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Care Management Home Visit, New Patient, 20 Minutes

Oregon rates for HCPCS G0076

Brief (20 minutes) care management home visit for a new patient. For use only in a Medicare-approved CMMI model (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)

Rates data updated July 2026.

How much does Care Management Home Visit, New Patient, 20 Minutes cost?

$52.48

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $52.48 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $54.95 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 7 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$52.48$47.86 to $77.62
FacilityA hospital or hospital-owned outpatient department$54.95$47.86 to $64.57

How much rates vary

Facilitymedian $55 · 10th to 90th $43 to $85Professionalmedian $52 · 10th to 90th $42 to $117
$50$100$200facility $55professional $52

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
$47.86
Median
$47.86
Typical High
$47.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$48.98
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$95.50
Typical High
$117.49
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$54.95
Typical High
$81.28
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$100.00
Typical High
$128.82
Providence
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$54.95
Typical High
$91.20
Providence
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$69.18
Typical High
$117.49
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$97.72
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$104.71
Typical High
$141.25

Where Oregon sits

The same service costs 1.9 times more in North Dakota than in Louisiana. 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· 21st of 51

$52.48

ND $83.18LA $44.67

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.