Blood test, clotting time (PTT)
Facility: Via Christi Hospital Wichita St Teresa, Inc
Billing Code: 85730 (CPT)
- CPT Billing Code: 85730
- Insurance Median: $6
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.00x 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 |
|---|---|---|
| Smarthealth | $5 - $8 | 83% |
| Saint Lukes Health Systems | $6 | 100% |
| Medicare (plans) | $6 | 100% |
| Va | $6 | 100% |
| Humana | $6 | 100% |
| Via Christi Research | $6 | 100% |
| Vc Hope | $6 | 100% |
| Blue Cross Blue Shield | $6 | 100% |
| UnitedHealthcare | $6 - $17 | 100% |
| Corizon | $8 | 133% |
| Medicaid / KanCare | $10 | 166% |
| Aetna | $19 | 316% |
| Coventry City Of Wichita | $24 | 399% |
Consumer Guidance & Cost Commentary
For the CPT code 85730, representing a blood test for clotting time (PTT), the facility's negotiated rates align closely with the Medicare benchmark of $6.01, with a median negotiated amount of $6.00. This pricing structure is consistent with the state of Kansas and the Wichita area, where commercial rates typically range between 120% and 150% of the Medicare baseline to reflect fair market value. Unlike many commercial contracts that can exceed 200% of Medicare rates, this facility's pricing demonstrates a transparent approach that avoids the common pitfall of charging significantly higher fees for in-network services.
Patients should be aware that while insurance coverage provides a ceiling on costs, cash-pay options may offer further savings for those with high-deductible plans. Since the facility is a voluntary non-profit church-owned hospital, it may offer self-pay or prompt-pay discounts that bypass the administrative overhead associated with insurance billing. We recommend contacting the billing department directly to confirm if a cash discount is available before scheduling, as paying upfront can sometimes result in a lower total out-of-pocket cost compared to the standard negotiated rate.