Virginia · 93792

Patient/caregiver Training For Monitoring Of Anticoagulant Therapy in Virginia

Virginia Medicare Avg
$52.60
18% above national avg
National Medicare Avg
$44.41
All states combined
Billed Charge (VA)
$107.40
What providers submit
Est. Commercial (VA)
$153.96
National avg: $132.18
Est. Cash / Self-Pay (VA)
$82.02
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

46
Services in VA
9
Providers
N/A
Min Payment
N/A
Max Payment

Virginia Pricing in Context

In Virginia, CPT code 93792 (Patient/caregiver Training For Monitoring Of Anticoagulant Therapy) carries an average Medicare payment of $52.60 — 18% above the national benchmark of $44.41. 9 providers across the state submitted claims for this procedure in 2023, performing 46 total services. Individual payments in VA ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Virginia is $107.40, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Virginia sits above the national Medicare average, commercial rates in the state may also run higher than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Medicine procedures, the estimated commercial insurance price in Virginia lands near $153.96, with self-pay cash prices typically around $82.02. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Patient/caregiver Training For Monitoring Of Anticoagulant Therapy cost in Virginia?

The average Medicare payment for Patient/caregiver Training For Monitoring Of Anticoagulant Therapy in Virginia is $52.60, which is 18% above the national average of $44.41. Providers in VA typically bill $107.40 for this procedure.

What does Patient/caregiver Training For Monitoring Of Anticoagulant Therapy cost with insurance in Virginia?

With commercial insurance in Virginia, Patient/caregiver Training For Monitoring Of Anticoagulant Therapy costs an estimated $153.96. Without insurance, the estimated cash price is $82.02. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Patient/caregiver Training For Monitoring Of Anticoagulant Therapy in Virginia?

9 providers in Virginia billed Medicare for Patient/caregiver Training For Monitoring Of Anticoagulant Therapy in 2023, performing 46 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Patient/caregiver Training For Monitoring Of Anticoagulant Therapy cheaper in Virginia than the national average?

No — Patient/caregiver Training For Monitoring Of Anticoagulant Therapy costs 18% above the national average in Virginia. The state average Medicare payment is $52.60 compared to $44.41 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial