CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Cook Childrens Medical Center

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85730
Insurance Median: $109
Cash Discount Price: $175
vs. Medicare Baseline: 18.14x Medicare

The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Cook Childrens Medical Center is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $175. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 18.14x the Medicare baseline. Located in 801 Seventh Avenue, Fort Worth, TX.

Cash / Self-Pay

$175

Average discount available for prompt cash payment at this facility.

Insurance Median

$109

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: $175 (2912%)

Insurance Median: $109 (1814%)

Cash: $175 (2912% of Medicare)

Ins. Median: $109 (1814% 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 1814% of the Medicare baseline (a markup of 1714%). 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
Health Plan W. Uhrip	$5 - $109	83%
Aetna	$6 - $243	100%
Beacon	$6 - $69	100%
Blue Cross Blue Shield	$6 - $257	100%
El Paso Health First	$6	100%
Health Plan W/O Uhrip	$6 - $69	100%
Superior Health	$6	100%
Tx Children Health	$6	100%
Wellpoint	$6	100%
Firstcare	$7 - $229	116%
Molina	$7	116%
Rightcare	$7 - $96	116%
United Community	$7	116%
UnitedHealthcare	$71 - $243	1181%
S&W Health	$135 - $240	2246%
Cigna	$137 - $243	2280%
Healthscope	$137 - $243	2280%
Imagine Health	$137 - $243	2280%
Humana	$140 - $251	2329%
Multiplan	$140 - $249	2329%
First Health	$142 - $251	2363%
Galaxy Health	$145 - $257	2413%
Healthsmart	$145 - $257	2413%
Usamco	$148 - $263	2463%

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 $175.
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 Cook Childrens 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.