CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Holy Cross Hospital - Salt Lake

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85730
Insurance Median: $95
Cash Discount Price: $81
vs. Medicare Baseline: 15.81x Medicare

The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Holy Cross Hospital - Salt Lake is $95. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $81. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 15.81x the Medicare baseline. Located in 1050 East South Temple, Salt Lake City, UT.

Cash / Self-Pay

$81

Average discount available for prompt cash payment at this facility.

Insurance Median

$95

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: $81 (1348%)

Insurance Median: $95 (1581%)

Cash: $81 (1348% of Medicare)

Ins. Median: $95 (1581% 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 1581% of the Medicare baseline (a markup of 1481%). 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
Blue Cross Blue Shield	$4 - $121	67%
Cigna	$5 - $161	83%
Denver Health	$5	83%
Health Choice	$5	83%
Medicaid / KanCare	$5	83%
Rocky Mountain Health Plan	$5	83%
Uuhp	$5 - $14	83%
Humana	$6	100%
Medicare (plans)	$6	100%
Employer Direct Healthcare	$7	116%
Centura Employee Plan	$8	133%
Motivhealth	$8	133%
UnitedHealthcare	$8	133%
Molina	$12 - $86	200%
Pehp	$86 - $201	1431%
Aetna	$89 - $170	1481%
Wise	$105 - $107	1747%
Deseret Mutual Benefit Administrators	$124	2063%
Select Health	$133	2213%
Multiplan	$139 - $183	2313%
Emi Health	$201	3344%

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 $81.
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 Holy Cross Hospital - Salt Lake 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.