CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: North Okaloosa Medical Center

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85730
  • Insurance Median: $7
  • Cash Discount Price: $58
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at North Okaloosa Medical Center is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $58. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 1.16x the Medicare baseline. Located in 151 Redstone Ave Se, Crestview, FL.
Cash / Self-Pay
$58

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $58 (965%)
Insurance Median: $7 (116%)
Cash: $58 (965% of Medicare)
Ins. Median: $7 (116% 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

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Amerigroup $2 33%
Humana $2 - $6 33%
Integral Health $2 33%
Magellan Health $2 33%
Medicaid / KanCare $2 33%
Simply Healthcare $2 - $6 33%
UnitedHealthcare $2 - $51 33%
Wellcare $2 - $6 33%
Prestige Health $3 50%
Tricare $5 83%
Aetna $6 - $193 100%
Blue Cross Blue Shield $6 - $257 100%
Cigna $6 - $200 100%
Florida Department Of Corrections $6 100%
Medicare (plans) $6 100%
Node Champva $6 100%
Node Non Par Hospice Agree $6 100%
Node Va $6 100%
Veterans Eval Services $6 100%
Amcomp Workers Comp $7 116%
Evolutions $7 - $226 116%
Prime Health Work Comp Fl $7 116%
Usa Managed Care Work Comp Fl $7 116%
Node Us Dept Of Labor $8 133%
Oscar $9 150%
State Auto Insurance Fl $12 200%
Occunet $15 250%
Self Pay $46 - $69 765%
Corizon Health Inc $87 1448%
Phcs $231 3844%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 151 Redstone Ave Se, Crestview, FL 32539
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals