CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Terrebonne General Medical Center - Parish

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85730
  • Insurance Median: $6
  • Cash Discount Price: $47
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Terrebonne General Medical Center - Parish is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $47. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 1.00x the Medicare baseline. Located in 8166 Main Street, Houma, LA.
Cash / Self-Pay
$47

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $47 (782%)
Insurance Median: $6 (100%)
Cash: $47 (782% of Medicare)
Ins. Median: $6 (100% 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 - $28 100%
Amerihealth $6 100%
Amg $6 100%
Blue Cross Blue Shield $6 - $15 100%
Champ Va $6 100%
Dept Of Veterans Affairs $6 100%
Humana $6 - $18 100%
Medicaid / KanCare $6 100%
Medicare (plans) $6 100%
Tricare $6 100%
UnitedHealthcare $6 100%
Ppoplus $15 250%
Vantage Health Plan $15 250%
Gilsbar 360 $17 283%
Verity Health $36 599%
Multiplan Inc $41 682%
Cigna $43 715%
Coventry Health Of Louisiana $51 849%
Workers Comp $64 1065%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8166 Main Street, Houma, LA 70360
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals