Blood test, clotting time (PT/INR)

For this blood clotting time test (CPT 85610) at University Of Kansas Hospital, the facility's cash price of $13.00 is significantly lower than the median negotiated rate of $47.00 paid by insurance plans. While the facility's cash rate is also lower than the state average for this service, patients with high-deductible plans may find paying cash directly more cost-effective if their insurance negotiated rate exceeds the cash price. It is important to note that commercial insurance contracts often include administrative overheads that inflate the baseline price by 20% to 40%, making the cash rate a more transparent reflection of the actual cost of the procedure.

Patients should proactively contact the hospital to inquire about "self-pay" or "prompt-pay" discounts, which can further reduce the final bill by bypassing the costly insurance claims cycle. Although the facility is an in-network location for many payers, the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, though unexpected ancillary charges can still occur if specific lab components are billed separately. To ensure accuracy, consumers should request a full itemized CPT-coded bill rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as unbundled codes or charges for services not rendered.