Blood test, clotting time (PTT)
Facility: Lancaster General Hospital
Billing Code: 85730 (CPT)
- CPT Billing Code: 85730
- Insurance Median: $12
- Cash Discount Price: $43
- vs. Medicare Baseline: 2.00x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Highmark | $2 - $44 | 33% |
| Hospice And Community Care | $2 - $8 | 33% |
| Highmark Commercial Preferred | $3 - $44 | 50% |
| Lancashire Hall | $3 - $44 | 50% |
| Lg Coresource/Lg Eliance | $3 - $13 | 50% |
| Nursing Home Op Services | $3 - $13 | 50% |
| Old Order Group | $3 - $14 | 50% |
| Affilia Home Health | $4 - $44 | 67% |
| Eliance Health Solutions | $4 - $28 | 67% |
| Masonic Homes | $4 - $44 | 67% |
| Highmark Commercial Non-Preferred | $5 - $44 | 83% |
| Tricare | $5 | 83% |
| Aetna | $6 - $26 | 100% |
| Albright Life | $6 | 100% |
| Amerihealth Caritas | $6 - $8 | 100% |
| Blue Cross Blue Shield | $6 - $37 | 100% |
| Cigna | $6 - $37 | 100% |
| Coatesville Va | $6 | 100% |
| Devoted Health | $6 | 100% |
| Health Partners Mcr Advantage | $6 | 100% |
| Hospice Generic | $6 | 100% |
| Lebanon Veterans Hospital | $6 | 100% |
| Medicare (plans) | $6 - $7 | 100% |
| Pa Health And Wellness Mcr | $6 | 100% |
| Preferred Healthcare | $6 - $37 | 100% |
| UnitedHealthcare | $6 - $37 | 100% |
| Devon | $8 - $37 | 133% |
| Ehp | $8 - $36 | 133% |
| Geisinger Commercial | $8 - $37 | 133% |
| Intergroup Services | $8 - $37 | 133% |
| Lancaster County Mh | $8 | 133% |
| Medicaid / KanCare | $8 - $12 | 133% |
| Upmc Commercial | $8 - $37 | 133% |
| Elap Employees | $9 | 150% |
| Gateway | $9 | 150% |
| Commercial Generic | $10 - $44 | 166% |
| Magellan | $10 - $44 | 166% |
| Medi-Share Christian Care | $10 - $42 | 166% |
| United Behavioral Health | $10 - $44 | 166% |
| Upmc For You | $10 - $13 | 166% |
| Value Options | $10 - $44 | 166% |
| Workers Compensation | $10 - $44 | 166% |
| Oscar Health Plan | $12 | 200% |
| Claim Watcher Plus | $18 | 300% |
| Claim Watcher | $20 | 333% |
| Elap Other Groups | $22 | 366% |
| Gift Of Life Donor Program | $13,500 | 224626% |