Blood test, clotting time (PTT)
Facility: Mercy St Francis Hospital
Billing Code: 85730 (CPT)
- CPT Billing Code: 85730
- Insurance Median: $102
- Cash Discount Price: $73
- vs. Medicare Baseline: 16.97x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 1697% of the Medicare baseline (a markup of 1597%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Medicaid / KanCare | $5 - $59 | 83% |
| Kindful Hospice Contracted [320434] | $6 - $31 | 100% |
| Halo Hcr Inc Hospice [20432] | $6 - $31 | 100% |
| Mercy Hospice Okc [20252] | $6 - $31 | 100% |
| Mercy Mgd Behavioral Health Contracted [320259] | $6 - $31 | 100% |
| Halo Hcr Inc Hospice Contracted [320432] | $6 - $31 | 100% |
| Globalhealth Contracted [320145] | $6 | 100% |
| Blue Cross Blue Shield | $6 - $110 | 100% |
| Humana | $6 - $102 | 100% |
| UnitedHealthcare | $6 - $107 | 100% |
| Qual Choice Contracted [320325] | $6 - $31 | 100% |
| Elara Caring Aspire Hospice [20433] | $6 - $31 | 100% |
| Indian Health Service Contracted [320198] | $6 - $31 | 100% |
| Medicare (plans) | $6 - $40 | 100% |
| Provider Partners Health Plans Contracted [320450] | $6 - $31 | 100% |
| Pace of the Ozarks Contracted [320518] | $6 - $31 | 100% |
| Cross Timbers Hospice [20098] | $6 - $31 | 100% |
| Kindful Hospice [20434] | $6 - $31 | 100% |
| Medical Associates Health Contracted [320444] | $6 - $31 | 100% |
| Centivo Contracted [320505] | $10 - $51 | 166% |
| Cigna | $31 - $107 | 516% |
| Dept of Veteran Affairs Contracted [320106] | $31 - $39 | 516% |
| Aetna | $31 - $101 | 516% |
| Cherokee Nation Health Serv Contracted [320066] | $31 - $39 | 516% |
| Acentra Health Contracted [320527] | $31 | 516% |
| Tricare | $38 | 632% |
| Healthscope Contracted [320182] | $39 - $52 | 649% |
| Administrative Payor Contracted [320005] | $51 | 849% |
| Home State Health Plan Contracted [320187] | $59 | 982% |
| Ambetter / Centene | $59 | 982% |
| Novasys Contracted [320285] | $59 | 982% |
| Healthlink Contracted [320179] | $73 - $107 | 1215% |
| Preferred Health Plan Contracted [320522] | $73 | 1215% |
| Workers Comp [20426] | $90 - $96 | 1498% |
| Auxiant Contracted [320462] | $102 - $107 | 1697% |
| Mercy Benefit Admin Contracted [320251] | $102 - $107 | 1697% |
| United Medical Resources Contracted [320454] | $102 - $105 | 1697% |
| Point C Contracted [320238] | $102 - $107 | 1697% |
| Edison Health Solutions Contracted [320502] | $107 | 1780% |
| Yuzu Health Contracted [320521] | $107 | 1780% |
| Reflect Health Contracted [320492] | $107 | 1780% |
| Medica Contracted [320239] | $107 | 1780% |
| Ebms Contracted [320493] | $107 | 1780% |
| Imagine 360 Contracted [320494] | $107 | 1780% |
| First Health Contracted [320128] | $107 | 1780% |
| Insurance System Inc Contracted [320465] | $107 | 1780% |
| Evolutions Health Care Contracted [320124] | $107 | 1780% |
| Private Health Care Systems Contracted [320320] | $107 | 1780% |
| Aither Health Contracted [320449] | $107 | 1780% |
| Show-Me Health Administrators Contracted [320483] | $107 | 1780% |
| Health Systems Inc Contracted [320174] | $107 | 1780% |
| Benefit Management Contracted [320052] | $107 | 1780% |
| 90 Degree Benefits Contracted [320436] | $107 | 1780% |
| USA Managed Care Org Contracted [320429] | $107 | 1780% |
| Point C [20238] | $107 | 1780% |
| Multiplan Contracted [320270] | $107 | 1780% |