Home INR monitoring test supplies for anticoagulation

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR Provision Test Material(S) and Equipment Home Inr

Excellus pricing summary

Low

$54

Average

$204

Median

$175

High

$400

Excellus rate distribution

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23 hospital rates

#		Plans
1	Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both	1	$136	$136	—	—	—	$136 – $136
2	Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · outpatient	1	$136	$136	—	—	—	$136 – $136
3	Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both	3	$88	$83	$18	22%	—	$59 – $103
4	Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient	1	$54	$54	—	—	—	$54 – $54
5	Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both	1	$136	$136	—	—	—	$136 – $136
6	F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient	2	$378	$378	$81	21%	—	$297 – $459
7	Highland Hospital Rochester, NY fee schedule · outpatient	3	$234	$219	$22	10%	—	$189 – $234
8	Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient	2	$178	$178	—	—	—	$178 – $178
9	Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · both	1	$136	$136	—	—	—	$136 – $136
10	Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · outpatient	1	$136	$136	—	—	—	$136 – $136
11	Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · both	2	$96	$96	$8	8%	—	$88 – $103
12	Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · inpatient	1	$59	$59	—	—	—	$59 – $59
13	Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · outpatient	1	$50	$50	—	—	—	$50 – $50
14	Mercy Medical Center-Clinton Inc Clinton, IA facility · fee schedule · both	1	$136	$136	—	—	—	$136 – $136
15	Mercy Medical Center-Clinton Inc Clinton, IA professional · fee schedule · inpatient	3	$88	$83	$18	22%	—	$59 – $103
16	Mercy Medical Center-Clinton Inc Clinton, IA professional · fee schedule · outpatient	3	$88	$80	$22	28%	—	$50 – $103
17	Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient	1	$130	$130	—	—	—	$130 – $130
18	Nicholas H. Noyes Memorial Hospital Dansville, NY fee schedule · outpatient	2	$288	$288	—	—	—	$288 – $288
19	Samaritan Medical Center Watertown, NY facility · case rate · outpatient	2	$465	$465	$298	64%	—	$166 – $763
20	Samaritan Medical Center Watertown, NY professional · fee schedule · both	1	$80	$80	—	—	—	$80 – $80
21	St. James Hospital Hornell, NY fee schedule · outpatient	2	$400	$400	—	—	—	$400 – $400
22	Strong Memorial Hospital Rochester, NY fee schedule · outpatient	3	$293	$270	$33	12%	—	$223 – $293
23	United Memorial Medical Center Batavia, NY facility · fee schedule · outpatient	2	$173	$173	$119	69%	—	$53 – $292

← Payers reporting HCPCS G0249 · Snapshot 20261111T120946Z-9134e7f7

HCPCS G0249