CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: New London Hospital

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85730
Insurance Median: $28
Cash Discount Price: $29
vs. Medicare Baseline: 4.66x Medicare

The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at New London Hospital is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $29. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 4.66x the Medicare baseline. Located in 273 County Road, New London, NH.

Cash / Self-Pay

$29

Average discount available for prompt cash payment at this facility.

Insurance Median

$28

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: $29 (483%)

Insurance Median: $28 (466%)

Cash: $29 (483% of Medicare)

Ins. Median: $28 (466% 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 466% of the Medicare baseline (a markup of 366%). 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
Cigna	$3 - $43	50%
Blue Cross Blue Shield	$4 - $51	67%
UnitedHealthcare	$4 - $50	67%
Amerihealth Caritas Nh	$5 - $33	83%
Granite State Health Plan	$5 - $32	83%
Wellsense Health Plan	$5 - $28	83%
Aetna	$6 - $55	100%
Ambetter / Centene	$6 - $28	100%
Harvard Pilgrim Health Care Of Ne	$6 - $46	100%
Martin'S Point Generations Advantage	$6 - $28	100%
Martin'S Point Health Care	$6 - $44	100%
Wellcare Health Plans	$6 - $28	100%
Tufts Health Plan	$44 - $46	732%
Coventry	$60	998%
Multiplan	$61	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 $29.
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 New London 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.