Blood test, clotting time (PTT)
Facility: Ohio Valley Surgical Hospital
Billing Code: 85730 (CPT)
- CPT Billing Code: 85730
- Insurance Median: $11,885
- Cash Discount Price: $49
- vs. Medicare Baseline: 1977.54x 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 197754% of the Medicare baseline (a markup of 197654%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $2 - $40,293 | 33% |
| UnitedHealthcare | $7 - $17,571 | 116% |
| Geha | $8 - $20,896 | 133% |
| Nippon Life | $8 - $20,896 | 133% |
| Personify Health | $8 - $20,896 | 133% |
| Genworth | $8 - $20,896 | 133% |
| Aetna | $8 - $20,896 | 133% |
| Ngs Coresource | $8 - $20,896 | 133% |
| Meritain Heatlh | $8 - $20,896 | 133% |
| Mail Handlers | $8 - $20,896 | 133% |
| Meritain | $8 - $20,896 | 133% |
| Mhbp | $8 - $20,896 | 133% |
| Pacific Source | $8 - $20,896 | 133% |
| Mmoh | $36 - $11,885 | 599% |
| Mmoh (Supermed) | $37 - $38 | 616% |
| Mmo Cin. HMO | $37 - $51 | 616% |
| Medicare (plans) | $49 - $12,264 | 815% |
| Medben | $73 | 1215% |
| Ohio Health | $73 | 1215% |
| Preferred Health | $73 | 1215% |
| Luminare Health | $73 | 1215% |
| Medicaid / KanCare | $3,557 - $17,827 | 59185% |
| Amerihealth Caritas of Ohio | $3,657 | 60849% |
| Buckeye Community Health Plan | $4,022 | 66922% |
| Molina McD | $4,084 | 67953% |
| Caresource | $4,364 - $17,827 | 72612% |
| Humana | $4,493 - $11,919 | 74759% |
| Aarp | $11,885 | 197754% |
| Patient No Pay | $11,885 | 197754% |
| Molina | $11,885 | 197754% |
| Bankers Life and Casualty | $11,885 | 197754% |
| Molina McR+McD | $11,885 | 197754% |
| Molina Dual McR | $11,885 | 197754% |
| Prosperity Supplement | $11,885 | 197754% |
| Bankers Fidelity | $11,885 | 197754% |
| Molina McR | $11,885 | 197754% |
| American Continental Insurance | $11,885 | 197754% |
| Self Pay Imaging | $11,885 | 197754% |
| Communicare Advantage | $11,885 | 197754% |
| American Continental Life | $11,885 | 197754% |
| Molina Dual McR | $11,885 | 197754% |
| Medigold | $11,885 | 197754% |
| Gateway Health Plan | $11,885 | 197754% |
| Aultcare Primetime Health Plan | $11,885 | 197754% |
| Everest | $11,885 | 197754% |
| Champus | $11,885 | 197754% |
| Cigna | $11,885 - $18,817 | 197754% |
| Wellcare By Allwell | $11,885 | 197754% |
| American Republic | $11,885 | 197754% |
| Central States | $11,885 | 197754% |
| Molina McR McD | $11,885 | 197754% |
| Aarp Supplemental | $11,885 | 197754% |
| American Retirement | $11,885 | 197754% |
| Molina Marketplace | $11,885 | 197754% |
| Wraparound Pl Supp | $11,885 | 197754% |
| The Health Plan | $12,479 | 207637% |
| Devoted Health | $13,707 | 228070% |
| Employer Direct | $15,703 | 261281% |
| Ushealth | $17,571 | 292363% |
| Shl | $17,571 | 292363% |
| Oxford | $17,571 | 292363% |
| Surest | $17,571 | 292363% |
| Medica | $17,571 | 292363% |
| Golden Rule | $17,571 | 292363% |
| Caresourse | $17,827 | 296622% |
| Nalc | $18,817 | 313095% |
| Healthgram | $18,817 | 313095% |
| Sbma | $18,817 | 313095% |
| Unified Group | $18,817 | 313095% |
| Samba | $18,817 | 313095% |