CMS Price Transparency Data
Blood test, clotting time (PTT)
Facility: Penobscot Valley Hospital
Billing Code: 85730 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$29
about 4.8× the $6 Medicare rate · typically $15–$51
modeled estimate · not a bill or quote
Medicare pays $6 Fair price $29 Cash price $56 Hospital's list price $70
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 - $250 | 283% |
| Blue Cross Blue Shieldmajor | $18 - $232 | 300% |
| Aetnamajor | $17 - $300 | 283% |
| Cignamajor | $35 - $294 | 582% |
| Humanamajor | $17 - $145 | 283% |
| Harvard Pilgrim | $35 - $298 | 582% |
| WellCare | $17 - $145 | 283% |
Government programs also on file: Medicare.
Self-Pay How to get the cash price
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Other Procedures at Penobscot Valley Hospital
Compare: Blood test, clotting time (PTT) at other ME hospitals
- Mainehealth Mid Coast Hospital · Brunswick $6
- Central Maine Medical Center · Lewiston $6
- Cary Medical Center · Caribou $6
- Mainehealth Pen Bay Hospital · Rockport $6
- Mainehealth Maine Medical Center · Portland $7
- Mainehealth Stephens Hospital · Norway $7
- Mainehealth Franklin Hospital · Farmington $7
- Lincolnhealth · Damariscotta $8
Insurance negotiated median for the same procedure, sorted lowest first.