Blood test, clotting time (PTT)
Facility: University Medical Center of Princeton at Plainsboro
Billing Code: 85730 (CPT)
- CPT Billing Code: 85730
- Insurance Median: $109
- Cash Discount Price: $188
- vs. Medicare Baseline: 18.14x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 1814% of the Medicare baseline (a markup of 1714%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $3 - $157 | 50% |
| Charity Care | $3 | 50% |
| Wellcare | $3 | 50% |
| Medicaid / KanCare | $3 - $188 | 50% |
| Horizon Nj Health | $5 | 83% |
| UnitedHealthcare | $6 - $29 | 100% |
| Clover Health Plan | $6 | 100% |
| Humana | $6 | 100% |
| VA Medical Center | $6 | 100% |
| Blue Cross Blue Shield | $6 - $141 | 100% |
| Cigna | $6 - $188 | 100% |
| Medicare (plans) | $6 - $7 | 100% |
| Tricare | $7 | 116% |
| Us Family Health Plan | $7 | 116% |
| Elap | $9 - $11 | 150% |
| Centivo | $11 | 183% |
| Claim Watcher | $11 | 183% |
| Amerihealth | $18 | 300% |
| Preferred Health Care Eliance | $49 | 815% |
| Horizon Behavioral Health | $70 | 1165% |
| Beacon Health Options | $94 | 1564% |
| Magnacare | $113 - $132 | 1880% |
| Princeton Theological Seminary | $122 | 2030% |
| Coventry | $132 | 2196% |
| Health Net | $132 | 2196% |
| Intergroup | $150 | 2496% |
| Beech Street | $150 - $160 | 2496% |
| Penn Global Medicine Embassy Only | $150 | 2496% |
| Intergrated Health Plan | $150 | 2496% |
| Total Care Network | $160 | 2662% |
| First Managed Care Option | $160 | 2662% |
| Consumer Health Network | $160 | 2662% |
| Devon Health Services | $160 | 2662% |
| Ie Shaffer | $160 | 2662% |
| Allied Trades | $160 | 2662% |
| Qualcare | $160 | 2662% |
| Private Healthcare Systems | $160 | 2662% |
| Tri-State | $160 | 2662% |
| Life St. Francis | $188 | 3128% |
| Concern Plus | $188 | 3128% |
| Penn Behavioral Health Corporate Services | $188 | 3128% |
| Compsych | $188 | 3128% |
| Commercial Other | $188 | 3128% |
| Nj Carpenters | $188 | 3128% |
| Magellan | $188 | 3128% |
| International Pfs | $188 | 3128% |
| Managed Health Network | $188 | 3128% |
| United Behavioral Health | $188 | 3128% |
| Personnel Health Program | $188 | 3128% |