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Care Management Home Visit, New Patient, 60 Minutes

Montana rates for HCPCS G0079

Comprehensive (60 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, 60 Minutes cost?

$174

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $269 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$162$145 to $229
FacilityA hospital or hospital-owned outpatient department$269$178 to $295

How much rates vary

Facilitymedian $269 · 10th to 90th $155 to $295Professionalmedian $162 · 10th to 90th $110 to $295
$100$200$500facility $269professional $162

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
$109.65
Median
$158.49
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$251.19
Typical High
$251.19
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$275.42
Typical High
$302.00
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$275.42
Typical High
$302.00
Providence
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$169.82
Typical High
$251.19
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$181.97
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$295.12
Typical High
$354.81

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· 13th of 51

$174

ND $269LA $148

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.