CMS Price Transparency Data
Blood test, clotting time (PTT)
Facility: Gifford Medical Center
Billing Code: 85730 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$31
about 5.2× the $6 Medicare rate · typically $9–$32
modeled estimate · not a bill or quote
Medicare pays $6 Fair price $31 Cash price $45 Hospital's list price $90
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 - $85 | 100% |
| Blue Cross Blue Shieldmajor | $30 - $76 | 499% |
| Aetnamajor | $85 | 1414% |
| Cignamajor | $72 | 1198% |
| Harvard Pilgrim | $72 | 1198% |
| MVP Health Care | $40 - $76 | 666% |
| + 1 smaller / regional plan | $40 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Gifford Medical Center
Compare: Blood test, clotting time (PTT) at other VT hospitals
- Central Vermont Medical Center · Barre $6
- Brattleboro Memorial Hospital · Brattleboro $6
- Southwestern Vermont Medical Center · Bennington $6
- Univ. of Vermont - Fletcher Allen Health Care · Burlington $7
Insurance negotiated median for the same procedure, sorted lowest first.