CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Oklahoma Heart Hospital South, LLC

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85730
Insurance Median: $15
Cash Discount Price: $31
vs. Medicare Baseline: 2.50x Medicare

The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Oklahoma Heart Hospital South, LLC is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $31. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 2.50x the Medicare baseline. Located in 5200 East I-240 Service Road, Oklahoma City, OK.

Cash / Self-Pay

$31

Average discount available for prompt cash payment at this facility.

Insurance Median

$15

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: $31 (516%)

Insurance Median: $15 (250%)

Cash: $31 (516% of Medicare)

Ins. Median: $15 (250% 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 250% of the Medicare baseline (a markup of 150%). 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
Aetna	$5 - $84	83%
Healthcare Highways	$5 - $53	83%
Humana	$5 - $84	83%
Blue Cross Blue Shield	$6 - $84	100%
Cigna	$6 - $84	100%
Geha	$6 - $89	100%
Medicare (plans)	$6 - $86	100%
UnitedHealthcare	$6 - $89	100%
Va Ccn	$6 - $84	100%
Ambetter / Centene	$8 - $117	133%
Healthscope	$8 - $41	133%
Oscar Insurance Company	$8 - $41	133%
Webtpa Chickasaw Nation Hch	$8 - $42	133%
Webtpa Hobby Lobby Hch	$10 - $47	166%
Coventry	$11 - $53	183%
Global Health	$11 - $56	183%
Community Care	$12 - $167	200%
First Health Network	$12 - $61	200%
Manhattan Life	$12 - $61	200%
Sana Benefits	$12 - $58	200%
Ufcw	$12 - $58	200%
Phcs	$13 - $62	216%
Preferred Community Choice	$14 - $68	233%
The Kempton Group	$15 - $209	250%
Multiplan	$16 - $80	266%

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 $31.
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 Oklahoma Heart Hospital South, 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.