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.
Original text from hospital filings
Provide INR test mater/equip
Maple Grove, MN
See all hospitals reporting HCPCS G0249 →Price type
Fairview Maple Grove Surgery Center’s median price of $75 is 47% below the median hospital's median price ($143), higher than 13% of the 1,128 hospitals reporting HCPCS G0249. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 25 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Medicaid medicaid fee schedule · both | $45 | $45 | — | — | — | $45 – $45 |
| 2 | Ucare mhcp fee schedule · both | $46 | $46 | — | — | — | $46 – $46 |
| 3 | Medica accessability fee schedule · both | $51 | $51 | — | — | — | $51 – $51 |
| 4 | Medica medicaid fee schedule · both | $51 | $51 | — | — | — | $51 – $51 |
| 5 | Blue Cross Blue Shield medicaid fee schedule · both | $54 | $54 | — | — | — | $54 – $54 |
| 6 | UnitedHealthcare medicare advantage fee schedule · both | $61 | $61 | — | — | — | $61 – $61 |
| 7 | Blue Cross Blue Shield medicare advantage fee schedule · both | $64 | $64 | — | — | — | $64 – $64 |
| 8 | Medica ma non-snp fee schedule · both | $66 | $66 | — | — | — | $66 – $66 |
| 9 | Medica ma snp fee schedule · both | $66 | $66 | — | — | — | $66 – $66 |
| 10 | Medica prime solution fee schedule · both | $66 | $66 | — | — | — | $66 – $66 |
| 11 | Medica vantage fee schedule · both | $66 | $66 | — | — | — | $66 – $66 |
| 12 | Blue Cross Blue Shield federal fee schedule · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 13 | Blue Cross Blue Shield commercial fee schedule · outpatient | $85 | $85 | — | — | — | $85 – $85 |
| 14 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $85 | $85 | — | — | — | $85 – $85 |
| 15 | Cigna commercial fee schedule · both | $88 | $88 | $8 | 9% | — | $81 – $96 |
| 16 | Cigna commercial fee schedule · outpatient | $143 | $143 | $12 | 9% | — | $131 – $156 |
| 17 | UnitedHealthcare commercial fee schedule · both | $152 | $152 | — | — | — | $152 – $152 |
| 18 | Ucare ifp with fairview fee schedule · both | $161 | $161 | — | — | — | $161 – $161 |
| 19 | Ucare ifp fee schedule · both | $170 | $170 | — | — | — | $170 – $170 |
| 20 | Medica bold fee schedule · both | $203 | $203 | — | — | — | $203 – $203 |
| 21 | Blue Cross Blue Shield federal fee schedule · both | $220 | $220 | — | — | — | $220 – $220 |
| 22 | Blue Cross Blue Shield commercial fee schedule · both | $224 | $224 | — | — | — | $224 – $224 |
| 23 | Medica choice without / elect fee schedule · both | $226 | $226 | — | — | — | $226 – $226 |
| 24 | Medica city of st paul / essential uplan fee schedule · both | $226 | $226 | — | — | — | $226 – $226 |
| 25 | Medica choice with fee schedule · both | $234 | $234 | — | — | — | $234 – $234 |
Last updated: May 18, 2026
See Home INR monitoring test supplies for anticoagulation pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.