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Home INR Monitoring Demonstration

New Jersey rates for HCPCS G0248

Demonstration, prior to initiation of home INR monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets Medicare coverage criteria, under the direction of a physician; includes: face-to-face demonstration of use and care of the INR monitor, obtaining at least one blood sample, provision of instructions for reporting home INR test results, and documentation of patient's ability to perform testing and report results

Rates data updated October 2026.

How much does Home INR Monitoring Demonstration cost?

$97.72

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $97.72 from a physician practice, and about $417 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$97.72$70.79 to $126
FacilityA hospital or hospital-owned outpatient department$417$295 to $562

How much rates vary

Facilitymedian $417 · 10th to 90th $158 to $575Professionalmedian $98 · 10th to 90th $60 to $158
$100$200$500facility $417professional $98

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$158.49
Typical High
$158.49
Aetna
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$158.49
Typical High
$158.49
Cigna
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$158.49
Typical High
$181.97
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$295.12
Median
$446.68
Typical High
$616.60
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$67.61
Typical High
$70.79
United
Setting
Facility
Modifier
None
Typical Low
$257.04
Median
$257.04
Typical High
$562.34
United
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$93.33
Typical High
$208.93

Where New Jersey sits

The same service costs 3.2 times more in North Carolina than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Jersey· 40th of 51

$97.72

NC $240NY $75.86

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.