Blood test, clotting time (PTT)
Facility: Labette Health
Billing Code: 85730 (CPT)
- CPT Billing Code: 85730
- Insurance Median: $7
- Cash Discount Price: $32
- vs. Medicare Baseline: 1.16x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Multiplan | $5 - $64 | 83% |
| Medicaid / KanCare | $5 - $6 | 83% |
| Uhccp | $5 | 83% |
| Healthy Blue | $5 | 83% |
| UnitedHealthcare | $6 - $66 | 100% |
| Blue Cross Blue Shield | $6 - $23 | 100% |
| Wellcare | $6 | 100% |
| Humana | $6 | 100% |
| Ambetter / Centene | $7 | 116% |
| Montgomery County | $11 - $25 | 183% |
| Health Partners Of Kansas, Inc | $68 | 1131% |
| Choicecare (First Health Network) | $68 | 1131% |
Consumer Guidance & Cost Commentary
For Labette Health's blood clotting time test (CPT 85730), the facility's cash median price of $32.00 is significantly higher than the state average of $6.01, though it remains lower than the gross charge of $46.00. While commercial insurance plans like UnitedHealthcare and Blue Cross Blue Shield negotiate rates ranging from $5 to $66, these negotiated amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying the cash rate directly. It is important to note that the facility's negotiated average of $7.00 is still above the state average, and patients should verify their specific plan's allowed amount before scheduling to ensure they are not paying more than necessary.
Patients should proactively ask Labette Health about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid upfront, bypassing the administrative costs associated with insurance claims. Since the facility is an Acute Care Hospital in Parsons, KS, with a government-local ownership structure, there may be additional financial assistance options available. If you receive a bill, always request a full itemized statement to review every code and unit cost, as over 80% of hospital bills contain errors that can be disputed. Comparing your final out-of-pocket cost against the Medicare benchmark of $6.01 provides a clear baseline for fair pricing, ensuring you are not overcharged for this essential laboratory service.