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 in Oregon
Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
Top Providers in Oregon
| Provider | Medicare | Services |
|---|---|---|
| Miller, Noreen FNP | $75.35 | 27 |
| Rantala, Brenda NP | $73.03 | 27 |
Oregon Pricing in Context
In Oregon, CPT code 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) carries an average Medicare payment of $74.20 — 23% below the national benchmark of $95.79. 6 providers across the state submitted claims for this procedure in 2023, performing 62 total services. Individual payments in OR 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 Oregon is $365.10, 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 Oregon sits below the national Medicare average, commercial rates in the state may also run lower than the US median.
Using RAND 2024 commercial-to-Medicare ratios for Temporary Procedures procedures, the estimated commercial insurance price in Oregon lands near $217.90, with self-pay cash prices typically around $171.46. 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 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 cost in Oregon?
The average Medicare payment for 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 in Oregon is $74.20, which is 23% below the national average of $95.79. Providers in OR typically bill $365.10 for this procedure.
What does 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 cost with insurance in Oregon?
With commercial insurance in Oregon, 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 costs an estimated $217.90. Without insurance, the estimated cash price is $171.46. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.
How many providers perform 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 in Oregon?
6 providers in Oregon billed Medicare for 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 in 2023, performing 62 total services. Medicare payments ranged from N/A to N/A depending on the provider.
Is 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 cheaper in Oregon than the national average?
Yes — 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 costs 23% below the national average in Oregon. The state average Medicare payment is $74.20 compared to $95.79 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.
Related Guides
Related Data Sources
Data from CMS Medicare Physician & Other Practitioners (2023).
Read our methodology — how this data is sourced, computed, and verified.