CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Baylor Scott & White Hospital Brenham

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85730
Insurance Median: $24
Cash Discount Price: $40
vs. Medicare Baseline: 3.99x Medicare

The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Baylor Scott & White Hospital Brenham is $24. 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 3.99x the Medicare baseline. Located in 700 Medical Parkway, Brenham, TX.

Cash / Self-Pay

$40

Average discount available for prompt cash payment at this facility.

Insurance Median

$24

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: $24 (399%)

Cash: $40 (666% of Medicare)

Ins. Median: $24 (399% 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 399% of the Medicare baseline (a markup of 299%). 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	$3 - $24	50%
Baylor Scott & White Health Plan	$3 - $76	50%
Blue Cross Blue Shield	$3 - $36	50%
Corvel	$3 - $24	50%
Healthspring	$3 - $24	50%
Prime Health Services	$3 - $24	50%
Procare Advantage	$3 - $24	50%
Superior Health Plan	$3 - $24	50%
Triwest	$3 - $23	50%
Careworks Fka Rockport	$4 - $29	67%
Injury Management Organization	$4 - $29	67%
Sedgwick	$4 - $29	67%
UnitedHealthcare	$9	150%
Cigna	$12 - $107	200%
Aetna	$13 - $98	216%
Midcoast	$13 - $98	216%
Quiktrip	$13 - $98	216%
University Of Mary Hardin-Baylor	$13 - $103	216%
Independent Medical System	$14 - $107	233%
Curative	$15 - $116	250%
Imagine Health	$15 - $111	250%
First Health	$16 - $124	266%
Healthsmart	$16 - $133	266%
Humana	$16 - $142	266%
Private Health Care System	$17 - $133	283%
Bluebell Creameries	$21 - $160	349%

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 Hospital Brenham 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.