CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Multicare Valley Hospital

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85730
Insurance Median: $7
Cash Discount Price: $27
vs. Medicare Baseline: 1.16x Medicare

The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Multicare Valley Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $27. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 1.16x the Medicare baseline. Located in 12606 East Mission Avenue, Spokane Valley, WA.

Cash / Self-Pay

$27

Average discount available for prompt cash payment at this facility.

Insurance Median

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: $27 (449%)

Insurance Median: $7 (116%)

Cash: $27 (449% of Medicare)

Ins. Median: $7 (116% 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.

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
Community Health Plan Of Washington	$3 - $10	50%
Coordinated Care	$3	50%
Molina	$3 - $11	50%
UnitedHealthcare	$3 - $7	50%
Wellpoint	$3	50%
Aetna	$6 - $7	100%
Blue Cross Blue Shield	$6	100%
Premera	$6 - $8	100%
Regence	$6	100%
Wellcare	$6	100%
Cigna	$7	116%
Pacificsource	$7 - $8	116%
Kaiser	$8	133%
Regence/Asuris	$9	150%
Ambetter / Centene	$11	183%
First Choice	$26 - $47	433%
First Health	$48	799%
Multiplan/Phcs	$48	799%

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 $27.
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 Multicare Valley 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.