CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Athur M Blank Hospital

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85730
Insurance Median: $209
Cash Discount Price: $326
vs. Medicare Baseline: 34.78x Medicare

The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Athur M Blank Hospital is $209. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $326. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 34.78x the Medicare baseline. Located in 2220 North Druid Hills Road Ne, Atlanta, GA.

Cash / Self-Pay

$326

Average discount available for prompt cash payment at this facility.

Insurance Median

$209

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: $326 (5424%)

Insurance Median: $209 (3478%)

Cash: $326 (5424% of Medicare)

Ins. Median: $209 (3478% 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 3478% of the Medicare baseline (a markup of 3378%). 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
Caresource [61]	$8	133%
Peachstate [43]	$8	133%
Amerigroup [102]	$10	166%
Cigna	$65 - $319	1082%
Ambetter / Centene	$66 - $323	1098%
Blue Cross Blue Shield	$66 - $471	1098%
Oscar [228]	$66 - $323	1098%
United [5]	$66 - $320	1098%
Aetna	$67 - $324	1115%
Caresource Marketplace Bronze/Silver/Gold [60]	$67 - $328	1115%
Kaiser [6]	$67 - $328	1115%
Sidecar Health [236]	$68 - $333	1131%
Coventry [9]	$69 - $338	1148%
Direct Employer Agreements [72]	$69 - $410	1148%
First Health [74]	$74 - $362	1231%
Northeast Georgia Heatlh System [808]	$74 - $362	1231%
Veracity Benefits [809]	$74 - $362	1231%
Phcs [93]	$84 - $410	1398%
Secure Health [340]	$84 - $410	1398%
Beech Street [71]	$89 - $434	1481%
Multiplan [92]	$97 - $472	1614%
Novanet [41]	$99 - $482	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 $326.
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 Athur M Blank 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.