Blood test, clotting time (PTT)
Facility: Ascension Via Christi Rehabilitation Hospital 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% |
| Medicare (plans) | $6 | 100% |
| Vc Hope | $6 | 100% |
| UnitedHealthcare | $6 - $17 | 100% |
| Va | $6 | 100% |
| Humana | $6 | 100% |
| Blue Cross Blue Shield | $6 | 100% |
| Cigna | $9 | 150% |
| Medicaid / KanCare | $10 | 166% |
| Aetna | $19 - $21 | 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 rate of $6.00 aligns closely with the Medicare benchmark of $6.01, indicating a pricing structure that reflects the federal cost baseline rather than inflated chargemaster lists. While commercial payers like UnitedHealthcare and Aetna have negotiated rates ranging from $6 to $21 depending on the specific plan, the facility's self-pay or cash price is not listed in this report. Patients with high-deductible plans should be aware that paying cash upfront could sometimes be more cost-effective if the insurance negotiated rate exceeds the cash price, though this facility does not currently publish a specific cash rate. It is always advisable to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can offer significant fee reductions for upfront payment.
This service is provided by Ascension Via Christi Rehabilitation Hospital Inc in Wichita, Kansas, a Part A provider, and is covered by 11 different payers including Medicare, Medicaid/KanCare, and major commercial insurers. The data reflects the 2026-06 billing vintage and shows that while some commercial plans have negotiated rates significantly higher than the Medicare benchmark, the facility's allowed amount remains consistent with federal standards. Consumers should avoid accepting summary bills that obscure individual charges and instead request a full itemized statement to identify any unbundled codes or services not rendered. Furthermore, if a patient receives a bill that appears to include charges for services not received or items that were cancelled, they should dispute the itemized line items in writing rather than settling verbally to ensure accuracy and prevent unnecessary medical debt.