CMS Price Transparency Data
Blood test, clotting time (PTT)
Facility: Watsonville Community Hospital
Billing Code: 85730 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 85730
- Insurance Median: $11
- Cash Discount Price: $10
- vs. Medicare Baseline: 1.83x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Watsonville Community Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 1.83x the Medicare baseline. Located in 75 Nielson Street, Watsonville, CA.
Cash / Self-Pay
$10
Average discount available for prompt cash payment at this facility.
Insurance Median
$11
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: $10 (166%)
Insurance Median: $11 (183%)
Cash: $10 (166% of Medicare)
Ins. Median: $11 (183% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Great-West/Phcs | $2 - $315 | 33% |
| Secure Horizons Dign HMO | $2 - $90 | 33% |
| Medicruz | $2 - $81 | 33% |
| Aetna | $2 - $369 | 33% |
| Blue Cross Blue Shield | $2 - $401 | 33% |
| Health Net Pmg HMO | $2 - $282 | 33% |
| Victim Compensation Plan | $2 - $450 | 33% |
| Pacificare HMO | $2 - $270 | 33% |
| Cigna | $2 - $315 | 33% |
| Blue Shield HMO | $2 - $90 | 33% |
| UnitedHealthcare | $2 - $270 | 33% |
| Pinnacle Claims Tpa/Bc | $3 - $401 | 50% |
| Western Growers Trust/Bc | $3 - $401 | 50% |
| Western Health Advantage | $4 - $225 | 67% |
| Health Net Smartcare Netw | $5 - $270 | 83% |
| Pacificare PPO | $5 - $270 | 83% |
| Health Net Blue and Gold | $5 - $282 | 83% |
| Health Net of California | $5 - $282 | 83% |
| Self Pay | $5 - $270 | 83% |
| Health Net Canopycare HMO | $5 - $282 | 83% |
| Secure Horizons | $6 | 100% |
| Geha (Ccn) | $6 - $360 | 100% |
| Kemper Group Workers Comp | $6 | 100% |
| Veterans Administration | $6 | 100% |
| First Health | $6 - $360 | 100% |
| Western Growers Work Comp | $6 | 100% |
| Beta Healthcare Group | $6 | 100% |
| Hartford Workers' Comp | $6 | 100% |
| Medicare (plans) | $6 | 100% |
| Pinnacle Healthcare Uc | $6 | 100% |
| Liberty Mutual Work Comp | $6 | 100% |
| Tricare | $6 | 100% |
| Miscellaneous Work Comp | $6 | 100% |
| Gallagher Bassett Svcs | $6 | 100% |
| Republic Idemnity W/Comp | $6 | 100% |
| U.S. Dept. of Labor | $6 | 100% |
| Crawford & Co | $6 | 100% |
| Fireman's Fund Work Comp | $6 | 100% |
| Blue Shield PPO | $6 - $19 | 100% |
| Keenan & Assoc Work Comp | $6 | 100% |
| Alignment Health Plan | $6 | 100% |
| Adventist Risk Management | $6 - $360 | 100% |
| Fleming & Associates | $6 | 100% |
| Transwestern | $6 - $360 | 100% |
| Ace-Usa | $6 | 100% |
| Nx Health Network | $6 | 100% |
| Workers Comp | $6 | 100% |
| Travelers Insurance | $6 - $450 | 100% |
| Sheet Metal Workers | $7 - $401 | 116% |
| City of Wats/Pinnacle Clm | $7 - $401 | 116% |
| State Compensation Fund | $7 - $401 | 116% |
| Laborers Health & Welfare | $7 - $401 | 116% |
| Operating Engineers | $7 - $401 | 116% |
| Salinas Valley Mem Hops | $7 - $383 | 116% |
| Private Healthcare System | $7 - $351 | 116% |
| Claims Management Wc | $7 - $401 | 116% |
| Delta Health Systems | $7 - $401 | 116% |
| Coastal Healthcare Admin | $7 - $405 | 116% |
| Robert Kennedy/Ccn | $7 - $401 | 116% |
| Teamsters Benefit Trust | $7 - $401 | 116% |
| Multiplan Inc PPO | $7 - $351 | 116% |
| Calif Ironworkers Field | $7 - $401 | 116% |
| Carpenters H&W Trust | $7 - $401 | 116% |
| Monterey Bay Pub Emp Trst | $7 - $401 | 116% |
| Miscellaneous Auto | $8 - $450 | 133% |
| California Childrens Srvs | $8 | 133% |
| Ccs/Monterey County | $8 | 133% |
| Apwu Health Plan | $8 - $450 | 133% |
| Prucare Pmg POS | $8 - $450 | 133% |
| Prucare Pmg HMO | $8 - $450 | 133% |
| Humana | $8 - $450 | 133% |
| Miscellaneous Insurance | $8 - $450 | 133% |
| Allstate | $8 - $450 | 133% |
| Bankers Life & Casualty | $8 - $450 | 133% |
| Wholesale Beer Distributo | $8 - $450 | 133% |
| Zenith National Ins | $8 - $450 | 133% |
| Medicaid / KanCare | $8 | 133% |
| Farmers Insurance | $8 - $450 | 133% |
| Well Path | $8 - $450 | 133% |
| Alliance/Sccho | $8 | 133% |
| Medi-Cal E.R. | $8 | 133% |
| Medi-Cal/Eds | $8 | 133% |
| State Farm Ins | $8 - $450 | 133% |
| Sutter Health Plus | $8 - $450 | 133% |
| United Administrative | $8 - $450 | 133% |
| North Calif Bakery Driver | $8 - $450 | 133% |
| Physicians Mutual | $8 - $450 | 133% |
| Aarp | $8 - $450 | 133% |
| Aaa | $8 - $450 | 133% |
| Healthy Families | $8 - $19 | 133% |
| United Agriculture | $19 | 316% |
| Bs Employee | $19 | 316% |
| Ufcw/Valley Clerks | $19 | 316% |