CMS Price Transparency Data
Blood test, clotting time (PTT)
Facility: Southwest Health Center
Billing Code: 85730 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$20
about 3.3× the $6 Medicare rate · typically $5–$38
modeled estimate · not a bill or quote
Medicare pays $6 Fair price $20 Cash price $80 Hospital's list price $106
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✓ Cigna✓ Humana AetnaKaiser 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 | $23 - $100 | 383% |
| Blue Cross Blue Shieldmajor | $22 - $122 | 366% |
| Cignamajor | $56 - $92 | 932% |
| Humanamajor | $68 - $110 | 1131% |
| Dean Health Plan | $38 | 632% |
| Quartz | $46 - $95 | 765% |
| + 5 smaller / regional plans | $22 - $122 |
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Other Procedures at Southwest Health Center
Compare: Blood test, clotting time (PTT) at other WI hospitals
- Grant Regional Health Center · Lancaster $4
- Upland Hills Health · Dodgeville $5
- St Josephs Community Hospital West Bend · West Bend $6
- Fort Memorial Hospital · Fort Atkinson $6
- Marshfield Medical Center - Beaver Dam (Mmc-Bd) · Beaver Dam $6
- Gundersen Lutheran Medical Center · La Crosse $6
- Unitypoint Health - Meriter · Madison $6
- Sauk Prairie Hospital · Prairie Du Sac $6
Insurance negotiated median for the same procedure, sorted lowest first.