CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Murray-Calloway County Hospital

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85730
  • Insurance Median: $12
  • Cash Discount Price: $143
  • vs. Medicare Baseline: 2.00x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Murray-Calloway County Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $143. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 2.00x the Medicare baseline. Located in 803 Poplar Street, Murray, KY.
Cash / Self-Pay
$143

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$6.01

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6.01 (100%)
Cash / Self-Pay: $143 (2379%)
Insurance Median: $12 (200%)
Cash: $143 (2379% of Medicare)
Ins. Median: $12 (200% of 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $6 100%
Blue Cross Blue Shield $6 - $152 100%
Bluegrass - All Plans $6 100%
Humana $6 - $149 100%
Medicaid / KanCare $6 100%
Passport Health - All Plans $6 100%
Tricare $6 100%
Triwest - All Plans $6 100%
Wellcare Mcr Adv $6 100%
Wellcare Health Plan Inc $7 116%
Medben Mcch Employees $10 166%
Ambetter / Centene $12 200%
Coventry Cares Of Ky - All Plans $13 216%
Occunet - All Plans $13 216%
Health Cost Solutions - All Plans $15 250%
UnitedHealthcare $113 1880%
Medben City Of Murray - All Other Plans $132 2196%
Center Care - All Plans $158 2629%
Three Rivers - All Plans $176 2928%
First Health - All Plans $198 3295%
Healthsmart - All Plans $198 3295%
Multiplan - All Plans $198 3295%
Corvel Corporation - All Plans $220 3661%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 803 Poplar Street, Murray, KY 42071
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals