Blood test, clotting time (PTT)
Facility: Bmh-Calhoun
Billing Code: 85730 (CPT)
- CPT Billing Code: 85730
- Insurance Median: $37
- Cash Discount Price: $25
- vs. Medicare Baseline: 6.16x 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 616% of the Medicare baseline (a markup of 516%). 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 |
|---|---|---|
| Molina | $6 - $38 | 100% |
| Veterans Evaluation Services | $6 | 100% |
| Blue Cross Blue Shield | $11 - $21 | 183% |
| PPO Holdings | $18 | 300% |
| Magnolia Regional Health Center | $19 | 316% |
| Tricare | $20 | 333% |
| Ms Breast and Cervical | $21 | 349% |
| Vaccn | $21 | 349% |
| Devoted Health | $21 | 349% |
| Triwest | $21 | 349% |
| Aetna | $22 - $31 | 366% |
| Primewell | $22 | 366% |
| American Health Plan | $22 | 366% |
| Shared Health | $22 | 366% |
| Humana | $22 - $38 | 366% |
| Magnolia Ms | $24 | 399% |
| Littler | $24 | 399% |
| Cigna | $26 | 433% |
| First Choice Health Plan of Ms | $31 | 516% |
| First State Bank Trust | $35 | 582% |
| Burch Food Services | $35 | 582% |
| Minact | $37 | 616% |
| Brimhall Foods | $37 | 616% |
| Arlington Community Schools | $37 | 616% |
| Davidson Hospitality | $37 | 616% |
| Eas Mssc Schools | $37 | 616% |
| Patterson Warehouses | $37 | 616% |
| Bartlett City Schools | $37 | 616% |
| Watkins Uiberall | $37 | 616% |
| First Community Bank | $37 | 616% |
| Radians | $37 | 616% |
| Hospitality Management Advisors | $37 | 616% |
| Silver Tree | $37 | 616% |
| Town of Collierville | $37 | 616% |
| Cannon Motor Company | $37 | 616% |
| Dunn Investment Company | $37 | 616% |
| Vaughn Electric | $37 | 616% |
| Heavy Machines | $37 | 616% |
| Crittenden County | $37 | 616% |
| Gossett Motor Cars | $37 | 616% |
| Delta Industries | $37 | 616% |
| State Systems | $37 | 616% |
| Jas D Collier | $37 | 616% |
| Heartland Catfish Company | $37 | 616% |
| W G Yates | $37 | 616% |
| United Tn Holdings | $37 | 616% |
| Building Plastic | $37 | 616% |
| French Camp Academy | $37 | 616% |
| Y K Auto Group | $37 | 616% |
| Mid-South Transport | $37 | 616% |
| Rei Nation | $37 | 616% |
| Hollowell Industries | $37 | 616% |
| Mechanical Systems | $37 | 616% |
| Hattiesburg Clinic | $37 | 616% |
| Retzer Resources | $37 | 616% |
| Security One | $37 | 616% |
| Ashley Furniture Stores | $37 | 616% |
| Carlisle | $37 | 616% |
| Ritchey Automotive | $37 | 616% |
| Armstrong Relocation | $37 | 616% |
| City of Lakeland | $37 | 616% |
| Desoto Co Board of Supervisors | $37 | 616% |
| Malco Theaters | $37 | 616% |
| City of Bartlett | $37 | 616% |
| Lakeland School System | $37 | 616% |
| Collierville Schools | $37 | 616% |
| W W Wood Products | $37 | 616% |
| Advanced Health Systems Inc. | $38 | 632% |
| Christian Health Aid | $38 | 632% |
| Employers Health Network | $41 | 682% |
| Harding Academy | $41 | 682% |
| PPO Plus | $41 | 682% |
| Multiplan | $43 | 715% |
| Qca | $43 | 715% |