CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Bienville Medical Center

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85730
Insurance Median: $45
Cash Discount Price: $50
vs. Medicare Baseline: 7.49x Medicare

The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Bienville Medical Center is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 7.49x the Medicare baseline. Located in 1175 Pine Street, Arcadia, LA.

Cash / Self-Pay

$50

Average discount available for prompt cash payment at this facility.

Insurance Median

$45

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: $50 (832%)

Insurance Median: $45 (749%)

Cash: $50 (832% of Medicare)

Ins. Median: $45 (749% 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 749% of the Medicare baseline (a markup of 649%). 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
Aetna	$5 - $84	83%
Medicaid / KanCare	$5 - $6	83%
Mmd Amerihealth Caritas	$5 - $6	83%
Mmd Healthy Blue	$5 - $6	83%
Mmd La Hlth Conn	$5 - $6	83%
Mmd Misc	$5 - $6	83%
UnitedHealthcare	$5 - $45	83%
Ambetter / Centene	$6 - $45	100%
Humana	$6 - $54	100%
Mcr American Hlth Adv	$6 - $45	100%
Medicare (plans)	$6 - $45	100%
Misc Mgd Care	$6 - $84	100%
Mmc Blue Advantage	$6 - $45	100%
Mmc Misc	$6 - $45	100%
Peoples Health Mcr Adv	$6 - $45	100%
Va Health	$6 - $45	100%
Cashiering	$33 - $50	549%
Cigna	$42	699%
Blue Cross Blue Shield	$50	832%
Wc City Of Arcadia	$75	1248%
Wc House Of Raeford	$75	1248%
Wc Misc	$75	1248%
Wc Stonetrust	$75	1248%
Aarp	$84	1398%
Allegiance Health Managme	$84	1398%
Amfirst	$84	1398%
Apwu	$84	1398%
Liberty Mutual	$84	1398%
Misc Comm A-L	$84	1398%
Misc Comm M-Z	$84	1398%
Tricare	$84	1398%

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 $50.
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 Bienville 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.