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Comprehensive Care Management Home Visit, 60 Minutes

Pennsylvania rates for HCPCS G0084

Comprehensive (60 minutes) care management home visit for an existing 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 Comprehensive Care Management Home Visit, 60 Minutes cost?

$170

Typical physician fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $170 for this service. Most negotiated rates run $155 to $178.

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.

How much rates vary

Professionalmedian $170 · 10th to 90th $120 to $200
$100$200$500$1Kprofessional $170

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
$112.20
Median
$165.96
Typical High
$199.53
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$177.83
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$144.54
Typical High
$213.80
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$169.82
Typical High
$199.53
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$169.82
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$208.93
Typical High
$331.13

Where Pennsylvania sits

The same service costs 1.9 times more in North Dakota than in New Mexico. 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.

Pennsylvania· 31st of 51

$170

ND $295NM $151

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.