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 New Jersey
Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
Top Providers in New Jersey
| Provider | Medicare | Services |
|---|---|---|
| Gabler, Scott M.D. | $56.56 | 405 |
| Burke, Gary DO | $56.18 | 192 |
| Chaudhry, Nasser MD | $55.40 | 131 |
| Lawrence, David MD | $50.39 | 89 |
| Saia, John DO | $55.91 | 87 |
New Jersey Pricing in Context
In New Jersey, 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 $55.78 — 15% below the national benchmark of $65.47. 32 providers across the state submitted claims for this procedure in 2023, performing 2.2K total services. Individual payments in NJ 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 New Jersey is $375.00, 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 New Jersey 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 New Jersey lands near $195.15, with self-pay cash prices typically around $160.52. 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 New Jersey?
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 New Jersey is $55.78, which is 15% below the national average of $65.47. Providers in NJ typically bill $375.00 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 New Jersey?
With commercial insurance in New Jersey, 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 $195.15. Without insurance, the estimated cash price is $160.52. 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 New Jersey?
32 providers in New Jersey 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 2.2K 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 New Jersey 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 15% below the national average in New Jersey. The state average Medicare payment is $55.78 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.