CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Texas Health Presbyterian Hospital Denton

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85730
Insurance Median: $38
Cash Discount Price: $83
vs. Medicare Baseline: 6.32x Medicare

The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Texas Health Presbyterian Hospital Denton is $38. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $83. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 6.32x the Medicare baseline. Located in 3000 N I-35, Denton, TX.

Cash / Self-Pay

$83

Average discount available for prompt cash payment at this facility.

Insurance Median

$38

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: $83 (1381%)

Insurance Median: $38 (632%)

Cash: $83 (1381% of Medicare)

Ins. Median: $38 (632% 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 632% of the Medicare baseline (a markup of 532%). 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
Amerigroup	$5 - $6	83%
Blue Cross Blue Shield	$5 - $35	83%
Cook Childrens	$5	83%
Molina	$5 - $6	83%
Superior Wellcare	$5 - $7	83%
UnitedHealthcare	$5 - $7	83%
Aetna	$6 - $153	100%
American Health	$6	100%
Healthspring	$6	100%
Humana	$6	100%
Fort Worth Firefighters	$12 - $133	200%
Cigna	$25 - $205	416%
City Of Fort Worth	$27 - $102	449%
Quick Trip	$34 - $137	566%
Phcs	$40 - $162	666%
Healthsmart	$43 - $183	715%
Multiplan	$50 - $189	832%
Galaxy	$51 - $192	849%
Usa	$51 - $192	849%

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 $83.
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 Texas Health Presbyterian Hospital Denton 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.