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Postdischarge In-Home Visit, New Patient, Moderate

Illinois rates for HCPCS G2003

Moderate (45 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, Moderate cost?

$110

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $110 for this service. The price depends on where it is billed: about $110 from a physician practice, and about $102 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 5 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$110$100 to $123
FacilityA hospital or hospital-owned outpatient department$102$102 to $186

How much rates vary

Facilitymedian $102 · 10th to 90th $102 to $224Professionalmedian $110 · 10th to 90th $93 to $138
$100$200facility $102professional $110

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
$102.33
Median
$102.33
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$107.15
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$165.96
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$128.82
Typical High
$229.09
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$208.93
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$165.96
Typical High
$239.88

Where Illinois sits

The same service costs 1.9 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.

Illinois· 38th of 51

$110

MN $186DE $100

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.