CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Blount Memorial Hospital

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85730
Insurance Median: $9
Cash Discount Price: $28
vs. Medicare Baseline: 1.50x Medicare

The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Blount Memorial Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 1.50x the Medicare baseline. Located in 907 E Lamar Alexander Parkway, Maryville, TN.

Cash / Self-Pay

$28

Average discount available for prompt cash payment at this facility.

Insurance Median

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: $28 (466%)

Insurance Median: $9 (150%)

Cash: $28 (466% of Medicare)

Ins. Median: $9 (150% 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.

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
Medicaid / KanCare	$2 - $9	33%
Blue Cross Blue Shield	$4 - $6	67%
Golden Rule Insurance Company [2991]	$4	67%
Oxford Health Plans [2992]	$4	67%
UnitedHealthcare	$4 - $7	67%
Cigna	$5 - $8	83%
Mvp Health Care [3037]	$5	83%
Tricare	$5	83%
Humana	$6	100%
Medicare (plans)	$6	100%
Ambetter / Centene	$9	150%
Consociate Health Contracted [4835]	$13	216%
Fairos/Occunet Contracted [4837]	$14	233%
Prisma Health Seniorcare Pace - Midlands [5400]	$21	349%
Prisma Health Seniorcare Pace-Upstate [5200]	$21	349%
Promise Health Plan Contracted [2401]	$32 - $54	532%
Orangeburg Senior Helping Center Pace [5401]	$36	599%
Bob Jones Univ-Pai [821]	$54	899%
Preferred Administrators Contracted [2839]	$63	1048%
Medcost [2940]	$67 - $75	1115%
Atlantic Packaging Contracted [4833]	$68	1131%
Aps Healthcare System [2981]	$72	1198%
Multiplan/Phcs Contracted [2950]	$80	1331%
Aetna	$81	1348%
Meritain Health Contracted [2200]	$81	1348%
Nippon [2300]	$81	1348%
Vsp Vision Care [2986]	$81	1348%
First Health Contracted [2952]	$84	1398%
Furman Int/Allen University Student [2951]	$84	1398%
Quiktrip-First Health [3067]	$84	1398%

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 $28.
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 Blount Memorial 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.