CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85730
Insurance Median: $22
Cash Discount Price: $20
vs. Medicare Baseline: 3.66x Medicare

The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Mary Hitchcock Memorial Hospital is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 3.66x the Medicare baseline. Located in 1 Medical Center Drive, Lebanon, NH.

Cash / Self-Pay

$20

Average discount available for prompt cash payment at this facility.

Insurance Median

$22

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: $20 (333%)

Insurance Median: $22 (366%)

Cash: $20 (333% of Medicare)

Ins. Median: $22 (366% 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 366% of the Medicare baseline (a markup of 266%). 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	$3 - $52	50%
Blue Cross Blue Shield	$4 - $103	67%
Amerihealth Caritas Nh	$5 - $8	83%
Beacon Health Strategies/Carelon	$5 - $8	83%
Granite State Health Plan	$5 - $9	83%
Wellsense Health Plan	$5 - $8	83%
Aetna	$6 - $48	100%
Ambetter / Centene	$6 - $20	100%
Cigna	$6 - $47	100%
Harvard Pilgrim Health Care Of Ne	$6 - $44	100%
Martin'S Point Generations Advantage	$6	100%
Martin'S Point Health Care	$6 - $23	100%
Mvp	$6 - $46	100%
Wellcare Health Plans	$6	100%
Mass General Brigham Health Plan	$14 - $42	233%
Tufts Health Plan	$17 - $40	283%
Maine Community Health Options	$41 - $50	682%
Coventry	$56 - $59	932%
First Health/Hcvm	$56 - $59	932%
Phcs	$58 - $61	965%
Corvel	$59 - $63	982%
Ccmsi	$61 - $65	1015%

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 $20.
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 Mary Hitchcock Memorial 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.