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Care Management Home Visit, New Patient, 45 Minutes

Ohio 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?

$117

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $117 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$117$112 to $129
FacilityA hospital or hospital-owned outpatient department$117$117 to $117

How much rates vary

Facilitymedian $117 · 10th to 90th $117 to $166Professionalmedian $117 · 10th to 90th $98 to $162
$2.0$10.0$50.0$200.0facility $117professional $117

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
$117.49
Median
$117.49
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$117.49
Typical High
$134.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$141.25
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$128.82
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$208.93
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$147.91
Typical High
$223.87

Where Ohio sits

The same service costs 1.8 times more in North Dakota than in Louisiana. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Ohio $117 · 43rd of 51
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.