CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Mercy Hospital Paris

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85730
Insurance Median: $31
Cash Discount Price: $68
vs. Medicare Baseline: 5.16x Medicare

The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Mercy Hospital Paris is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 5.16x the Medicare baseline. Located in 500 East Academy, Paris, AR.

Cash / Self-Pay

$68

Average discount available for prompt cash payment at this facility.

Insurance Median

$31

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: $68 (1131%)

Insurance Median: $31 (516%)

Cash: $68 (1131% of Medicare)

Ins. Median: $31 (516% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 516% of the Medicare baseline (a markup of 416%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Medicaid / KanCare	$5 - $41	83%
United Medical Resources Contracted [320454]	$6	100%
UnitedHealthcare	$6 - $30	100%
Blue Cross Blue Shield	$9 - $30	150%
Summit Community Care Contracted [320368]	$9	150%
Summit Community Care [20368]	$9	150%
Usable Contracted [320409]	$9	150%
Novasys Contracted [320285]	$14 - $41	233%
Arkansas Total Care Contracted [320039]	$19	316%
Arkansas Total Care [20039]	$19	316%
Qual Choice Contracted [320324]	$26	433%
Aetna	$30 - $68	499%
American Health Advantage Of Mo Mcr [20264]	$30	499%
Cherokee Nation Health Serv Contracted [320066]	$30	499%
Cross Timbers Hospice [20098]	$30	499%
Dept Of Veteran Affairs Contracted [320106]	$30	499%
Elara Caring Aspire Hospice Contracted [320433]	$30	499%
Elara Caring Aspire Hospice [20433]	$30	499%
Globalhealth Contracted [320145]	$30	499%
Halo Hcr Inc Hospice Contracted [320432]	$30	499%
Halo Hcr Inc Hospice [20432]	$30	499%
Humana	$30 - $89	499%
Indian Health Service Contracted [320198]	$30	499%
Indian Health Service [20198]	$30	499%
Jordan Valley Senior Care Pace [20515]	$30	499%
Kindful Hospice Contracted [320434]	$30	499%
Kindful Hospice [20434]	$30	499%
Medicare (plans)	$30 - $31	499%
Mercy Hospice Okc [20252]	$30	499%
Pace Of The Ozarks [20518]	$30	499%
Provider Partners Health Plans Contracted [320450]	$30	499%
Qual Choice Contracted [320325]	$30	499%
Spina Bifida Hlthcare Benefit [20506]	$30	499%
Tricare	$30	499%
Valir Pace [20503]	$30	499%
Cigna	$31 - $89	516%
Ambetter / Centene	$41	682%
Home State Health Plan Contracted [320187]	$41	682%
Mercy Interfacility [20513]	$45	749%
Auxiant Contracted [320462]	$63 - $94	1048%
Mercy Benefit Admin Contracted [320251]	$63 - $94	1048%
Workers Comp [20426]	$68	1131%
90 Degree Benefits Contracted [320436]	$89	1481%
Aither Health Contracted [320449]	$89	1481%
Ebms Contracted [320493]	$89	1481%
Edison Health Solutions Contracted [320502]	$89	1481%
Healthlink Contracted [320179]	$89 - $94	1481%
Imagine 360 Contracted [320494]	$89	1481%
Multiplan Contracted [320270]	$89	1481%
Multiplan [20270]	$89	1481%
Municipal Health Plan Contracted [320271]	$89	1481%
Reflect Health Contracted [320492]	$89	1481%
Show-Me Health Administrators Contracted [320483]	$89	1481%
Federal Medical Center Contracted [320127]	$94	1564%
Healthscope Contracted [320182]	$94	1564%
Insurance System Inc Contracted [320465]	$94	1564%
Personify Health Contracted [320051]	$94	1564%
Point C Contracted [320238]	$94	1564%
Preferred Health Plan Contracted [320522]	$94	1564%
Tri State Healthcare Coalition Contracted [320379]	$94	1564%

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 $68.
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 Mercy Hospital Paris 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.