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Care Management Home Visit, New Patient, 45 Minutes

Texas 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?

$115

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $120 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 9 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$115$100 to $126
FacilityA hospital or hospital-owned outpatient department$120$102 to $135

How much rates vary

Facilitymedian $120 · 10th to 90th $83 to $178Professionalmedian $115 · 10th to 90th $79 to $148
$50.0$100.0$200.0$500.0$1.0Kfacility $120professional $115

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
$70.79
Median
$100.00
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$114.82
Typical High
$144.54
Christus
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$977.24
Typical High
$977.24
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$123.03
Typical High
$162.18
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$162.18
Typical High
$218.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$123.03
Typical High
$162.18
Providence
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$138.04
Typical High
$199.53
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$162.18

Where Texas 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.

Texas $115 · 46th 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.