CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Christ Hospital

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85730
Insurance Median: $7
Cash Discount Price: $43
vs. Medicare Baseline: 1.16x Medicare

The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Christ Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $43. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 1.16x the Medicare baseline. Located in 2139 Auburn Avenue, Cincinnati, OH.

Cash / Self-Pay

$43

Average discount available for prompt cash payment at this facility.

Insurance Median

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: $43 (715%)

Insurance Median: $7 (116%)

Cash: $43 (715% of Medicare)

Ins. Median: $7 (116% 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
Blue Cross Blue Shield	$3 - $72	50%
Aetna	$6 - $72	100%
Buckeye Mycare Dual [2171]	$6	100%
Caresource [2031]	$6 - $72	100%
Cigna	$6 - $72	100%
Geha [2168]	$6	100%
Golden Rule [2161]	$6	100%
Humana	$6 - $72	100%
Kentucky Passport/Molina [2097]	$6	100%
Medben [2222]	$6	100%
Medicaid / KanCare	$6 - $72	100%
Medicare (plans)	$6	100%
Medigold Ppo [2204]	$6	100%
Meridian [2185]	$6	100%
Perennial [4200]	$6	100%
United Medical Resources [2104]	$6	100%
UnitedHealthcare	$6 - $72	100%
Wellcare Of Kentucky [2191]	$6	100%
Ambetter / Centene	$7	116%
Other Exchange Plan [9992]	$7 - $72	116%
Allied Benefits [2163]	$10	166%
First Health [2041]	$10	166%
Medical Mutual [2054]	$10	166%
Meritain Health [2224]	$10	166%
Western And Southern [2076]	$10	166%
Custom Design Benefits - True Cost [3004]	$12	200%
Poppins Health [2299]	$15	250%
Ohio Health Choice [2062]	$35	582%
Nalc [2178]	$38	632%
Priority Health [2225]	$38	632%
Life Synch [2080]	$43	715%
Multiplan/Phcs [2059]	$53	882%
Amerihealth Caritas [2230]	$72	1198%
Bccp [3079]	$72	1198%
Buckeye Community Health [2028]	$72	1198%
Healthcare Highways [2298]	$72	1198%
Sagamore Health Network [2066]	$72	1198%
Suburban Health [2408]	$72	1198%

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 $43.
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 Christ 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.