CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: St Francis Regional Medical Center

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85730
Insurance Median: $41
Cash Discount Price: $43
vs. Medicare Baseline: 6.82x Medicare

The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at St Francis Regional Medical Center is $41. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $43. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 6.82x the Medicare baseline. Located in 1455 St Francis Avenue, Shakopee, MN.

Cash / Self-Pay

$43

Average discount available for prompt cash payment at this facility.

Insurance Median

$41

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: $43 (715%)

Insurance Median: $41 (682%)

Cash: $43 (715% of Medicare)

Ins. Median: $41 (682% 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 682% of the Medicare baseline (a markup of 582%). 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	$6 - $91	100%
Blue Cross Blue Shield	$6 - $52	100%
Medica	$6 - $117	100%
Medicaid / KanCare	$6	100%
Medicare (plans)	$6	100%
Scha Msho (S)	$6	100%
South Country Health Alliance	$6	100%
Health Partners	$7 - $22	116%
Ucare Pmap (A B C D E G N O S U R H)	$10 - $31	166%
Cigna	$24	399%
Medica Health System	$25 - $123	416%
UnitedHealthcare	$34 - $105	566%
Americas Ppo (Araz)(B D N O R S V)	$38 - $118	632%
Medica Mhps	$38 - $117	632%
Americas Ppo (Araz) (B D N H O R S)	$41 - $129	682%
First Health (A C E G H U B D N O R S)	$41 - $129	682%
All Other Contracted Care (A B C D E G H N O R S U)	$49 - $153	815%

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 $43.
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 St Francis 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.