CMS Price Transparency Data
Blood test, clotting time (PTT)
Facility: St Peter's Hospital
Billing Code: 85730 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$11
about 1.8× the $6 Medicare rate · typically $7–$20
modeled estimate · not a bill or quote
Medicare pays $6 Fair price $11 Cash price $45 Hospital's list price $69
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 | $6 - $125 | 100% |
| Blue Cross Blue Shieldmajor | $6 - $28 | 100% |
| Aetnamajor | $6 - $20 | 100% |
| Cignamajor | $6 - $56 | 100% |
| Fidelis Care | $11 | 183% |
| GEHA | $20 | 333% |
| Harvard Pilgrim | $15 | 250% |
| HealthPartners | $6 - $56 | 100% |
| Independent Health | $11 - $106 | 183% |
| MagnaCare | $11 - $106 | 183% |
| Medical Mutual | $20 | 333% |
| MVP Health Care | $6 | 100% |
| Priority Health | $6 - $56 | 100% |
| Tufts Health Plan | $6 - $56 | 100% |
| UniCare | $16 | 266% |
| + 33 smaller / regional plans | $6 - $112 |
Government programs also on file: Medicare, Medicaid.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at St Peter's Hospital
Compare: Blood test, clotting time (PTT) at other NY hospitals
- Long Island Community Hospital · Patchogue $4
- Elizabethtown Community Hospital · Elizabethtown $4
- The University of Vermont Health Network-Alice Hy · Malone $5
- Albany Medical Center Hospital · Albany $6
- Jamaica Hospital Medical Center · Jamaica $6
- Nassau University Medical Center · East Meadow $6
- Geneva General Hospital · Geneva $6
- United Memorial Medical Center · Batavia $6
Insurance negotiated median for the same procedure, sorted lowest first.