CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Uva Health Haymarket Medical Center

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85730
  • Insurance Median: $10
  • Cash Discount Price: $297
  • vs. Medicare Baseline: 1.66x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Uva Health Haymarket Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $297. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 1.66x the Medicare baseline. Located in 15225 Healthcote Boulevard, Haymarket, VA.
Cash / Self-Pay
$297

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $297 (4942%)
Insurance Median: $10 (166%)
Cash: $297 (4942% of Medicare)
Ins. Median: $10 (166% 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 Ridge Pace [10510] $5 - $120 83%
Medicaid / KanCare $5 - $120 83%
UnitedHealthcare $5 - $647 83%
Aetna $6 - $134 100%
Blue Cross Blue Shield $6 - $647 100%
Champva [50002] $6 100%
Cigna $6 - $15,504 100%
HMO Part B [10099] $6 - $134 100%
Humana $6 - $134 100%
Medicare (plans) $6 - $134 100%
Sentara Behavioral Health [40052] $6 - $26 100%
Sentara [40021] $6 - $26 100%
Tricare $6 100%
VA Ccn [99926] $6 - $134 100%
VA Ccn [99927] $6 - $134 100%
Veterans Administration [99910] $6 - $8 100%
Geha [40009] $8 - $46 133%
Veterans [99909] $8 133%
Carefirst [30007] $25 - $28 416%
Beacon Health Options [40012] $62 1032%
Commercial Contracted Hb Only [40056] $65 1082%
Commercial Generic [40000] $65 - $87 1082%
Commercial Contracted Tpa [40055] $74 - $87 1231%
Umwa [40037] $87 1448%
Healthsmart [40013] $93 1547%
First Health Generic [40033] $102 1697%
Gateway Health Alliance [40034] $105 1747%
Multiplan Generic [40035] $105 - $119 1747%
Vhn Generic [40040] $105 - $119 1747%
Onenet Workers Comp Generic [60010] $109 1814%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15225 Healthcote Boulevard, Haymarket, VA 20169
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals