Forks Community Hospital
ForksClallam CountyCritical Access Hospitals
Clotting time test (PT/INR)
Quality: not rated by CMSEarliest available date: call (360) 374-6271
What you may pay
- With insurance from an employer or private plan
- $51.50 – $140
- Paying yourself (cash price)
- $96.00 – $112
Next step: ask the hospital for a Good Faith Estimate for this procedure (phone number above).
45 published prices, grouped by who each price applies to.
Cash price 2 prices
| Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|
| $96.00 | Hospital’s fee | Blood test, clotting time | — | Outpatient | 2026-10-27 |
| $112 | Hospital’s fee | Blood test, clotting time | — | Outpatient | 2026-10-27 |
List price (before discounts) 2 prices
| Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|
| $120 | Hospital’s fee | Blood test, clotting time | — | Outpatient | 2026-10-27 |
| $140 | Hospital’s fee | Blood test, clotting time | — | Outpatient | 2026-10-27 |
Commercial insurance 8 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| AMBETTER CCWA EXCH - ALL PLANS | AMBETTER CCWA EXCH - ALL PLANS | $51.50 | Hospital’s fee | Blood test, clotting time | percent of total billed charges | Outpatient | 2026-10-27 |
| AMBETTER CCWA EXCH - ALL PLANS | AMBETTER CCWA EXCH - ALL PLANS | $60.09 | Hospital’s fee | Blood test, clotting time | percent of total billed charges | Outpatient | 2026-10-27 |
| COMMUNITY HEALTH EXCHANGE | COMMUNITY HEALTH EXCHANGE | $78.00 | Hospital’s fee | Blood test, clotting time | percent of total billed charges | Outpatient | 2026-10-27 |
| COMMUNITY HEALTH EXCHANGE | COMMUNITY HEALTH EXCHANGE | $91.00 | Hospital’s fee | Blood test, clotting time | percent of total billed charges | Outpatient | 2026-10-27 |
| FIRST CHOICE-ALL PLANS | FIRST CHOICE-ALL PLANS | $120 | Hospital’s fee | Blood test, clotting time | percent of total billed charges | Outpatient | 2026-10-27 |
| FIRST CHOICE-ALL PLANS | FIRST CHOICE-ALL PLANS | $140 | Hospital’s fee | Blood test, clotting time | percent of total billed charges | Outpatient | 2026-10-27 |
| MOLINA COMMERCIAL-ALL OTHER PLANS | MOLINA COMMERCIAL-ALL OTHER PLANS | $110 | Hospital’s fee | Blood test, clotting time | percent of total billed charges | Outpatient | 2026-10-27 |
| MOLINA COMMERCIAL-ALL OTHER PLANS | MOLINA COMMERCIAL-ALL OTHER PLANS | $129 | Hospital’s fee | Blood test, clotting time | percent of total billed charges | Outpatient | 2026-10-27 |
Medicare Advantage 9 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| COMMUNITY HEALTH NETWORK MCR-ALL OTHER PLANS | COMMUNITY HEALTH NETWORK MCR-ALL OTHER PLANS | $44.40 | Hospital’s fee | Blood test, clotting time | percent of total billed charges | Outpatient | 2026-10-27 |
| COMMUNITY HEALTH NETWORK MCR-ALL OTHER PLANS | COMMUNITY HEALTH NETWORK MCR-ALL OTHER PLANS | $51.80 | Hospital’s fee | Blood test, clotting time | percent of total billed charges | Outpatient | 2026-10-27 |
| HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $44.40 | Hospital’s fee | Blood test, clotting time | percent of total billed charges | Outpatient | 2026-10-27 |
| HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $51.80 | Hospital’s fee | Blood test, clotting time | percent of total billed charges | Outpatient | 2026-10-27 |
| MOLINA MEDICARE | MOLINA MEDICARE | $557 | Hospital’s fee | Blood test, clotting time | fee schedule | Outpatient | 2026-10-27 |
| UHC MCR ADV | UHC MCR ADV | $5.15 | Hospital’s fee | Blood test, clotting time | fee schedule | Outpatient | 2026-10-27 |
| UHC MCR ADV | UHC MCR ADV | $6.01 | Hospital’s fee | Blood test, clotting time | fee schedule | Outpatient | 2026-10-27 |
| WELLCARE MED ADV - ALL PLANS | WELLCARE MED ADV - ALL PLANS | $51.50 | Hospital’s fee | Blood test, clotting time | percent of total billed charges | Outpatient | 2026-10-27 |
| WELLCARE MED ADV - ALL PLANS | WELLCARE MED ADV - ALL PLANS | $60.09 | Hospital’s fee | Blood test, clotting time | percent of total billed charges | Outpatient | 2026-10-27 |
Medicaid managed care 10 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| AMERIGROUP MEDICAID-ALL PLANS | AMERIGROUP MEDICAID-ALL PLANS | $43.98 | Hospital’s fee | Blood test, clotting time | percent of total billed charges | Outpatient | 2026-10-27 |
| AMERIGROUP MEDICAID-ALL PLANS | AMERIGROUP MEDICAID-ALL PLANS | $51.31 | Hospital’s fee | Blood test, clotting time | percent of total billed charges | Outpatient | 2026-10-27 |
| COORDINATED CARE (MCO) MCD-ALL PLANS | COORDINATED CARE (MCO) MCD-ALL PLANS | $44.82 | Hospital’s fee | Blood test, clotting time | percent of total billed charges | Outpatient | 2026-10-27 |
| COORDINATED CARE (MCO) MCD-ALL PLANS | COORDINATED CARE (MCO) MCD-ALL PLANS | $52.29 | Hospital’s fee | Blood test, clotting time | percent of total billed charges | Outpatient | 2026-10-27 |
| MOLINA MEDICAID | MOLINA MEDICAID | $41.50 | Hospital’s fee | Blood test, clotting time | percent of total billed charges | Outpatient | 2026-10-27 |
| MOLINA MEDICAID | MOLINA MEDICAID | $48.41 | Hospital’s fee | Blood test, clotting time | percent of total billed charges | Outpatient | 2026-10-27 |
| REGENCE MEDICAID | REGENCE MEDICAID | $41.50 | Hospital’s fee | Blood test, clotting time | percent of total billed charges | Outpatient | 2026-10-27 |
| REGENCE MEDICAID | REGENCE MEDICAID | $48.41 | Hospital’s fee | Blood test, clotting time | percent of total billed charges | Outpatient | 2026-10-27 |
| UHC MEDICAID | UHC MEDICAID | $53.41 | Hospital’s fee | Blood test, clotting time | percent of total billed charges | Outpatient | 2026-10-27 |
| UHC MEDICAID | UHC MEDICAID | $62.31 | Hospital’s fee | Blood test, clotting time | percent of total billed charges | Outpatient | 2026-10-27 |
Other government program 4 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| TRICARE-ALL PLANS | TRICARE-ALL PLANS | $54.00 | Hospital’s fee | Blood test, clotting time | percent of total billed charges | Outpatient | 2026-10-27 |
| TRICARE-ALL PLANS | TRICARE-ALL PLANS | $63.00 | Hospital’s fee | Blood test, clotting time | percent of total billed charges | Outpatient | 2026-10-27 |
| TRIWEST-ALL PLANS | TRIWEST-ALL PLANS | $44.40 | Hospital’s fee | Blood test, clotting time | percent of total billed charges | Outpatient | 2026-10-27 |
| TRIWEST-ALL PLANS | TRIWEST-ALL PLANS | $51.80 | Hospital’s fee | Blood test, clotting time | percent of total billed charges | Outpatient | 2026-10-27 |
Unknown 10 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| AETNA-ALL PLANS | AETNA-ALL PLANS | $114 | Hospital’s fee | Blood test, clotting time | percent of total billed charges | Outpatient | 2026-10-27 |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $133 | Hospital’s fee | Blood test, clotting time | percent of total billed charges | Outpatient | 2026-10-27 |
| CIGNA-ALL PLANS | CIGNA-ALL PLANS | $120 | Hospital’s fee | Blood test, clotting time | percent of total billed charges | Outpatient | 2026-10-27 |
| CIGNA-ALL PLANS | CIGNA-ALL PLANS | $140 | Hospital’s fee | Blood test, clotting time | percent of total billed charges | Outpatient | 2026-10-27 |
| PREMERA BLUE CROSS-ALL PLANS | PREMERA BLUE CROSS-ALL PLANS | $114 | Hospital’s fee | Blood test, clotting time | percent of total billed charges | Outpatient | 2026-10-27 |
| PREMERA BLUE CROSS-ALL PLANS | PREMERA BLUE CROSS-ALL PLANS | $133 | Hospital’s fee | Blood test, clotting time | percent of total billed charges | Outpatient | 2026-10-27 |
| REGENCE-ALL OTHER PLANS | REGENCE-ALL OTHER PLANS | $69.10 | Hospital’s fee | Blood test, clotting time | percent of total billed charges | Outpatient | 2026-10-27 |
| REGENCE-ALL OTHER PLANS | REGENCE-ALL OTHER PLANS | $80.61 | Hospital’s fee | Blood test, clotting time | percent of total billed charges | Outpatient | 2026-10-27 |
| UHC ALL PAYER/DOCTORS PLAN/NEXUS-ALL OTHER PLANS | UHC ALL PAYER/DOCTORS PLAN/NEXUS-ALL OTHER PLANS | $102 | Hospital’s fee | Blood test, clotting time | percent of total billed charges | Outpatient | 2026-10-27 |
| UHC ALL PAYER/DOCTORS PLAN/NEXUS-ALL OTHER PLANS | UHC ALL PAYER/DOCTORS PLAN/NEXUS-ALL OTHER PLANS | $119 | Hospital’s fee | Blood test, clotting time | percent of total billed charges | Outpatient | 2026-10-27 |
Doctors here who do this procedure
3 doctors affiliated with Forks Community Hospital billed Traditional Medicare for Clotting time test (PT/INR) in 2024, most Medicare services first. See all doctors and practices, including those with no hospital affiliation.
| Doctor or practice | Practice | Medicare quality score | Times billed to Traditional Medicare (2024) | Traditional Medicare amount for their own service (2024) |
|---|---|---|---|---|
| Jennifer Wilson, PA-C | North Olympic Healthcare Network | 105 | $4.20 | |
| Stephanie Kloth, PAC | Olympic Medical Physicians | 54 | $4.20 | |
| Jessica Dibari, DO | North Olympic Healthcare Network | 30 | $4.20 |
Reading the doctor list
- A higher price doesn’t mean better care. The quality score and the price come from different CMS files and are shown separately on purpose.
- The amount is what Traditional Medicare (original Medicare) approved for the doctor’s or lab’s own service: Medicare’s payment plus the patient’s share. It is not what commercial insurance or Medicare Advantage pays, and the hospital or surgery center bills separately (surgery centers aren’t in this list).
- The Medicare quality score is CMS’s MIPS final score (0 to 100), based mostly on the doctor’s Medicare patients. About half of doctors aren’t scored, so Not rated says nothing bad about a doctor. A group’s score covers everyone in the group.
- CMS doesn’t publish counts under 11 patients, so doctors who rarely bill Medicare for this aren’t listed, and No price published means CMS has no amount for that setting.
- Medicare’s file doesn’t say where a doctor did the procedure, only that they billed it in Washington. Affiliations are the hospitals each doctor lists with Medicare.
See a price that looks wrong? Tell us about it.