CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Frankfort Regional Medical Center

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85730
Insurance Median: $43
Cash Discount Price: $258
vs. Medicare Baseline: 7.15x Medicare

The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Frankfort Regional Medical Center is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $258. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 7.15x the Medicare baseline. Located in 299 Kings Daughters Drive, Frankfort, KY.

Cash / Self-Pay

$258

Average discount available for prompt cash payment at this facility.

Insurance Median

$43

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: $258 (4293%)

Insurance Median: $43 (715%)

Cash: $258 (4293% of Medicare)

Ins. Median: $43 (715% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 715% of the Medicare baseline (a markup of 615%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$5 - $6	83%
Aetna	$6	100%
Coventry Cares	$6	100%
Devoted Health	$6	100%
Horizon Pace	$6	100%
Humana	$6 - $73	100%
Molina	$6	100%
United	$6 - $120	100%
United Behavioral Health	$6	100%
United Va	$6	100%
Wellcare	$6 - $7	100%
Corvel	$40 - $43	666%
Prime Health	$40 - $43	666%
Signature Advantage	$47 - $51	782%
Cigna	$73 - $78	1215%
Essence Healthcare	$112 - $120	1864%
Baptist Health Network	$135 - $144	2246%
Hospice Of Central Kentucky	$157 - $167	2612%
Occupational Mc Alliance	$199 - $213	3311%
Multiplan	$237 - $253	3943%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $258.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 85730.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Frankfort Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 85730.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.