Blood test, clotting time (PTT)
Facility: Boston Medical Center
Billing Code: 85730 (CPT)
- CPT Billing Code: 85730
- Insurance Median: $6
- Cash Discount Price: $21
- vs. Medicare Baseline: 1.00x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Wellsense Alli ACO [1118] | $5 | 83% |
| Mass General Brigham Health Plan ACO [1120] | $5 | 83% |
| Tufts Together ACO [1122] | $5 | 83% |
| Mass General Brigham Health Plan McD Mnged [1107] | $5 | 83% |
| United [2025] | $5 - $16 | 83% |
| Zzzunited [1008] | $5 - $16 | 83% |
| Oxford Health [1007] | $5 | 83% |
| UnitedHealthcare | $5 - $6 | 83% |
| Wellsense Essential McO [1101] | $5 | 83% |
| Tufts Together McO [1125] | $5 | 83% |
| Oxford Health [2024] | $5 | 83% |
| Medicaid / KanCare | $5 | 83% |
| Hlth New England ACO [1123] | $5 | 83% |
| Fallon Healthcre ACO [1121] | $5 | 83% |
| Veterans Admin [9003] | $6 | 100% |
| Wellsense [7001] | $6 | 100% |
| Neighborhood Pace [1206] | $6 | 100% |
| Corrections [9001] | $6 - $8 | 100% |
| Wellcare [1240] | $6 | 100% |
| Ubh Hphc [8016] | $6 | 100% |
| Zzzcovid19 Hrsa Uninsured Testing and Treatment Fund [500010] | $6 | 100% |
| Aetna | $6 - $22 | 100% |
| Medicare (plans) | $6 | 100% |
| Cca [1215] | $6 | 100% |
| Tufts [8002] | $6 - $16 | 100% |
| Zzzcca Onecare [1216] | $6 | 100% |
| Blue Cross Blue Shield | $6 - $12 | 100% |
| Eternalhealth [1227] | $6 | 100% |
| Humana | $6 | 100% |
| Tufts Conncare/Qhp [8020] | $7 - $9 | 116% |
| Fallon Sco [1126] | $7 | 116% |
| Senior Whole Health [1210] | $7 | 116% |
| Cigna | $7 - $16 | 116% |
| Champva [9004] | $7 | 116% |
| Tricare | $7 | 116% |
| Zzzbu Employee Work Comp [5004] | $8 | 133% |
| Fallon [8008] | $8 | 133% |
| Workers Comp [5002] | $8 | 133% |
| Zzzcity of Boston Work Comp [5003] | $8 | 133% |
| Wellpoint [2034] | $11 | 183% |
| Unicare [8004] | $11 | 183% |
| Zzzhealth Plans Inc [1013] | $16 | 266% |
| Health Plans Inc [2027] | $16 | 266% |
| Harvard Pilgrim Health Care [8001] | $16 | 266% |
| Uphams Corner Esp [1213] | $18 | 300% |
| Meritain Health [1023] | $20 | 333% |
| Mass General Brigham Health Plan Commercial [8009] | $25 | 416% |
| Hsn [4001] | $513 | 8536% |
| Hsn Dental [4006] | $513 | 8536% |
| Hsn Confidential [4007] | $513 | 8536% |
| Hsn Partial [4002] | $513 | 8536% |
| Hsn Bad Debt [4003] | $513 | 8536% |