CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Sarasota Memorial Hospital - Venice

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85730
Insurance Median: $28
Cash Discount Price: $16
vs. Medicare Baseline: 4.66x Medicare

The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Sarasota Memorial Hospital - Venice is $28. 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 4.66x the Medicare baseline. Located in 2600 Laurel Road East, North Venice, FL.

Cash / Self-Pay

$16

Average discount available for prompt cash payment at this facility.

Insurance Median

$28

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: $28 (466%)

Cash: $16 (266% of Medicare)

Ins. Median: $28 (466% 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 466% of the Medicare baseline (a markup of 366%). 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
Amerihealth Caritas	$2	33%
Community Care Plan	$2	33%
Florida Community Care	$2 - $7	33%
Molina	$2	33%
Simply Healthcare	$2	33%
Sunshine State	$2	33%
Aetna	$6 - $137	100%
Blue Cross Blue Shield	$6	100%
Simply Freedom Optimum	$6	100%
UnitedHealthcare	$6 - $75	100%
Wellcare	$6	100%
Ambetter / Centene	$16	266%
Avmed	$24 - $72	399%
Usa Managed Care	$26 - $79	433%
First Health	$27 - $82	449%
Careworks	$106 - $137	1764%
Enlyte	$106 - $137	1764%

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 $16.
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 Sarasota Memorial Hospital - Venice 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.