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Home Visit, New Patient

Oregon rates for HCPCS 99342

A doctor or other qualified clinician visits a patient at home or in their residence for someone the practice has not treated before. The visit covers taking a full history, examining the person, reviewing their medicines, and setting out a plan, all without the patient having to travel to a clinic.

Rates data updated July 2026.

How much does Home Visit, New Patient cost?

$85.11

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $151 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$83.18$72.44 to $105
FacilityA hospital or hospital-owned outpatient department$151$129 to $155

How much rates vary

Facilitymedian $151 · 10th to 90th $105 to $174Professionalmedian $83 · 10th to 90th $66 to $162
$100$200facility $151professional $83

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$83.18
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$162.18
Typical High
$218.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$186.21
Typical High
$239.88
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$114.82
Typical High
$158.49
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$141.25
Typical High
$208.93
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$151.36
Typical High
$154.88
Providence
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$114.82
Typical High
$158.49
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$144.54
Typical High
$213.80
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$134.90
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$154.88
Typical High
$229.09

Where Oregon sits

The same service costs 2.2 times more in Montana than in Mississippi. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Oregon· 7th of 51

$85.11

MT $132MS $58.88

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.