CMS Price Transparency Data
Blood test, clotting time (PTT)
Facility: Elmhurst Hospital Center
Billing Code: 85730 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$32
about 5.3× the $6 Medicare rate · typically $8–$49
modeled estimate · not a bill or quote
Medicare pays $6 Fair price $32 Hospital's list price $25
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 | $9 - $42 | 150% |
| Blue Cross Blue Shieldmajor | $20 - $75 | 333% |
| Aetnamajor | $4 - $18 | 67% |
| Cignamajor | $14 | 233% |
| Fidelis Care | $6 - $75 | 100% |
| MagnaCare | $7 | 116% |
| Oscar Health | $9 | 150% |
| WellCare | $15 | 250% |
| + 13 smaller / regional plans | $5 - $75 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Elmhurst Hospital Center
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.