CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Novant Health Brunswick Medical Center

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85730
Insurance Median: $69
Cash Discount Price: $51
vs. Medicare Baseline: 11.48x Medicare

The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Novant Health Brunswick Medical Center is $69. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $51. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 11.48x the Medicare baseline. Located in 1 Medical Center Dr Po Box 139, Supply, NC.

Cash / Self-Pay

$51

Average discount available for prompt cash payment at this facility.

Insurance Median

$69

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: $51 (849%)

Insurance Median: $69 (1148%)

Cash: $51 (849% of Medicare)

Ins. Median: $69 (1148% 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 1148% of the Medicare baseline (a markup of 1048%). 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
Blue Cross Blue Shield	$6 - $107	100%
Humana	$6 - $127	100%
Pace Of The Southern Piedmont	$6	100%
UnitedHealthcare	$6 - $91	100%
Aetna	$7 - $126	116%
Cigna	$7 - $82	116%
Liberty Health	$7	116%
New Hanover Health Advantage	$7	116%
Amerihealth	$13 - $21	216%
Carolina Complete	$13 - $21	216%
Nc Department Of Public Safety	$13 - $21	216%
Wellcare	$13 - $21	216%
Ambetter / Centene	$14	233%
Caresource North Carolina	$36 - $59	599%
Atlantic Corporation Dba Atlantic Packaging	$49 - $80	815%
Amps	$50 - $81	832%
Plotkin Health	$55 - $89	915%
Medcost	$69 - $124	1148%
Transformhealth	$73 - $118	1215%
Multiplan	$82 - $133	1364%
Phcs	$82 - $133	1364%
Employers Choice Network	$88 - $144	1464%
Three Rivers Provider Network	$88 - $144	1464%

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 $51.
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 Novant Health Brunswick Medical 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.