CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Bertrand Chaffee Hospital

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85730
  • Insurance Median: $6
  • Cash Discount Price: $9
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Bertrand Chaffee Hospital is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 1.00x the Medicare baseline. Located in 224 East Main Street, Springville, NY.
Cash / Self-Pay
$9

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $9 (150%)
Insurance Median: $6 (100%)
Cash: $9 (150% of Medicare)
Ins. Median: $6 (100% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Blue Cross Blue Shield $4 67%
Senior Blue - Bc $4 67%
Iha Encompass 65 $5 - $6 83%
Iha Essential Plans $5 83%
Iha Medisource $5 83%
Univera Essential Plans $5 83%
Univera Hc Child Health+ $5 83%
Univera Hc Myhealth+ $5 - $6 83%
Univera Plus Med $5 83%
Advantra-Mcr Advantage $6 100%
Aetna $6 - $11 100%
Centers Plan Hlty Living $6 100%
Champva $6 100%
Cigna $6 - $11 100%
Comm Blue Essential $6 100%
Community Blue $6 100%
Community Care - Bc $6 100%
Ctrs Plan For Hlthy Livng $6 100%
Fidelis Care Of New York $6 100%
Fidelis Essential Plans $6 100%
Geisinger Health Plan $6 100%
Ghi Medical $6 100%
Gowanda Correctional Fac $6 100%
Humana $6 100%
Iha $6 100%
Iha Custom Coverage $6 100%
Lifetime Benefits $6 100%
Medicaid / KanCare $6 100%
Medicare (plans) $6 100%
Molina Essential Plan $6 100%
Molina Heathcare Of Wny $6 100%
Mutual Of Omaha $6 100%
Nova Healthcare $6 100%
Optimum Healthcare - Mcr $6 100%
Seneca Nation Health Dept $6 100%
Todays Option - Amer Prog $6 100%
Tricare $6 100%
United Hc - Community Pln $6 100%
United Hc Essential Plan $6 100%
United Hc Mcr Solutions $6 100%
UnitedHealthcare $6 100%
Univera Hc Myhealth $6 100%
Univera Senior Choice $6 100%
Wellcare $6 100%
Yourcare $6 100%
Univera Healthcare $7 116%
Private Pay $9 150%
American Progressive Ins. $11 183%
Commercial / Misc $11 183%
Global Excel Mgt $11 183%
Guardian Life Ins. Co. $11 183%
Mvp Commercial $11 183%
No Amer Meritian Health $11 183%
No-Fault $11 183%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 224 East Main Street, Springville, NY 14141
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals