CMS Price Transparency Data

Blood test, clotting time (PTT)

Facility: Preston Memorial Hospital

Billing Code: 85730 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85730
Insurance Median: $103
Cash Discount Price: $73
vs. Medicare Baseline: 17.14x Medicare

The contracted insurance negotiated median rate for a Blood test, clotting time (PTT) at Preston Memorial Hospital is $103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $73. Compared to the federal Medicare reimbursement reference rate of $6.01, this hospital’s rate is 17.14x the Medicare baseline. Located in 150 Memorial Drive, Kingwood, WV.

Cash / Self-Pay

$73

Average discount available for prompt cash payment at this facility.

Insurance Median

$103

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: $73 (1215%)

Insurance Median: $103 (1714%)

Cash: $73 (1215% of Medicare)

Ins. Median: $103 (1714% 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 1714% of the Medicare baseline (a markup of 1614%). 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
Advantra	$44 - $131	732%
Aetna	$44 - $197	732%
Humana	$44 - $131	732%
Medicare (plans)	$44 - $177	732%
Uhc_Va	$44 - $131	732%
Upmc	$46 - $138	765%
Medicaid / KanCare	$47 - $149	782%
Blue_Cross_Highmark_Aca	$53 - $159	882%
Blue_Cross_Highmark_Pos	$59 - $177	982%
Blue_Cross_Highmark_Ppo	$59 - $177	982%
Blue_Cross_Highmark_Traditional	$64 - $194	1065%
UnitedHealthcare	$65 - $197	1082%
Cigna	$67 - $201	1115%
Geha	$69 - $208	1148%
4_Most	$70 - $212	1165%
Health	$70 - $212	1165%
Unicare	$103	1714%

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 $73.
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 Preston Memorial Hospital 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.