go back

Postdischarge In-Home Visit, New Patient, Limited

Pennsylvania rates for HCPCS G2002

Limited (30 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, Limited cost?

$63.10

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $63.10 for this service. The price depends on where it is billed: about $63.10 from a physician practice, and about $58.88 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$63.10$60.26 to $72.44
FacilityA hospital or hospital-owned outpatient department$58.88$58.88 to $58.88

How much rates vary

Facilitymedian $59 · 10th to 90th $59 to $87Professionalmedian $63 · 10th to 90th $59 to $81
$100$1K$10Kfacility $59professional $63

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
$58.88
Median
$58.88
Typical High
$58.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$63.10
Typical High
$81.28
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
$64.57
Median
$77.62
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$58.88
Typical High
$75.86
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$63.10
Typical High
$81.28
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$87.10
Typical High
$87.10
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$72.44
Typical High
$87.10
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$91.20
Typical High
$144.54

Where Pennsylvania sits

The same service costs 1.8 times more in Minnesota than in Alabama. 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· 47th of 51

$63.10

MN $112AL $61.66

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.