Blood test, clotting time (PTT)
Facility: Atlanticare Regional Medical Center - City Campus
Billing Code: 85730 (CPT)
- CPT Billing Code: 85730
- Insurance Median: $112
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 18.64x 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 1864% of the Medicare baseline (a markup of 1764%). 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 |
|---|---|---|
| Amerigroup | $1 | 17% |
| Wellcare | $1 | 17% |
| Aetna | $1 - $126 | 17% |
| Americhoice | $1 | 17% |
| UnitedHealthcare | $1 - $109 | 17% |
| Ambetter / Centene | $2 | 33% |
| Oxford | $6 - $115 | 100% |
| Devoted Health Plan | $6 - $76 | 100% |
| Global Exchange Managed Care | $9 | 150% |
| Health Partners Plan | $12 - $38 | 200% |
| Horizon | $21 - $107 | 349% |
| Self Pay | $23 | 383% |
| Magnacare | $61 - $138 | 1015% |
| Cigna | $64 - $77 | 1065% |
| Qualcare Commercial | $76 | 1265% |
| Evernorth | $76 | 1265% |
| Great West Life | $77 | 1281% |
| Amerihealth | $98 - $129 | 1631% |
| Qualcare Wc | $99 | 1647% |
| First McO | $99 | 1647% |
| Active Care Plus | $99 | 1647% |
| Mutual of Omaha | $99 | 1647% |
| Donio Trucking | $107 | 1780% |
| Consumer Health Network (Chn) | $107 - $138 | 1780% |
| Devon/ Ullicare | $115 | 1913% |
| Coventry Health Care | $122 | 2030% |
| Private Healthcare System (PHCS) | $122 | 2030% |
| Blue Cross Blue Shield | $126 | 2097% |
| Three Rivers Provider Network (Trpn) | $130 | 2163% |
| Health Payors Org | $130 | 2163% |
| Health South | $130 | 2163% |
| Prime Health Services | $130 | 2163% |
| Metrahealth of Nj | $130 | 2163% |
| Choice Care | $138 | 2296% |
| Provider Select, Inc | $138 | 2296% |
| Active Care Nj Pip | $138 | 2296% |
| Galaxy Health Network | $138 | 2296% |
| Beech Street | $138 | 2296% |
| McS Commercial | $138 | 2296% |
| Department of Corrections | $138 | 2296% |
| Multiplan | $138 | 2296% |
| Metracomp | $138 | 2296% |
| Intergroup Preferred Program | $138 | 2296% |
| Health Network Inc | $138 | 2296% |
| Master Care Inc | $142 | 2363% |
| Atlantis Health Plan | $142 | 2363% |
| McSi/Mrsi Worker's Comp | $145 | 2413% |
| Advance Healthcare System | $145 | 2413% |
| McSi/Mrsi No Fault | $145 | 2413% |
| Health Network America | $145 | 2413% |
| National Health Plan | $145 | 2413% |
| Community Care Network | $145 | 2413% |