CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Dell Seton Med Center at the University of Tx

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85730
Insurance Median: $12
Cash Discount Price: $37
vs. Medicare Baseline: 2.00x Medicare

The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Dell Seton Med Center at the University of Tx is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $37. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 2.00x the Medicare baseline. Located in 601 E 15Th Street, Austin, TX.

Cash / Self-Pay

$37

Average discount available for prompt cash payment at this facility.

Insurance Median

$12

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: $37 (616%)

Insurance Median: $12 (200%)

Cash: $37 (616% of Medicare)

Ins. Median: $12 (200% 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
Ambetter / Centene	$5 - $7	83%
Blue Cross Blue Shield	$5 - $28	83%
Dell Chip/Chip Perinate	$5 - $6	83%
Dell Star	$5 - $6	83%
UnitedHealthcare	$5 - $6	83%
Wellpoint Chip/Chip Perinate	$5 - $6	83%
Wellpoint Star Kids	$5	83%
Wellpoint Star Plus	$5 - $6	83%
Wellpoint Star	$6	100%
Champva	$7 - $8	116%
Humana	$10	166%
Superior Star	$12 - $91	200%
Superior Star Foster	$12 - $91	200%
Superior Star Kids	$12 - $91	200%
Superior Star Plus	$12 - $91	200%
Cigna	$14	233%
Superior Chip/Chip Perinate	$14 - $102	233%
Seton Performance Plus	$15	250%
Aetna	$16 - $45	266%
Covenant Health	$33	549%

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 $37.
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 Dell Seton Med Center at the University of Tx 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.