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Comprehensive Home Care Plan Oversight, 60 Minutes

Pennsylvania rates for HCPCS G0087

Comprehensive (60 minutes) care management home care plan oversight. 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 Home Care Plan Oversight, 60 Minutes cost?

$100

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $117 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$100$93.33 to $110
FacilityA hospital or hospital-owned outpatient department$117$117 to $117

How much rates vary

Facilitymedian $117 · 10th to 90th $117 to $117Professionalmedian $100 · 10th to 90th $72 to $120
$100.0$1.0K$10.0Kfacility $117professional $100

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
$117.49
Median
$117.49
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$100.00
Typical High
$120.23
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$107.15
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$81.28
Typical High
$128.82
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$102.33
Typical High
$120.23
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$117.49
Typical High
$117.49
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$102.33
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$123.03
Typical High
$199.53

Where Pennsylvania sits

The same service costs 1.9 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.

Pennsylvania $100 · 43rd of 51
ND $178LA $91.20

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.