CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Fairview Bethesda Hospital

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85730
Insurance Median: $84
Cash Discount Price: $59
vs. Medicare Baseline: 13.98x Medicare

The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Fairview Bethesda Hospital is $84. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $59. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 13.98x the Medicare baseline. Located in 45 10Th St W, Saint Paul, MN.

Cash / Self-Pay

$59

Average discount available for prompt cash payment at this facility.

Insurance Median

$84

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: $59 (982%)

Insurance Median: $84 (1398%)

Cash: $59 (982% of Medicare)

Ins. Median: $84 (1398% 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 1398% of the Medicare baseline (a markup of 1298%). 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
Health Partners	$5 - $115	83%
Blue Cross Blue Shield	$6 - $87	100%
Hennepin Health	$6 - $7	100%
Itasca Medical Care	$6	100%
Medica	$6 - $106	100%
Primewest	$6	100%
Sanford Health Plan	$6 - $87	100%
Security Health Plan	$6 - $110	100%
South Country Health Alliance	$6	100%
Ucare	$6 - $62	100%
UnitedHealthcare	$6 - $84	100%
Wellcare	$6	100%
America'S Ppo	$11 - $106	183%
First Health	$17 - $121	283%
Multiplan	$18 - $125	300%
Private Healthcare Systems	$18 - $125	300%
Wisconsin Physician Services	$19 - $132	316%

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 $59.
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 Fairview Bethesda Hospital 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.