CMS Price Transparency Data
Blood test, clotting time (PTT)
Facility: Chelsea Hospital
Billing Code: 85730 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 85730
- Insurance Median: $16
- Cash Discount Price: $17
- vs. Medicare Baseline: 2.66x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Chelsea Hospital is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 2.66x the Medicare baseline. Located in 775 S Main St, Chelsea, MI.
Cash / Self-Pay
$17
Average discount available for prompt cash payment at this facility.
Insurance Median
$16
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: $17 (283%)
Insurance Median: $16 (266%)
Cash: $17 (283% of Medicare)
Ins. Median: $16 (266% 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 266% of the Medicare baseline (a markup of 166%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Wc Accident Fund | $2 - $18 | 33% |
| Wc Advantage | $2 - $18 | 33% |
| Wc Aig | $2 - $18 | 33% |
| Wc Allied | $2 - $18 | 33% |
| Wc Amerisure | $2 - $18 | 33% |
| Wc Amtrust | $2 - $18 | 33% |
| Wc Asu Risk Mgt | $2 - $18 | 33% |
| Wc Berkley Admin | $2 - $18 | 33% |
| Wc Broadspire | $2 - $18 | 33% |
| Wc Bunch & Associates | $2 - $18 | 33% |
| Wc Ccmsi | $2 - $18 | 33% |
| Wc Emc Insurance Company | $2 - $18 | 33% |
| Wc Esis | $2 - $18 | 33% |
| Wc Fcci | $2 - $18 | 33% |
| Wc Federated | $2 - $18 | 33% |
| Wc Gallagher Bassett | $2 - $18 | 33% |
| Wc Genex Care For Ohio | $2 - $18 | 33% |
| Wc Guard Insurance Company | $2 - $18 | 33% |
| Wc Hartford | $2 - $18 | 33% |
| Wc Liberty Mutual | $2 - $18 | 33% |
| Wc Meijers | $2 - $18 | 33% |
| Wc Michigan | $2 - $18 | 33% |
| Wc Mitchell Frankenmuth | $2 - $18 | 33% |
| Wc Pma | $2 - $18 | 33% |
| Wc Sedgwick | $2 - $18 | 33% |
| Wc Sentry | $2 - $18 | 33% |
| Wc Travelers | $2 - $18 | 33% |
| Wc Tristar | $2 - $18 | 33% |
| Wc Walmart | $2 - $18 | 33% |
| Wc Zurich | $2 - $18 | 33% |
| Blue Cross Blue Shield | $3 - $7 | 50% |
| Medicaid / KanCare | $3 | 50% |
| Aetna | $4 - $33 | 67% |
| Access Health | $6 - $47 | 100% |
| Acclaim | $6 - $47 | 100% |
| Administrative Concepts | $6 - $47 | 100% |
| Align Senior Care | $6 | 100% |
| Allegeant | $6 - $47 | 100% |
| Ameriben | $6 - $47 | 100% |
| American Family | $6 - $47 | 100% |
| American Healthcare Alliance | $6 - $47 | 100% |
| American National | $6 - $47 | 100% |
| American Republic | $6 - $47 | 100% |
| Amerihealth | $6 - $47 | 100% |
| Angela Hospice | $6 | 100% |
| Arbor Hospice | $6 | 100% |
| Aultcare | $6 - $47 | 100% |
| Automated Benefit Services | $6 - $47 | 100% |
| Auxiant | $6 - $47 | 100% |
| Benefit Administrative Systems,Llc | $6 - $47 | 100% |
| Blue Care Network Advantage | $6 | 100% |
| Boon Chapman | $6 - $47 | 100% |
| Cam Administrative Services | $6 - $47 | 100% |
| Cca - Zing Health | $6 | 100% |
| Christian Brother Services | $6 - $47 | 100% |
| Christian Brothers Holy Cross | $6 - $47 | 100% |
| Comprehensive Benefits | $6 - $47 | 100% |
| Continental Life Insurance | $6 - $47 | 100% |
| Coventry | $6 - $48 | 100% |
| Custom Benefit Administrators | $6 - $47 | 100% |
| Employee Benefit Concepts | $6 - $47 | 100% |
| Employee Benefit Management | $6 - $47 | 100% |
| Enterprise Group Planning | $6 - $47 | 100% |
| First Health | $6 - $48 | 100% |
| Freedom Life Insurance Company | $6 - $47 | 100% |
| Geha | $6 - $47 | 100% |
| Group Administrators | $6 - $47 | 100% |
| Group Marketing Services | $6 - $47 | 100% |
| Guardian | $6 - $47 | 100% |
| Health America | $6 - $47 | 100% |
| Health Choices | $6 - $47 | 100% |
| Healthcare Management Admin | $6 - $47 | 100% |
| Healthez | $6 - $47 | 100% |
| Heartland Hospice | $6 | 100% |
| Humana | $6 - $47 | 100% |
| Insight | $6 - $47 | 100% |
| Intercare | $6 - $47 | 100% |
| Jfp Benefit Management | $6 - $47 | 100% |
| Jp Farley Corporation | $6 - $47 | 100% |
| Key Benefit Administrator | $6 - $47 | 100% |
| Liberty Union Life Assurance Co | $6 - $47 | 100% |
| Lucent Health | $6 - $47 | 100% |
| Luminare Health | $6 - $47 | 100% |
| Luminare Health (Detroit) | $6 - $47 | 100% |
| Magnacare | $6 - $47 | 100% |
| Medben | $6 - $47 | 100% |
| Medcost | $6 - $47 | 100% |
| Medical Mutual | $6 - $47 | 100% |
| Medicare (plans) | $6 | 100% |
| Mutual Health Services | $6 - $47 | 100% |
| Mutual Of Omaha | $6 - $47 | 100% |
| Ncas | $6 - $47 | 100% |
| Nippon Life Ins | $6 - $47 | 100% |
| Nova | $6 - $47 | 100% |
| Painters Union Insurance Fund | $6 - $47 | 100% |
| Physicians Mutual | $6 - $47 | 100% |
| Plumbers Local 98 Insurance Fund | $6 - $47 | 100% |
| Prairie States | $6 - $47 | 100% |
| Preferred One | $6 - $47 | 100% |
| Primary Physician Care | $6 - $47 | 100% |
| Professional Benefit Administrators | $6 - $47 | 100% |
| Siho Insurance Services | $6 - $47 | 100% |
| Sisco Benefits | $6 - $47 | 100% |
| The Loomis Company | $6 - $47 | 100% |
| Unicare | $6 - $47 | 100% |
| UnitedHealthcare | $6 - $47 | 100% |
| Us Health And Life | $6 - $47 | 100% |
| Valenz | $6 - $47 | 100% |
| Western & Southern Financial Group | $6 - $47 | 100% |
| Wps | $6 - $47 | 100% |
| 1199 National Benefit Fund | $7 - $52 | 116% |
| Allied National Global Care | $7 - $52 | 116% |
| Asrm - Reliance Standard Life Insurance | $7 - $52 | 116% |
| Bcn Domestic | $7 | 116% |
| Blue Benefit Administrators Of Massachusetts | $7 | 116% |
| Blue Care Network | $7 | 116% |
| Blue Distinction Transplant | $7 | 116% |
| Blue Shield - Ca | $7 | 116% |
| Blue Shield - Id (Regence) | $7 | 116% |
| Blue Shield - Ny Highmark Northeastern | $7 | 116% |
| Blue Shield - Ny Highmark Western | $7 | 116% |
| Blue Shield - Pa (Highmark) | $7 | 116% |
| Blue Shield - Wa (Regence) | $7 | 116% |
| Christian Care Ministry | $7 - $52 | 116% |
| Cigna | $7 - $49 | 116% |
| Dean Health | $7 - $52 | 116% |
| Fallon Health | $7 - $52 | 116% |
| Family Life Insurance Company | $7 - $52 | 116% |
| Ghc Scw | $7 - $52 | 116% |
| Group Pension Administrators | $7 - $52 | 116% |
| Hap | $7 - $54 | 116% |
| Health Partners | $7 - $54 | 116% |
| Hospice Of Michigan | $7 - $49 | 116% |
| International Benefit Administrators | $7 - $52 | 116% |
| Kaiser Domestic | $7 | 116% |
| Lifetime Benefit Solutions | $7 - $52 | 116% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $7 | 116% |
| Manhattan Life | $7 - $52 | 116% |
| Medi Share | $7 - $52 | 116% |
| Multiplan | $7 - $52 | 116% |
| Mvp | $7 - $52 | 116% |
| Pai | $7 - $52 | 116% |
| Pan-American Life | $7 - $52 | 116% |
| Paramount Hmo | $7 - $52 | 116% |
| Phcs | $7 - $52 | 116% |
| Prime Health Services | $7 - $56 | 116% |
| Trinity Health Share | $7 - $52 | 116% |
| Tufts Health Plan | $7 - $54 | 116% |
| U Of M Health Plan | $7 | 116% |
| Molina Marketplace | $8 | 133% |
| Three Rivers Provider Network | $8 - $63 | 133% |
| Cmh Detroit Wayne Integrated Health Network | $9 - $70 | 150% |
| Cmh Jackson County/Lifeways | $9 - $70 | 150% |
| Cmh Lenawee County | $9 - $70 | 150% |
| Cmh Livingston County | $9 - $70 | 150% |
| Cmh Misc | $9 - $70 | 150% |
| Cmh Monroe County | $9 - $70 | 150% |
| Cmh Washtenaw County | $9 - $70 | 150% |
| Health Cost Solutions | $9 | 150% |
| Magellan Behavioral Health | $9 - $70 | 150% |
| Meritain | $9 | 150% |
| Vitalcore | $9 | 150% |
| Wellpath | $9 | 150% |
| Employee Benefit Logistic | $14 | 233% |
| Priority Health | $15 - $17 | 250% |
| Asr Health Benefits | $22 | 366% |
| Caresource | $22 | 366% |
| Varipro | $22 | 366% |