All medical bills are about 3-fold higher than the biller actually expects to receive from the insurance company. When I was getting infusions including Keytruda, the hospital billed ~$45,000 each time. (I had 7 of these.). The insurance company paid ~$16,000 each time. (still a big number)

It took Caris about 2 weeks after they got the specimen. However it took the hospital 4 weeks after the biopsy to actually send it to them. (Two weeks for "insurance pre-approval" and two weeks that the pathology department couldn't be bothered to send the specimen. During this time I specifically asked the oncologist's office if the "specimen had been sent to Caris" and they said yes. Two weeks later when the specimen was actually sent, I flipped, accused the nurse of lying to me, and yelled at the NP. Not a good idea. I haven't been back to that hospital since. Hope never to go back.)