Blood test, clotting time (PTT)
Facility: Golden Valley Memorial Hospital
Billing Code: 85730 (CPT)
- CPT Billing Code: 85730
- Insurance Median: $6
- Cash Discount Price: $58
- vs. Medicare Baseline: 1.00x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
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 | 100% |
| Home State Health | $6 | 100% |
| Humana | $6 | 100% |
| UnitedHealthcare | $6 - $10 | 100% |
| Ambetter / Centene | $7 | 116% |
Consumer Guidance & Cost Commentary
Golden Valley Memorial Hospital in Clinton, MO, lists a cash price of $58 for the Blood test, clotting time (PTT) procedure, which is significantly lower than the facility's gross charge of $97. While the facility's cash rate is well below its own maximum listed price, it remains higher than the state average of $6 and the median negotiated rate of $6 found across the region. For patients with high-deductible plans or those who wish to avoid administrative fees, paying the cash price of $58 directly could result in substantial savings compared to the commercial rates typically charged by insurance carriers.
The data indicates that this specific service is billed at a Medicare amount of $6.01, which serves as a reliable benchmark for the true cost of care. Although the facility is an Acute Care Hospital owned by the Government - Hospital District or Authority, the cash price of $58 is notably higher than the Medicare benchmark, suggesting that commercial pricing structures may still apply even for self-pay patients. To ensure you receive the best possible rate, it is recommended to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, as these upfront payment options can further reduce the final amount owed.