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Care Management Home Visit, New Patient, 45 Minutes

Montana rates for HCPCS G0078

Moderate (45 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, 45 Minutes cost?

$123

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $204 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 5 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$123$100 to $162
FacilityA hospital or hospital-owned outpatient department$204$129 to $209

How much rates vary

Facilitymedian $204 · 10th to 90th $112 to $219Professionalmedian $123 · 10th to 90th $78 to $209
$100$200$500facility $204professional $123

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
Professional
Modifier
Global
Typical Low
$77.62
Median
$117.49
Typical High
$162.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$190.55
Typical High
$190.55
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$208.93
Typical High
$223.87
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$208.93
Typical High
$223.87
Providence
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$123.03
Typical High
$190.55
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$138.04
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$208.93
Typical High
$257.04

Where Montana sits

The same service costs 1.8 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.

Montana· 17th of 51

$123

ND $204LA $112

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.