Blood test, clotting time (PTT)
Facility: Logan County Hospital
Billing Code: 85730 (CPT)
- CPT Billing Code: 85730
- Insurance Median: $52
- Cash Discount Price: $15
- vs. Medicare Baseline: 8.65x 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 865% of the Medicare baseline (a markup of 765%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $23 | 383% |
| Humana | $32 | 532% |
| Health Partners - All Plans | $71 | 1181% |
| Medicaid / KanCare | $75 | 1248% |
Consumer Guidance & Cost Commentary
For the blood clotting time test (CPT 85730) at Logan County Hospital in Oakley, Kansas, the negotiated rates paid by major insurers like Blue Cross Blue Shield, Humana, and Health Partners are significantly higher than the cash price. While the cash median is $15.00, the median negotiated rate across these payers is $52.00, meaning patients with high-deductible plans could save money by paying the $15.00 cash price directly, provided they secure a prompt-pay discount before the claim is submitted. It is important to note that the facility's negotiated rates are also higher than the Medicare amount of $6.01, which serves as the federal benchmark for the true cost of this service.
This facility, a Critical Access Hospital owned by the local government, operates with a gross charge of $75.00, which is the maximum amount billed before insurance negotiations. Patients should be aware that the No Surprises Act protects them from balance billing for out-of-network services at in-network facilities, but they must still verify their specific plan details to avoid unexpected costs. Since the facility is in Logan County, Kansas, and the data reflects a vintage of June 2026, consumers are encouraged to request an itemized bill to ensure no unbundled charges or errors exist before finalizing payment, as over 80% of hospital bills contain discrepancies that can be corrected through a formal audit.