Blood test, clotting time (PTT)
Facility: Cannon Memorial Hospital
Billing Code: 85730 (CPT)
- CPT Billing Code: 85730
- Insurance Median: $193
- Cash Discount Price: $123
- vs. Medicare Baseline: 32.11x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 3211% of the Medicare baseline (a markup of 3111%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Aetna | $4 | 67% |
| Mail Handlers Benefit Plan [327] | $4 | 67% |
| Rural Carrier Benefit Plan [406] | $4 | 67% |
| Absolute Total Care [58] | $8 | 133% |
| Humana | $8 - $185 | 133% |
| Medicaid / KanCare | $8 - $257 | 133% |
| Other Hospital Payers [1991] | $8 - $257 | 133% |
| Planned Administrators [886] | $8 - $67 | 133% |
| Select Health Of Sc [637] | $8 | 133% |
| Blue Cross Blue Shield | $25 - $244 | 416% |
| Blue Choice Health Plan [922] | $38 - $73 | 632% |
| Employee Benefit Management Services [869] | $66 - $72 | 1098% |
| Thomas Cooper & Company [315] | $67 | 1115% |
| Geha [302] | $126 - $137 | 2097% |
| Golden Rule Ins Co [584] | $126 - $137 | 2097% |
| UnitedHealthcare | $126 - $257 | 2097% |
| Phcs [940] | $127 - $170 | 2113% |
| Cigna | $140 - $257 | 2329% |
| Nalc Health Benefit Plan [291] | $140 - $153 | 2329% |
| Medcost [206] | $142 - $231 | 2363% |
| Preferred Administrators [19] | $142 - $154 | 2363% |
| Coventry Health [245] | $148 - $185 | 2463% |
| American Continental Ins [778] | $236 - $257 | 3927% |
| American Republic Life Ins [722] | $236 - $257 | 3927% |
| Business Office [6000] | $236 - $257 | 3927% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund [17] | $236 - $257 | 3927% |
| First Health [946] | $236 - $257 | 3927% |
| Guarantee Trust Life Insurance [236] | $236 - $257 | 3927% |
| Home Health Infusion Payer [6001] | $236 - $257 | 3927% |
| Manhattan Life Ins Co [932] | $236 - $257 | 3927% |
| Medicare (plans) | $236 - $257 | 3927% |
| Miscellaneous Commercial [1] | $236 - $257 | 3927% |
| New Era Life Ins Co [437] | $236 - $257 | 3927% |
| Non-Contracted [22] | $236 - $257 | 3927% |
| Physicians Mutual [773] | $236 - $257 | 3927% |
| Reference Based Pricing/Limited Plan [21] | $236 - $257 | 3927% |
| State Farm Ins Co [373] | $236 - $257 | 3927% |
| Sterling Investors Life [244] | $236 - $257 | 3927% |
| Supermed/Med Mutual Of Ohio [539] | $236 - $257 | 3927% |
| United American Ins Co [277] | $236 - $257 | 3927% |