Blood clotting test (PT/INR) is a laboratory test. Prices are from 2339 US hospitals across 52 states, from their machine-readable files.
Price comparison (median)
Typical cash price here is $37 — about 8.6× the Medicare rate ($4). High vs Medicare. A fair cash price is usually within ~2× Medicare ($9).
💡 Asking for the cash price instead of the $66 list price could save about $29 (44%).
Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| Saint Thomas Hospital for Spinal Surgery | Nashville, TN | $6 | $7 | — | — | 14.0% |
| UCI Health-Orange | Orange, CA | $6 | $6 | ★ 4/5 | 323 min | 14.7% |
| UCI Health-Fountain Valley | Fountain Valley, CA | $6 | $6 | ★ 2/5 | 161 min | 15.7% |
| College Medical Center | Long Beach, CA | $6 | $4 | ★ 3/5 | 330 min | 15.2% |
| College Hospital | Cerritos, CA | $6 | $4 | — | — | — |
| Glendora Hospital | Glendora, CA | $6 | $4 | — | — | — |
| Hills & Dales General Hospital | Cass City, MI | $6 | $23 | ★ 4/5 | 94 min | 14.7% |
| Abrom Kaplan Memorial Hospital | Kaplan, LA | $6 | $6 | — | 87 min | 14.9% |
| Oklahoma Heart Hospital, Llc | Oklahoma City, OK | $6 | $11 | ★ 4/5 | 153 min | 15.8% |
| Oklahoma Heart Hospital South, Llc | Oklahoma City, OK | $6 | $11 | ★ 5/5 | 141 min | 14.2% |
| Manhattan Surgical Hospital Llc | Manhattan, KS | $6 | $3 | — | — | 14.5% |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $6 | $15 | ★ 2/5 | 178 min | 15.4% |
| University of Texas Medical Branch Galveston | Galveston, TX | $6 | $5 | ★ 3/5 | 191 min | 16.0% |
| Dominican Hospital | Santa Cruz, CA | $6 | $6 | ★ 4/5 | 194 min | 14.2% |
| Ranken Jordan Pediatric Bridge Hospital | Maryland Heights, MO | $6 | — | — | — | — |
| Ochsner LSU Health Shreveport | Shreveport, LA | $6 | $4 | ★ 2/5 | 247 min | 15.8% |
| Pih Health Downey Hospital | Downey, CA | $6 | $5 | ★ 4/5 | 240 min | 16.5% |
| Deckerville Community Hospital | Deckerville, MI | $6 | $16 | — | 86 min | — |
| Seton Medical Center Harker Heights | Harker Heights, TX | $6 | $25 | ★ 4/5 | 174 min | 16.3% |
| Ochsner Medical Center Acute | New Orleans, LA | $6 | $6 | ★ 4/5 | 168 min | 16.2% |
| Rochester General Hospital | Rochester, NY | $6 | $4 | ★ 2/5 | 237 min | 15.8% |
| Surgical Institute of Reading | Wyomissing, PA | $6 | $20 | — | — | 16.0% |
| Coosa Valley Medical Center | Sylacauga, AL | $7 | $26 | ★ 3/5 | 122 min | 15.1% |
| Mental Health Emergency Center, Inc | Milwaukee, WI | $7 | $4 | — | — | — |
| Mark Twain Medical Center | San Andreas, CA | $7 | $6 | ★ 3/5 | 128 min | 15.2% |
CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated August 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.
What insurers pay for Blood clotting test (PT/INR)
Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $37; Medicare pays $4.
| Insurer | Hospitals | Negotiated median |
|---|---|---|
| Independent Health | 53 |
$3 – $5 |
| Amerigroup | 180 |
$2 – $24 |
| Tricare / VA | 465 |
$4 – $40 |
| Medicare | 608 |
$4 – $28 |
| Medicaid | 386 |
$3 – $21 |
| EmblemHealth | 64 |
$4 – $21 |
| Univera | 16 |
$4 – $6 |
| Devoted Health | 256 |
$4 – $5 |
| Highmark | 135 |
$3 – $20 |
| MVP Health Care | 82 |
$4 – $38 |
| Molina Healthcare | 601 |
$4 – $35 |
| UnitedHealthcare | 1618 |
$4 – $63 |
| Humana | 1150 |
$4 – $52 |
| Centene / Ambetter | 858 |
$4 – $76 |
| Bright Health | 66 |
$4 – $9 |
| Anthem | 622 |
$4 – $37 |
| Geisinger | 71 |
$4 – $27 |
| UPMC Health Plan | 103 |
$4 – $21 |
| AmeriHealth | 257 |
$4 – $37 |
| Kaiser Permanente | 242 |
$4 – $78 |
| Oscar Health | 221 |
$4 – $29 |
| Workers' Comp / No-Fault | 159 |
$6 – $78 |
| Blue Cross Blue Shield | 1401 |
$4 – $69 |
| UCare | 73 |
$4 – $43 |
| SelectHealth | 48 |
$4 – $53 |
| Priority Health | 60 |
$3 – $46 |
| Cigna | 1256 |
$4 – $82 |
| Aetna | 1499 |
$4 – $78 |
| Health Net | 332 |
$4 – $109 |
| Harvard Pilgrim | 58 |
$4 – $52 |
| Medica | 251 |
$4 – $81 |
| HealthPartners | 285 |
$4 – $70 |
| Sanford Health Plan | 79 |
$5 – $73 |
| Security Health Plan | 56 |
$4 – $59 |
| AvMed | 62 |
$5 – $166 |
| Coventry | 169 |
$5 – $98 |
| MultiPlan / PHCS network | 909 |
$10 – $146 |
| Healthcare Highways | 51 |
$13 – $226 |
Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.
Where it’s cheapest
| State | Median cash |
|---|---|
| New Jersey | $13 |
| Rhode Island | $19 |
| Arkansas | $20 |
| Tennessee | $20 |
| Idaho | $22 |
| Alabama | $22 |
Prices by city
Prices by state
Doctors who perform this
Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.
| Clinician | Specialty | Location | Medicare services |
|---|---|---|---|
| Jeffrey Dlott, M.D. | Pathology | Jacksonville, FL | 11,431 |
| Kelie Mercier, F.N.P. | Nurse Practitioner | Redding, CA | 7,392 |
| Jeffrey Bahr, M.D. | Internal Medicine | Milwaukee, WI | 4,183 |
| Michelle Schear, APRN | Nurse Practitioner | Corydon, IN | 4,067 |
| Matthew Wolff, MD | Interventional Cardiology | Madison, WI | 3,775 |
| Bradley Karon, M.D. | Pathology | Rochester, MN | 3,617 |
| Bhavini Carns, M.D. | Pathology | Mankato, MN | 3,537 |
| Qun Lu, MD | Pathology | Scottsdale, AZ | 3,394 |
| Susan Collazo, APRN, CNP | Nurse Practitioner | Winfield, IL | 3,046 |
| Erin Shaw, NP | Nurse Practitioner | Fort Wayne, IN | 2,794 |
| Susanne Carmack, M.D. | Pathology | Olympia, WA | 2,641 |
| Rudy Haddad, M.D. | Cardiology | San Angelo, TX | 2,638 |
Does Medicare cover Blood clotting test (PT/INR)?
Yes — Medicare generally covers Blood clotting test (PT/INR). It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $4. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $1 — unless a Medicare Advantage or supplemental (Medigap) plan covers it.
General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.
About these prices
Based on prices published by 2339 US hospitals across 52 states, the typical (median) cash price is $37, versus a chargemaster (list) price around $66, a median insurer-negotiated rate of $10, a Medicare rate of about $4. Most cash prices fall between $10 and $109 — a wide spread, which is exactly why comparing hospitals pays off.
How to save
- Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
- Compare several nearby hospitals; prices for the same service can differ severalfold.
- Request a written estimate and the billing code (CPT/DRG) before scheduling.
- Use the Medicare benchmark above to judge whether a quote is reasonable.
- If you are uninsured, ask about financial assistance or prompt-pay discounts.
Frequently asked questions
How much does Blood clotting test (PT/INR) cost without insurance?
Does Medicare cover Blood clotting test (PT/INR)?
What does Medicare pay for Blood clotting test (PT/INR)?
Why do Blood clotting test (PT/INR) prices vary between hospitals?
Is the cash price lower than using insurance?
Related Lab Tests
See more Lab Tests.