CMS Price Transparency Data
Blood test, clotting time (PTT)
Facility: Baptist Memorial Hospital Tipton
Billing Code: 85730 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 85730
- Insurance Median: $11
- Cash Discount Price: $48
- vs. Medicare Baseline: 1.83x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Baptist Memorial Hospital Tipton is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $48. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 1.83x the Medicare baseline. Located in 1995 Highway 51 S, Covington, TN.
Cash / Self-Pay
$48
Average discount available for prompt cash payment at this facility.
Insurance Median
$11
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: $48 (799%)
Insurance Median: $11 (183%)
Cash: $48 (799% of Medicare)
Ins. Median: $11 (183% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Wellpoint | $5 - $6 | 83% |
| Aetna | $6 - $69 | 100% |
| American Health Plan | $6 | 100% |
| Blue Cross Blue Shield | $6 - $139 | 100% |
| Devoted Health | $6 | 100% |
| Humana | $6 - $15 | 100% |
| Molina | $6 - $116 | 100% |
| Novasys | $6 - $173 | 100% |
| Oscar | $6 | 100% |
| Shared Health | $6 | 100% |
| Tribute Health Plan | $6 | 100% |
| Triwest | $6 | 100% |
| Vaccn | $6 | 100% |
| Veterans Evaluation Services | $6 | 100% |
| Arlington Community Schools | $10 | 166% |
| Bartlett City Schools | $10 | 166% |
| City Of Bartlett | $10 | 166% |
| City Of Lakeland | $10 | 166% |
| Collierville Schools | $10 | 166% |
| Eas Mssc Schools | $10 | 166% |
| First State Bank Trust | $10 | 166% |
| Lakeland School System | $10 | 166% |
| Magnolia Tn | $10 | 166% |
| Town Of Collierville | $10 | 166% |
| Armstrong Relocation | $11 | 183% |
| Ashley Furniture Stores | $11 | 183% |
| Brimhall Foods | $11 | 183% |
| Building Plastic | $11 | 183% |
| Burch Food Services | $11 | 183% |
| Cannon Motor Company | $11 | 183% |
| Carlisle | $11 | 183% |
| Crittenden County | $11 | 183% |
| Davidson Hospitality | $11 | 183% |
| Desoto Co Board Of Supervisors | $11 | 183% |
| Dunn Investment Company | $11 | 183% |
| First Choice Health Plan Of Ms | $11 - $162 | 183% |
| First Community Bank | $11 | 183% |
| French Camp Academy | $11 | 183% |
| Gossett Motor Cars | $11 | 183% |
| Hattiesburg Clinic | $11 | 183% |
| Heartland Catfish Company | $11 | 183% |
| Heavy Machines | $11 | 183% |
| Hollowell Industries | $11 | 183% |
| Hospitality Management Advisors | $11 | 183% |
| Jas D Collier | $11 | 183% |
| Malco Theaters | $11 | 183% |
| Mechanical Systems | $11 | 183% |
| Mid-South Transport | $11 | 183% |
| Patterson Warehouses | $11 | 183% |
| Radians | $11 | 183% |
| Rei Nation | $11 | 183% |
| Retzer Resources | $11 | 183% |
| Ritchey Automotive | $11 | 183% |
| Security One | $11 | 183% |
| Silver Tree | $11 | 183% |
| State Systems | $11 | 183% |
| United Tn Holdings | $11 | 183% |
| Vaughn Electric | $11 | 183% |
| W G Yates | $11 | 183% |
| W W Wood Products | $11 | 183% |
| Watkins Uiberall | $11 | 183% |
| Y K Auto Group | $11 | 183% |
| Access Health Services | $12 - $139 | 200% |
| Employers Health Network | $12 | 200% |
| Harding Academy | $12 | 200% |
| Cigna | $13 | 216% |
| Ppo Holdings | $63 - $88 | 1048% |
| Magnolia Regional Health Center | $66 - $92 | 1098% |
| Multiplan | $71 - $173 | 1181% |
| Littler | $82 - $116 | 1364% |
| Butler Snow | $99 - $139 | 1647% |
| UnitedHealthcare | $99 - $139 | 1647% |
| Mpcn | $124 - $173 | 2063% |
| Ppo Plus | $140 - $196 | 2329% |
| Qca | $148 - $208 | 2463% |