CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Ochsner Laird Hospital

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85730
Insurance Median: $11
Cash Discount Price: $12
vs. Medicare Baseline: 1.83x Medicare

The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Ochsner Laird Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 1.83x the Medicare baseline. Located in 25117 Highway 15, Union, MS.

Cash / Self-Pay

$12

Average discount available for prompt cash payment at this facility.

Insurance Median

$11

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: $12 (200%)

Insurance Median: $11 (183%)

Cash: $12 (200% of Medicare)

Ins. Median: $11 (183% 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.

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	$3 - $64	50%
Humana	$5 - $64	83%
Medicaid / KanCare	$5 - $6	83%
Cigna	$6 - $64	100%
Magnolia Health Plan - Wellcare By All Well Of Mississippi	$6 - $64	100%
Medicare (plans)	$6 - $73	100%
Primewell Health Services - Commercial	$6 - $85	100%
Primewell Health Services Commercial Exchange Plan	$6 - $85	100%
Shared Health Mississippi	$6 - $67	100%
Prime Health Services Ppo	$7 - $81	116%
Ambetter / Centene	$8 - $64	133%
Aetna	$10 - $66	166%
Blue Cross Blue Shield	$10 - $71	166%
Prime Health Services Ppo -Workers Comp	$10	166%
Select Administrative Services Network	$10 - $71	166%
Claritev D/B/A Multiplan/Phcs/American Life Care	$11 - $76	183%
Cor Vel	$11	183%
Zelis	$11 - $76	183%

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 $12.
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 Ochsner Laird 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.