CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Fostoria Community Hospital

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85730
Insurance Median: $41
Cash Discount Price: $51
vs. Medicare Baseline: 6.82x Medicare

The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Fostoria Community Hospital is $41. 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 6.82x the Medicare baseline. Located in 501 Van Buren Street, Fostoria, OH.

Cash / Self-Pay

$51

Average discount available for prompt cash payment at this facility.

Insurance Median

$41

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: $41 (682%)

Cash: $51 (849% of Medicare)

Ins. Median: $41 (682% 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 682% of the Medicare baseline (a markup of 582%). 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
Meridian Health Plan Of Mi	$3	50%
Blue Cross Blue Shield	$6 - $51	100%
Buckeye Community Health Plan	$6 - $18	100%
Health Alliance Plan	$6 - $59	100%
Health Value Management	$6 - $17	100%
Paramount Health Care	$6 - $42	100%
Aetna	$7 - $53	116%
Buckeye Community Health Plan Inc	$7 - $29	116%
Dayton Area Health Plan Dba Caresource	$9 - $33	150%
UnitedHealthcare	$9 - $47	150%
Amerihealth	$15	250%
Veterans Affairs	$17	283%
Medical Mutual Of Ohio	$45 - $47	749%
Frontpath Health Coalition	$46	765%
Ohio Health Choice	$51	849%
Ohio Ppo Connect	$51 - $59	849%
Health Ohio Network	$62	1032%
Connecticut General Life Insurance Company	$63	1048%

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 Fostoria Community 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.