Blood test, clotting time (PTT)
Facility: Merit Health River Oaks
Billing Code: 85730 (CPT)
- CPT Billing Code: 85730
- Insurance Median: $6
- Cash Discount Price: $3
- 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 |
|---|---|---|
| Self Pay | $1 - $116 | 17% |
| UnitedHealthcare | $1 - $141 | 17% |
| Cigna | $2 - $105 | 33% |
| First Choice Standard | $2 - $243 | 33% |
| Ms State Hospital Of Whitfield Ms | $2 - $201 | 33% |
| Trimed Billing Solutions | $2 - $158 | 33% |
| First Choice Coventry | $3 - $275 | 50% |
| First Choice Mpcn Standard | $3 - $290 | 50% |
| First Choice Ppo Plus | $3 - $290 | 50% |
| Phcs | $3 - $317 | 50% |
| Aetna | $4 - $370 | 67% |
| American Health Group | $4 - $449 | 67% |
| Beech Street | $4 - $449 | 67% |
| Benefit Administration Services | $4 - $449 | 67% |
| Benefit Management Systems | $4 - $449 | 67% |
| Citizens State Bank Inc | $4 - $449 | 67% |
| First Choice Stratose | $4 - $422 | 67% |
| Formost | $4 - $449 | 67% |
| One Health Plan | $4 - $475 | 67% |
| Prime Health Services | $4 - $422 | 67% |
| Tricare | $4 - $5 | 67% |
| Usa Mco | $4 - $449 | 67% |
| Advanced Health Systems | $5 - $11 | 83% |
| Blue Cross Blue Shield | $5 - $11 | 83% |
| Humana | $5 - $6 | 83% |
| Magnolia Mcd Chip | $5 | 83% |
| Medicaid / KanCare | $5 - $6 | 83% |
| Medicare (plans) | $5 - $6 | 83% |
| Molina | $5 - $6 | 83% |
| Molina Exchange | $5 - $11 | 83% |
| Ms Dept Of Rehabilitation Services | $5 - $528 | 83% |
| Node Champva | $5 - $6 | 83% |
| Node Devoted Health Mcr Adv | $5 - $6 | 83% |
| Node First Choice American Health Mcr Adv | $5 - $6 | 83% |
| Node First Choice Seven Corners | $5 - $10 | 83% |
| Node First Choice Shared Health Of Ms Mcr Adv | $5 - $6 | 83% |
| Node First Choice Wellcare Mcr Adv | $5 - $6 | 83% |
| Node Hospice Non Par Agree | $5 - $6 | 83% |
| Node Va | $5 - $6 | 83% |
| Node Vantage Health Mcr Adv | $5 - $6 | 83% |
| Veterans Eval Services | $5 - $6 | 83% |
| Caresource Truecare | $6 | 100% |
| Molina Chip | $6 | 100% |
| Node Healthy Mississippi Mcr Adv | $6 - $7 | 100% |
| Node Us Dept Of Labor | $6 - $8 | 100% |
| First Choice Preferred | $8 - $9 | 133% |
| Node First Choice Occunet | $8 - $9 | 133% |
| Magnolia Exchange | $9 - $11 | 150% |
| First Choice Lgp | $11 - $13 | 183% |
| Ms Work Comp | $11 | 183% |
| Prime Health Wc | $11 | 183% |
| Vantage Health Commercial | $11 - $14 | 183% |