CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Ascension St Vincent Williamsport

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85730
  • Insurance Median: $6
  • Cash Discount Price: $70
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Ascension St Vincent Williamsport is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $70. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 1.00x the Medicare baseline. Located in 412 N Monroe St, Williamsport, IN.
Cash / Self-Pay
$70

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $70 (1165%)
Insurance Median: $6 (100%)
Cash: $70 (1165% of Medicare)
Ins. Median: $6 (100% 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
Blue Cross Blue Shield $3 - $8 50%
Encore Exclusive $3 50%
Patoka Valley Tier 1 $3 50%
Patoka Valley Tier 2 $3 50%
Smarthealth Ppo $3 - $7 50%
Smarthealth Ppo/Hdhp 20161001 $3 - $7 50%
UnitedHealthcare $5 - $6 83%
Aetna $6 100%
Corizon $6 100%
Helping Hand Old Order $6 100%
Humana $6 - $14 100%
Immergrun $6 100%
Medicaid / KanCare $6 100%
Medicare (plans) $6 100%
Mhs Care Connect $6 100%
Personalized Care $6 100%
Secure Horizons-Pacificare $6 100%
Secure Horizons-Unicare $6 100%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 412 N Monroe St, Williamsport, IN 47993
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals