CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Hendrick Medical Center

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85730
Insurance Median: $143
Cash Discount Price: $357
vs. Medicare Baseline: 23.79x Medicare

The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Hendrick Medical Center is $143. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $357. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 23.79x the Medicare baseline. Located in 1900 Pine, Abilene, TX.

Cash / Self-Pay

$357

Average discount available for prompt cash payment at this facility.

Insurance Median

$143

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: $357 (5940%)

Insurance Median: $143 (2379%)

Cash: $357 (5940% of Medicare)

Ins. Median: $143 (2379% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 2379% of the Medicare baseline (a markup of 2279%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Firstcare Star	$9	150%
Superior Health Plan	$10	166%
Wellpoint (Formerly Known As Amerigroup)	$10	166%
Blue Cross Blue Shield	$20 - $157	333%
Baylor Scott And White Health Plan	$105	1747%
UnitedHealthcare	$139 - $196	2313%
Cigna	$214	3561%
Aetna	$225	3744%
Private Healthcare Systems	$232 - $285	3860%
Healthsmart	$267	4443%
Omni Networks	$267 - $303	4443%
Multiplan	$317	5275%

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 $357.
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 Hendrick Medical Center 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.