CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Baylor Scott & White Medical Center -Taylor

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85730
Insurance Median: $34
Cash Discount Price: $40
vs. Medicare Baseline: 5.66x Medicare

The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Baylor Scott & White Medical Center -Taylor is $34. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $40. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 5.66x the Medicare baseline. Located in 305 Mallard, Taylor, TX.

Cash / Self-Pay

$40

Average discount available for prompt cash payment at this facility.

Insurance Median

$34

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: $40 (666%)

Insurance Median: $34 (566%)

Cash: $40 (666% of Medicare)

Ins. Median: $34 (566% 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 566% of the Medicare baseline (a markup of 466%). 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
American Health Plan	$5 - $40	83%
Baylor Scott & White Health Plan	$5 - $78	83%
Blue Cross Blue Shield	$5 - $40	83%
Corvel	$5 - $40	83%
Healthspring	$5 - $40	83%
Prime Health Services	$5 - $40	83%
Procare Advantage	$5 - $40	83%
Superior Health Plan	$5 - $40	83%
Triwest	$5 - $38	83%
Careworks Fka Rockport	$6 - $48	100%
Injury Management Organization	$6 - $48	100%
Sedgwick	$6 - $48	100%
UnitedHealthcare	$9	150%
Cigna	$12 - $111	200%
Aetna	$13 - $101	216%
Midcoast	$13 - $101	216%
Quiktrip	$13 - $101	216%
University Of Mary Hardin-Baylor	$13 - $106	216%
Independent Medical System	$14 - $110	233%
Curative	$15 - $119	250%
Humana	$15 - $128	250%
First Health	$16 - $128	266%
Healthsmart	$16 - $137	266%
Private Health Care System	$17 - $137	283%
Bluebell Creameries	$19 - $147	316%
Three Rivers	$19 - $147	316%

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 $40.
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 Baylor Scott & White Medical Center -Taylor 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.