Blood test, clotting time (PTT)
Facility: Stafford County Hospital
Billing Code: 85730 (CPT)
- CPT Billing Code: 85730
- Insurance Median: $46
- Cash Discount Price: $61
- vs. Medicare Baseline: 7.65x 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 765% of the Medicare baseline (a markup of 665%). 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 |
|---|---|---|
| Va Ccn-All Plans | $3 - $5 | 50% |
| UnitedHealthcare | $3 - $5 | 50% |
| Health Partners-All Plans | $44 - $72 | 732% |
| Humana | $47 - $76 | 782% |
| Medica Mcr- All Plans | $47 - $76 | 782% |
Consumer Guidance & Cost Commentary
For the blood clotting time test (CPT 85730) at Stafford County Hospital in Stafford, KS, the cash price is $61.00, which matches the facility's median paid amount. This cash rate is significantly higher than the state average, as indicated by a 7.7% variance compared to Medicare benchmarks. While commercial insurance plans like UnitedHealthcare and Va Ccn-All Plans have negotiated rates ranging from $3.00 to $5.00, these figures are likely subject to deductibles and co-pays. Patients with high-deductible plans should consider that paying the cash price of $61.00 upfront might be more cost-effective than relying on insurance, especially if the negotiated rate exceeds the cash price after deductibles are applied. It is always advisable to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available before scheduling the procedure.
This service is provided by a Critical Access Hospital with government-local ownership, and the data reflects billing patterns from the 2026-06 vintage. The facility reports five payer plans with negotiated rates varying widely, from as low as $3.00 to as high as $76.00, highlighting the importance of verifying your specific plan's allowed amount. If you receive a bill that includes charges beyond the negotiated rate, you may be facing balance billing, which is generally prohibited for out-of-network services at in-network facilities under the No Surprises Act. To ensure you are not overcharged, request a full itemized bill that lists every CPT code and unit cost, rather than accepting a summary invoice. If discrepancies are found, such as unbund