CMS Price Transparency Data
Blood test, clotting time (PTT)
Facility: Lowell General Hospital
Billing Code: 85730 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$11
about 1.8× the $6 Medicare rate · typically $7–$24
modeled estimate · not a bill or quote
Medicare pays $6 Fair price $11 Cash price $15 Hospital's list price $21
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 | $17 - $24 | 283% |
| Blue Cross Blue Shieldmajor | $15 - $21 | 250% |
| Aetnamajor | $17 - $21 | 283% |
| Cignamajor | $13 - $21 | 216% |
| AmeriHealth | $7 | 116% |
| AvMed | $7 | 116% |
| GEHA | $7 | 116% |
| Harvard Pilgrim | $22 - $25 | 366% |
| Tufts Health Plan | $10 - $21 | 166% |
| WellSense | $7 - $21 | 116% |
| + 108 smaller / regional plans | $7 - $23 |
Government programs also on file: Medicare, Medicaid.
Excludes 12 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Lowell General Hospital
Compare: Blood test, clotting time (PTT) at other MA hospitals
- UMass Memorial Healthalliance Hospitals · Leominster $6
- UMass Memorial Health - Harrington Hospital · Southbridge $6
- Boston Medical Center · Boston $6
- Boston Medical Center-Brighton · Brighton $6
- Southcoast Hospitals Group · Fall River $6
- Milford Regional Medical Center · Milford $6
- Good Samaritan Medical Center · Brockton $6
- Holyoke Medical Center · Holyoke $7
Insurance negotiated median for the same procedure, sorted lowest first.