CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Curry General Hospital

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85730
Insurance Median: $105
Cash Discount Price: $110
vs. Medicare Baseline: 17.47x Medicare

The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Curry General Hospital is $105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $110. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 17.47x the Medicare baseline. Located in 94220 Fourth Street, Gold Beach, OR.

Cash / Self-Pay

$110

Average discount available for prompt cash payment at this facility.

Insurance Median

$105

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: $110 (1830%)

Insurance Median: $105 (1747%)

Cash: $110 (1830% of Medicare)

Ins. Median: $105 (1747% 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 1747% of the Medicare baseline (a markup of 1647%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

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

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Medicaid / KanCare	$5 - $69	83%
Partnership Health Plan Of Calif Mdcd Hmo [2008]	$6	100%
Blue Cross Blue Shield	$7 - $110	116%
Tricare	$34	566%
Covid19 Hrsa Uninsured Testing And Treatment Fund [2271]	$48	799%
Medicare (plans)	$48 - $72	799%
Department Of Corrections [1051]	$72	1198%
Coordinated Care Commercial [1649]	$94	1564%
Moda [512]	$94 - $99	1564%
Pacificsource [1148]	$94	1564%
Multiplan [1131]	$100	1664%
Asuris [1258]	$104	1730%
First Choice Health Admin [1294]	$104	1730%
First Choice [528]	$104	1730%
Operating Engineers [1144]	$104	1730%
Regence [1351]	$104 - $110	1730%
Cigna	$108 - $110	1797%
Coventry First Health Managed Care [1774]	$108	1797%
Coventry Health [1046]	$108	1797%
Providence Health Plan Plm Alt [1692]	$108	1797%
Providence Health Plan [567]	$108	1797%
Aetna	$110	1830%
Employee Bene Admin Mgmt [525]	$110	1830%
Geha [531]	$110	1830%
Mailhandlers Benefit Pln [547]	$110	1830%
Meritain [550]	$110	1830%
Nw Sheet Metal Workers [597]	$110	1830%
Trustmark [524]	$110	1830%
UnitedHealthcare	$110	1830%
Zenith Administrators [586]	$110	1830%
Allcare Alt [2598]	$300	4992%
Allcare [1695]	$300	4992%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $110.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 85730.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Curry General Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 85730.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.