CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Tulsa Spine & Specialty Hospital

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85730
Insurance Median: $28
Cash Discount Price: $17
vs. Medicare Baseline: 4.66x Medicare

The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Tulsa Spine & Specialty Hospital is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 4.66x the Medicare baseline. Located in 6901 South Olympia Avenue, Tulsa, OK.

Cash / Self-Pay

$17

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: $17 (283%)

Insurance Median: $28 (466%)

Cash: $17 (283% 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
Black Lung [6055]	$17	283%
Healthcare Highways [2210]	$17 - $28	283%
Lucent Health [6000]	$17	283%
Oncology Patient Assistance Programs [2295]	$17	283%
Oscar Insurance Company [7005]	$17	283%
Osma Health Network [2345]	$17	283%
Healthscope Benefits [2290]	$18	300%
UnitedHealthcare	$18	300%
Resource One Administrators [2815]	$28	466%
Universal Fidelity [2085]	$28	466%
Web Tpa [2115]	$28	466%
The Kempton Group Administrators [2905]	$31	516%
First Health [1375]	$43	715%
Medica [2910]	$43	715%
Multiplan [1680]	$43	715%
Cigna	$45	749%
National Association Of Letter Carriers [1695]	$45	749%
Pba [1775]	$45	749%

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 $17.
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 Tulsa Spine & Specialty 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.