CMS Price Transparency Data
Blood test, clotting time (PTT)
Facility: Boundary Community Hospital
Billing Code: 85730 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$21
about 3.5× the $6 Medicare rate · typically $8–$31
modeled estimate · not a bill or quote
Medicare pays $6 Fair price $21 Cash price $32 Hospital's list price $41
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $21 - $36 | 349% |
| Blue Cross Blue Shieldmajor | $2 - $3 | 33% |
| Aetnamajor | $25 - $27 | 416% |
| Cignamajor | $48 | 799% |
| Molina | $6 - $25 | 100% |
| PacificSource | $38 - $41 | 632% |
| + 2 smaller / regional plans | $32 - $39 |
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Other Procedures at Boundary Community Hospital
Compare: Blood test, clotting time (PTT) at other ID hospitals
- Lost Rivers Medical Center · Arco $3
- Nell J Redfield Memorial Hospital · Malad City $5
- Teton Valley Hospital · Driggs $5
- West Valley Medical Center · Caldwell $6
- Eastern Idaho Regional Medical Center · Idaho Falls $6
- Madison Memorial Hospital · Rexburg $6
- Kootenai Health · Coeur D'Alene $6
- Treasure Valley Hospital · Boise $6
Insurance negotiated median for the same procedure, sorted lowest first.