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Care Management Home Visit, New Patient, 75 Minutes

Michigan rates for HCPCS G0080

Extensive (75 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 October 2026.

How much does Care Management Home Visit, New Patient, 75 Minutes cost?

$209

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $550 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$209$204 to $316
FacilityA hospital or hospital-owned outpatient department$550$209 to $646

How much rates vary

Facilitymedian $550 · 10th to 90th $200 to $646Professionalmedian $209 · 10th to 90th $200 to $339
$200$500facility $550professional $209

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$549.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$204.17
Typical High
$204.17
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$100.00
Median
$102.33
Typical High
$102.33
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$39.81
Median
$40.74
Typical High
$40.74
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$30.20
Median
$30.90
Typical High
$30.90
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$19.95
Median
$20.42
Typical High
$20.42
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$338.84
Typical High
$338.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$229.09
Typical High
$354.81
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$588.84
Typical High
$645.65
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$234.42
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$41.69
Median
$42.66
Typical High
$42.66
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Priority Health
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$229.09
Typical High
$354.81
United
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$245.47
Typical High
$302.00

Where Michigan sits

The same service costs 2.2 times more in Alaska than in Arizona. 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.

Michigan· 37th of 51

$209

AK $380AZ $170

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.