Blood test, clotting time (PTT)
Facility: University Of Ks Hlth System Great Bend Campus
Billing Code: 85730 (CPT)
- CPT Billing Code: 85730
- Insurance Median: $109
- Cash Discount Price: $36
- vs. Medicare Baseline: 18.14x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 1814% of the Medicare baseline (a markup of 1714%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Alt Wppa [5032000964] | $30 - $78 | 499% |
| Meritain Health [503200039] | $30 - $111 | 499% |
| Wppa [503200056] | $30 - $78 | 499% |
| Alt Carelon Behavioral Health [503200905] | $36 - $92 | 599% |
| Aetna | $43 - $111 | 715% |
| National Assn Letter Carriers [503200019] | $43 - $111 | 715% |
| Php [503200005] | $43 - $111 | 715% |
| First Health [5032000110] | $43 - $111 | 715% |
| Aha-Healthcare Preferred [503200050] | $43 - $111 | 715% |
| Alt Meritain Health [503999911] | $43 - $111 | 715% |
| Cigna | $43 - $148 | 715% |
| Allied National [503999937] | $43 - $111 | 715% |
| Correct Care Solutions [50311253] | $50 - $130 | 832% |
| Workers Comp [503999901] | $61 - $157 | 1015% |
| Usa Managed Care [503999030] | $65 - $166 | 1082% |
Consumer Guidance & Cost Commentary
For this blood clotting time test (CPT 85730) at the University of KS Health System Great Bend Campus, the facility's cash price of $36.00 is significantly lower than the state average of $109.00 and the county average of $182.00. While commercial insurance plans negotiate rates ranging from $30 to $166 depending on the carrier, these negotiated amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying out-of-pocket. The facility's cash rate is also 18.1% higher than the Medicare benchmark of $6.01, which serves as the objective baseline for true cost. To maximize savings, patients should verify if their specific plan has a deductible that would otherwise require them to pay the higher negotiated rate, as paying cash upfront can bypass these administrative fees.
Patients should be aware that while the No Surprises Act protects against balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, it is still critical to request a full itemized bill before paying to avoid errors or unbundled charges. If you receive a summary bill showing broad categories, you should demand a line-by-line statement to identify any services not rendered or codes that were incorrectly split. Additionally, ask the billing department about prompt-pay discounts, which can reduce the final amount by 20% to 50% if paid in full within 30 days, effectively trading immediate liquidity for a lower total cost. Always confirm your plan's status and request a self-pay classification before check-in to ensure you are not inadvertently enrolled in a billing cycle that voids potential