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Postdischarge In-Home Visit, New Patient, Brief

Pennsylvania rates for HCPCS G2001

Brief (20 minutes) in-home visit for a new patient postdischarge. 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 within 90 days following discharge from an inpatient facility and no more than nine times.)

Rates data updated July 2026.

How much does Postdischarge In-Home Visit, New Patient, Brief cost?

$44.67

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $44.67 for this service. The price depends on where it is billed: about $44.67 from a physician practice, and about $41.69 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 8 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$44.67$42.66 to $50.12
FacilityA hospital or hospital-owned outpatient department$41.69$41.69 to $41.69

How much rates vary

Facilitymedian $42 · 10th to 90th $42 to $60Professionalmedian $45 · 10th to 90th $42 to $56
$100$1K$10Kfacility $42professional $45

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
$41.69
Median
$41.69
Typical High
$41.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$43.65
Typical High
$56.23
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
$43.65
Median
$51.29
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$38.90
Typical High
$51.29
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$43.65
Typical High
$56.23
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$60.26
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$47.86
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$63.10
Typical High
$100.00

Where Pennsylvania sits

The same service costs 1.8 times more in Minnesota than in Delaware. 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· 40th of 51

$44.67

MN $77.62DE $42.66

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.