CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Ucf Lake Nona Hospital

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85730
  • Insurance Median: $12
  • Cash Discount Price: $666
  • vs. Medicare Baseline: 2.00x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Ucf Lake Nona Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $666. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 2.00x the Medicare baseline. Located in 6700 Lake Nona Blvd, Orlando, FL.
Cash / Self-Pay
$666

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $666 (11082%)
Insurance Median: $12 (200%)
Cash: $666 (11082% of Medicare)
Ins. Median: $12 (200% 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
Avmed $4 - $642 67%
Humana $5 - $360 83%
Aetna $6 - $385 100%
Align Senior Care $6 100%
American Health Plan $6 100%
Blue Cross Blue Shield $6 100%
Cigna $6 100%
Devoted Health $6 100%
Fl Health Care Plan $6 100%
Florida Complete Care $6 100%
Ndms Definitive Care $6 100%
United $6 - $578 100%
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 $7 - $198 116%
Ultimate Health Plan $7 116%
Molina Healthcare $9 - $347 150%
Oscar $9 150%
Simply Healthcare $9 150%
Solis Health Plan $9 150%
Evolutions $11 - $295 183%
Sunshine State Health Plan $12 - $328 200%
Plotkin Health $23 - $642 383%
Prime Health Sheriff $23 - $642 383%
Novanet $42 - $1,156 699%
Corvel Corporation $124 2063%
Prime Health $127 2113%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6700 Lake Nona Blvd, Orlando, FL 32827
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals