CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Medical City Las Colinas

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85730
  • Insurance Median: $8
  • Cash Discount Price: $992
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Medical City Las Colinas is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $992. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 1.33x the Medicare baseline. Located in 6800 N Macarthur Blvd, Irving, TX.
Cash / Self-Pay
$992

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $992 (16506%)
Insurance Median: $8 (133%)
Cash: $992 (16506% of Medicare)
Ins. Median: $8 (133% 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.

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
Cook Childrens Health Plan $4 67%
Aetna $5 - $724 83%
Amerigroup $5 - $6 83%
Cigna $5 - $139 83%
United $5 - $177 83%
American Health Plan Of Texas, Inc. $6 100%
Blue Cross Blue Shield $6 - $440 100%
Care N Care $6 100%
Devoted Health $6 100%
Humana $6 - $67 100%
Integranet $6 100%
Molina $6 - $7 100%
Mutual Of Omaha $6 100%
Parkland Community Health Plan $6 100%
Procare Advantge $6 100%
Provider Partners Health Plan $6 100%
Superior Health Plan $6 - $69 100%
Texas Independent Health Plan $6 100%
Triwest Veterans $6 100%
Wellcare $6 100%
Wellmed $6 100%
Imperial Insurance Company $7 116%
Triwest Health Alliance $7 116%
Universal Healthcare Group $7 116%
Verda Health Plan $8 133%
Bravo Health $9 150%
Superior $11 - $13 183%
Usa Managed Care $11 - $793 183%
Corvel Corporation $12 200%
Molina Healthcare $16 266%
Oscar $16 266%
Healthcare Highways $243 - $335 4043%
Evry Health $256 4260%
Unicare $347 - $992 5774%
City Of Mckinney $446 7421%
National Choicecare $496 8253%
Pc Texas Partners $545 9068%
Physicians Coop Of Tx $545 9068%
Rockport Health Group $545 9068%
Averde Health, Inc $575 9567%
Coastal Comp Health Networks $694 11547%
Mega Life $694 11547%
Multiplan Phcs $694 11547%
Healthsmart Preferred Care $704 11714%
Lewisville Isd/Dls Consulting $744 12379%
Usc Health Services $793 13195%
Galaxy Health Network $843 14027%
Independent Medical Systems $992 16506%
National Healthcare Solutions $992 16506%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6800 N Macarthur Blvd, Irving, TX 75039
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals