CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Bailey Medical Center, LLC

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85730
Insurance Median: $345
Cash Discount Price: $152
vs. Medicare Baseline: 57.40x Medicare

The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Bailey Medical Center, LLC is $345. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $152. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 57.40x the Medicare baseline. Located in 10502 North 110Th East Avenue, Owasso, OK.

Cash / Self-Pay

$152

Average discount available for prompt cash payment at this facility.

Insurance Median

$345

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: $152 (2529%)

Insurance Median: $345 (5740%)

Cash: $152 (2529% of Medicare)

Ins. Median: $345 (5740% 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 5740% of the Medicare baseline (a markup of 5640%). 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
Healthcare Highways [2210]	$127 - $140	2113%
Hooray Health [8000]	$127	2113%
Oncology Patient Assistance Programs [2295]	$127	2113%
Oscar Insurance Company [7005]	$127	2113%
Osma Health Network [2345]	$127	2113%
Healthscope Benefits [2290]	$134	2230%
UnitedHealthcare	$134	2230%
Resource One Administrators [2815]	$140	2329%
Web Tpa [2115]	$140	2329%
The Kempton Group Administrators [2905]	$229	3810%
First Health [1375]	$257 - $417	4276%
Medica [2910]	$257	4276%
Multiplan [1680]	$257 - $417	4276%
Cigna	$259	4309%
Healthpartners [1500]	$259	4309%
National Association Of Letter Carriers [1695]	$259	4309%
Pba [1775]	$259	4309%
Healthcare Solutions [1485]	$290	4825%
Community Care [1290]	$401	6672%
Employee Benefit Management Services [2445]	$401	6672%
Fmh Benefit Services [1390]	$401	6672%
Group Resources [1455]	$401	6672%
Phcs [1780]	$401 - $417	6672%
Gilsbar [1425]	$417	6938%
Healthcost Solutions [2415]	$417	6938%
Healthfirst [2395]	$417	6938%
Healthnet [1495]	$417	6938%
Hometown Health [2155]	$417	6938%
Mayo Clinic Health Solutions [2280]	$417	6938%
Mutual Of Omaha [1685]	$417	6938%
New Era Life Insurance Company [1705]	$417	6938%
Pan American Life Insurance Co [1770]	$417	6938%
Planned Administrators Inc [2360]	$417	6938%
Trustmark [2030]	$417	6938%
Universal Fidelity [2085]	$417	6938%
Healthsmart [1505]	$432	7188%
Pending Ssi [1616]	$508	8453%

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 $152.
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 Bailey Medical Center, LLC 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.