Provision Of Test Materials And Equipment For Home Inr Monitoring Of Patient With Either Mechanical Heart Valve(s), Chronic Atrial Fibrillation, Or Venous Thromboembolism Who Meets Medicare Coverage Criteria; Includes: Provision Of Materials For Use In The in Michigan
Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
Top Providers in Michigan
| Provider | Medicare | Services |
|---|---|---|
| Tambra Investments, Inc. | $48.23 | 12.0K |
Michigan Pricing in Context
In Michigan, CPT code G0249 (Provision Of Test Materials And Equipment For Home Inr Monitoring Of Patient With Either Mechanical Heart Valve(s), Chronic Atrial Fibrillation, Or Venous Thromboembolism Who Meets Medicare Coverage Criteria; Includes: Provision Of Materials For Use In The) carries an average Medicare payment of $48.23 — 26% below the national benchmark of $65.47. 4 providers across the state submitted claims for this procedure in 2023, performing 12.0K total services. Individual payments in MI 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 Michigan is $188.99, 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 Michigan 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 Michigan lands near $141.48, with self-pay cash prices typically around $102.03. 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 Provision Of Test Materials And Equipment For Home Inr Monitoring Of Patient With Either Mechanical Heart Valve(s), Chronic Atrial Fibrillation, Or Venous Thromboembolism Who Meets Medicare Coverage Criteria; Includes: Provision Of Materials For Use In The cost in Michigan?
The average Medicare payment for Provision Of Test Materials And Equipment For Home Inr Monitoring Of Patient With Either Mechanical Heart Valve(s), Chronic Atrial Fibrillation, Or Venous Thromboembolism Who Meets Medicare Coverage Criteria; Includes: Provision Of Materials For Use In The in Michigan is $48.23, which is 26% below the national average of $65.47. Providers in MI typically bill $188.99 for this procedure.
What does Provision Of Test Materials And Equipment For Home Inr Monitoring Of Patient With Either Mechanical Heart Valve(s), Chronic Atrial Fibrillation, Or Venous Thromboembolism Who Meets Medicare Coverage Criteria; Includes: Provision Of Materials For Use In The cost with insurance in Michigan?
With commercial insurance in Michigan, Provision Of Test Materials And Equipment For Home Inr Monitoring Of Patient With Either Mechanical Heart Valve(s), Chronic Atrial Fibrillation, Or Venous Thromboembolism Who Meets Medicare Coverage Criteria; Includes: Provision Of Materials For Use In The costs an estimated $141.48. Without insurance, the estimated cash price is $102.03. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.
How many providers perform Provision Of Test Materials And Equipment For Home Inr Monitoring Of Patient With Either Mechanical Heart Valve(s), Chronic Atrial Fibrillation, Or Venous Thromboembolism Who Meets Medicare Coverage Criteria; Includes: Provision Of Materials For Use In The in Michigan?
4 providers in Michigan billed Medicare for Provision Of Test Materials And Equipment For Home Inr Monitoring Of Patient With Either Mechanical Heart Valve(s), Chronic Atrial Fibrillation, Or Venous Thromboembolism Who Meets Medicare Coverage Criteria; Includes: Provision Of Materials For Use In The in 2023, performing 12.0K total services. Medicare payments ranged from N/A to N/A depending on the provider.
Is Provision Of Test Materials And Equipment For Home Inr Monitoring Of Patient With Either Mechanical Heart Valve(s), Chronic Atrial Fibrillation, Or Venous Thromboembolism Who Meets Medicare Coverage Criteria; Includes: Provision Of Materials For Use In The cheaper in Michigan than the national average?
Yes — Provision Of Test Materials And Equipment For Home Inr Monitoring Of Patient With Either Mechanical Heart Valve(s), Chronic Atrial Fibrillation, Or Venous Thromboembolism Who Meets Medicare Coverage Criteria; Includes: Provision Of Materials For Use In The costs 26% below the national average in Michigan. The state average Medicare payment is $48.23 compared to $65.47 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.