CMS Price Transparency Data
Blood test, clotting time (PTT)
Facility: Claiborne Memorial Medical Center
Billing Code: 85730 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 85730
- Insurance Median: $81
- Cash Discount Price: $107
- vs. Medicare Baseline: 13.48x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Claiborne Memorial Medical Center is $81. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $107. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 13.48x the Medicare baseline. Located in 620 East College Street, Homer, LA.
Cash / Self-Pay
$107
Average discount available for prompt cash payment at this facility.
Insurance Median
$81
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: $107 (1780%)
Insurance Median: $81 (1348%)
Cash: $107 (1780% of Medicare)
Ins. Median: $81 (1348% 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 1348% of the Medicare baseline (a markup of 1248%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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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 - $86 | 100% |
| Amerihealth Caritas La | $6 - $57 | 100% |
| Arcadian Community Mcr Hm | $6 | 100% |
| Blue Cross Blue Shield | $6 - $33 | 100% |
| Champus | $6 | 100% |
| Champva | $6 | 100% |
| Cigna | $6 - $99 | 100% |
| Community Health Solution | $6 - $57 | 100% |
| Correctcare Intergrated | $6 - $57 | 100% |
| Healthy Blue | $6 - $57 | 100% |
| Healthy Blue Dual Adv | $6 | 100% |
| Humana | $6 - $132 | 100% |
| Kaiser Foundation Health | $6 | 100% |
| Louisiana Hc Connections | $6 - $57 | 100% |
| Magellan Services | $6 - $57 | 100% |
| Medicaid / KanCare | $6 - $57 | 100% |
| Medicare (plans) | $6 | 100% |
| Peoples Health Network | $6 | 100% |
| Pyramid Claims Mcr Hmo | $6 | 100% |
| Sterling Connect 2 | $6 | 100% |
| Sterling Premier Mc Hmo | $6 | 100% |
| Superior Health Mcr Hmo | $6 | 100% |
| Tenet Mcr Hmo | $6 | 100% |
| Tricare | $6 | 100% |
| United Hc Mcr Hmo | $6 | 100% |
| UnitedHealthcare | $6 - $57 | 100% |
| Universal Hc Mcr Hmo | $6 | 100% |
| Us Dept Of Labor | $6 | 100% |
| Vantage Health Mcr Hmo | $6 | 100% |
| Windsor Sterling Mcr Hmo | $6 | 100% |
| Wps Mvh Vapc3 | $6 | 100% |
| All Savers | $7 | 116% |
| Golden Rule Ins Co | $7 | 116% |
| United Behavioral Health | $7 | 116% |
| Vantage Health Plan Inc | $8 | 133% |
| Ambetter / Centene | $9 | 150% |
| Sedgwick Claims Mgmt Serv | $20 - $119 | 333% |
| Workman'S Comp | $20 - $119 | 333% |
| Commercial Insurance | $33 - $132 | 549% |
| Meritain Health | $33 - $86 | 549% |
| Coventry Healthcare | $49 - $79 | 815% |
| Geha | $57 - $92 | 948% |
| Health Plus Of La | $57 - $99 | 948% |
| Apwu Healthplan | $61 - $99 | 1015% |
| Great West Healthcare | $61 - $99 | 1015% |
| Phcs | $65 - $106 | 1082% |
| Ppo Plus | $65 - $106 | 1082% |
| Aarp | $81 - $132 | 1348% |
| Accordia National | $81 - $132 | 1348% |
| Aflac | $81 - $132 | 1348% |
| Alameda Alliance Forhealt | $81 - $132 | 1348% |
| American Pioneer | $81 - $132 | 1348% |
| Benefit Management | $81 - $132 | 1348% |
| Benesys Inc | $81 - $132 | 1348% |
| Business Guarantor | $81 - $132 | 1348% |
| Chubb | $81 - $132 | 1348% |
| Commercial Sr. Care | $81 - $132 | 1348% |
| Employee Benefit Services | $81 - $132 | 1348% |
| Family Life Insurance Co | $81 - $132 | 1348% |
| Farm Bureau Insurance | $81 - $132 | 1348% |
| Fiserv Health Benefit | $81 - $132 | 1348% |
| Gmp | $81 - $132 | 1348% |
| Group And Pension Admin | $81 - $132 | 1348% |
| Group Resources | $81 - $132 | 1348% |
| Haik Minvielle And Grubbs | $81 - $132 | 1348% |
| Harrington Benefit Svs | $81 - $132 | 1348% |
| Health Design Plus | $81 - $132 | 1348% |
| Health Plan | $81 - $132 | 1348% |
| Healthscope Benefits | $81 - $132 | 1348% |
| Insurance Management Admi | $81 - $132 | 1348% |
| Jefferson National | $81 - $132 | 1348% |
| John Alden Health Ins | $81 - $132 | 1348% |
| John Hancock | $81 - $132 | 1348% |
| Liberty Mutual | $81 - $132 | 1348% |
| Mailhandlers Benefit Plan | $81 - $132 | 1348% |
| Manhattan Life Ins Co | $81 - $132 | 1348% |
| Mega Life And Health | $81 - $132 | 1348% |
| Msa Careguard | $81 - $132 | 1348% |
| Mutual Of Omaha | $81 - $132 | 1348% |
| Nalc Health Benefit Plan | $81 - $132 | 1348% |
| Naphcare Inc. | $81 - $132 | 1348% |
| New Era Life Ins Co | $81 - $132 | 1348% |
| Physicians Mutual | $81 - $132 | 1348% |
| Principal Financial Group | $81 - $132 | 1348% |
| Prudential Healthcare | $81 - $132 | 1348% |
| Self Pay | $81 - $132 | 1348% |
| State Farm | $81 - $132 | 1348% |
| State Farm Insurance | $81 - $132 | 1348% |
| State Mutual Insurance Co | $81 - $132 | 1348% |
| Sterling Investors Life | $81 - $132 | 1348% |
| Tower Life | $81 - $132 | 1348% |
| Transamerica Premier Ins | $81 - $132 | 1348% |
| United American | $81 - $132 | 1348% |
| United Comm Travelers | $81 - $132 | 1348% |
| United Teachers | $81 - $132 | 1348% |
| Usable Administrator | $81 - $132 | 1348% |
| Visn 16 Cfu | $81 - $132 | 1348% |
| Wausau Benefits | $81 - $132 | 1348% |
| Webtpa | $81 - $132 | 1348% |
| Wells Fargo | $81 - $132 | 1348% |
| Woodmen Of The World | $81 - $132 | 1348% |