CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Parkland Health Center

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85730
Insurance Median: $42
Cash Discount Price: $37
vs. Medicare Baseline: 6.99x Medicare

The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Parkland Health Center is $42. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $37. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 6.99x the Medicare baseline. Located in 1101 W Liberty, Farmington, MO.

Cash / Self-Pay

$37

Average discount available for prompt cash payment at this facility.

Insurance Median

$42

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: $37 (616%)

Insurance Median: $42 (699%)

Cash: $37 (616% of Medicare)

Ins. Median: $42 (699% 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 699% of the Medicare baseline (a markup of 599%). 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
UnitedHealthcare	$6 - $46	100%
Healthscope Benefits [258]	$7 - $40	116%
Consociate [478]	$10	166%
Sarah Bush Lincoln [636]	$10	166%
Cigna	$12 - $50	200%
Mercy Behavioral Health [573]	$16	266%
Aetna	$28 - $46	466%
Healthlink [225]	$30 - $47	499%
Cox Health Systems Insurance Company [220]	$34 - $40	566%
Health Alliance [224]	$34	566%
Allied Benefits [498]	$36 - $46	599%
Hope Trust [806]	$36	599%
Blue Cross Blue Shield	$37 - $54	616%
Coresource [497]	$37	616%
Fmh Benefit Service Inc [222]	$37	616%
Mail Handlers [495]	$37	616%
Med-Pay [480]	$40 - $46	666%
Unicare [568]	$40 - $47	666%
Humana	$41	682%
Apwu Health Plan [216]	$43	715%
Nalc Health Benefit Plan [242]	$43	715%
Priority Health [648]	$43	715%
Beechstreet [551]	$46	765%
Detego Health [868]	$46	765%
First Health Commercial [734]	$46	765%
Health Systems Inc [620]	$46	765%
Healthcare Sol Mercy [609]	$46	765%
Multiplan Commercial [737]	$46	765%
Multiplan [240]	$46	765%
Phcs [244]	$46 - $50	765%
Preferred Health Professionals [561]	$47	782%
Hfn [563]	$50	832%
Medica [661]	$50	832%

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 $37.
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 Parkland Health 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.