CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Jeff Davis Hospital

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85730
Insurance Median: $85
Cash Discount Price: $38
vs. Medicare Baseline: 14.14x Medicare

The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Jeff Davis Hospital is $85. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 14.14x the Medicare baseline. Located in 163 South Tallahassee Street, Hazlehurst, GA.

Cash / Self-Pay

$38

Average discount available for prompt cash payment at this facility.

Insurance Median

$85

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: $38 (632%)

Insurance Median: $85 (1414%)

Cash: $38 (632% of Medicare)

Ins. Median: $85 (1414% 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 1414% of the Medicare baseline (a markup of 1314%). 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
Blue Cross Blue Shield	$6 - $57	100%
Care_Improvement_Plus	$6	100%
Humana	$6 - $96	100%
Medicare (plans)	$6	100%
Medicaid / KanCare	$8 - $23	133%
Peach_State	$21 - $23	349%
Wellcare	$21 - $23	349%
Coventry_Hmo	$73 - $79	1215%
Coventry_Pos	$73 - $79	1215%
Uhc_Hmo	$78 - $85	1298%
Uhc_Indemnity	$78 - $85	1298%
Uhc_Ppo	$78 - $85	1298%
Coventry_Ppo	$80 - $87	1331%
Beech_Street	$83 - $91	1381%
Care_Source	$83 - $91	1381%
Cigna	$83 - $91	1381%
One_Health_Ppo	$83 - $91	1381%
Choicecare	$88 - $96	1464%
Community_Care_Network	$88 - $96	1464%
Georgia_Hospital_Network	$88 - $96	1464%
Industry_Buying_Group	$88 - $96	1464%
Novanet	$88 - $96	1464%
Principal_Health_Care_Of_Georgia	$88 - $96	1464%
Three_Rivers_Provider_Network	$88 - $96	1464%
Usa_Managed_Care	$88 - $96	1464%
Memorial_Health_Partners	$94 - $102	1564%
Tricare	$97 - $106	1614%
Multiplan	$99 - $108	1647%

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 $38.
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 Jeff Davis Hospital 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.