 116%
Simply Healthcare $7 - $17 116%
Access 2 Healthcare Physicians Freedom Health $8 133%
Access 2 Healthcare Physicians Optimum $8 133%
Oscar $8 133%
Avmed $9 - $27 150%
Freedom Health Care $9 150%
Optimum Healthcare $9 150%
Solis Health Plan $9 150%
Molina $21 - $29 349%
Evolutions Healthcare Systems $25 - $100 416%
Sunshine State Health Plan $28 466%
Beacon Health Options $55 915%
Plotkin Health $55 915%
Prime Health Sheriff $55 915%
Multiplan $82 - $93 1364%
Evernorth $87 1448%
Corvel Corporation $126 2097%
Rockport Healthcare Group $126 2097%
Prime Health $128 2130%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 119 Oakfield Dr, Brandon, FL 33511
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals