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Care Management Home Visit, New Patient, 60 Minutes

Oregon 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 Oregon, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $178 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$174$151 to $245
FacilityA hospital or hospital-owned outpatient department$178$158 to $209

How much rates vary

Facilitymedian $178 · 10th to 90th $138 to $282Professionalmedian $174 · 10th to 90th $132 to $389
$100.0$200.0$500.0facility $178professional $174

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
$158.49
Median
$158.49
Typical High
$158.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$158.49
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$309.03
Typical High
$389.05
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$181.97
Typical High
$269.15
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$323.59
Typical High
$416.87
Providence
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$177.83
Typical High
$302.00
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$177.83
Typical High
$371.54
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$323.59
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$346.74
Typical High
$457.09

Where Oregon 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.

Oregon $174 · 12th of 51
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.