CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Alice Peck Day Memorial Hospital

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85730
Insurance Median: $52
Cash Discount Price: $37
vs. Medicare Baseline: 8.65x Medicare

The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Alice Peck Day Memorial Hospital is $52. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $37. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 8.65x the Medicare baseline. Located in 10 Alice Peck Day Drive, Lebanon, NH.

Cash / Self-Pay

$37

Average discount available for prompt cash payment at this facility.

Insurance Median

$52

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: $37 (616%)

Insurance Median: $52 (865%)

Cash: $37 (616% of Medicare)

Ins. Median: $52 (865% 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 865% of the Medicare baseline (a markup of 765%). 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
Ambetter / Centene	$5	83%
Amerihealth Caritas Granite Mcmp	$5	83%
Medicaid / KanCare	$5	83%
Nh Healthy Families	$5	83%
Blue Cross Blue Shield	$23 - $67	383%
Wellpoint	$35	582%
Harvard Pilgrim	$40 - $65	666%
UnitedHealthcare	$46 - $54	765%
Tufts	$47 - $55	782%
Cigna	$49 - $61	815%
Commercial Generic	$49 - $57	815%
Connecticut General	$49 - $57	815%
Klais	$49 - $58	815%
Aetna	$58 - $68	965%
Mvp	$58 - $68	965%
Coventry Health	$61 - $71	1015%
Coventry Health Wc	$61 - $71	1015%
Humana	$67 - $78	1115%

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 $37.
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 Alice Peck Day 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.