CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Byrd Regional Hospital

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85730
  • Insurance Median: $12
  • Cash Discount Price: $42
  • vs. Medicare Baseline: 2.00x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Byrd Regional Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $42. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 2.00x the Medicare baseline. Located in 1020 Fertitta Blvd, Leesville, LA.
Cash / Self-Pay
$42

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: $42 (699%)
Insurance Median: $12 (200%)
Cash: $42 (699% 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
Aarp $5 83%
Aetna $5 - $140 83%
Champva $5 83%
Christus Health Plan $5 83%
Coventry Healthcare Of La $5 - $83 83%
Geha $5 83%
Gulf Guaranty $5 83%
Tricare $5 - $6 83%
UnitedHealthcare $5 - $140 83%
Amerihealth Caritas $6 - $20 100%
Blue Advantage $6 100%
Blue Cross Blue Shield $6 - $10 100%
Correct Care Int Hth $6 - $20 100%
Freedom Beh Hospital $6 100%
Healthy Blue $6 - $20 100%
Humana $6 - $22 100%
Industrial $6 - $140 100%
La Healthcare Conn Mdcaid $6 - $20 100%
Mcr Devoted Healthcare $6 100%
Mcr Lagniappe $6 100%
Medicaid / KanCare $6 - $20 100%
Medicare (plans) $6 100%
Mutual Of Omaha $6 - $140 100%
Peoples Health Mcr Adv $6 100%
Vantage Health Plan $6 100%
Veterans Administration $6 100%
Ambetter / Centene $8 133%
Gulf South Risk Services $8 133%
Cigna $13 - $89 216%
Workers Comp $18 - $126 300%
Self Pay $42 699%
Verity Health $98 1631%
Us Dept Of Labor $126 2097%
Aflac $140 2329%
American Health Advantage $140 2329%
Amfirst $140 2329%
Hospice Of Leesville $140 2329%
Misc Comm $140 2329%
Mischmoppo $140 2329%
Mva $140 2329%
Phcs Private Health $140 2329%
Physicans Mutual $140 2329%
State Farm Insurance $140 2329%
Sterling $140 2329%
Stonetrust $140 2329%
Tri Parish Rehab $140 2329%
United Teacher Asso $140 2329%
Web Tpa $140 2329%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1020 Fertitta Blvd, Leesville, LA 71446
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals