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Postdischarge In-Home Visit, New Patient, Moderate

Massachusetts 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?

$123

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $132 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 7 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$123$105 to $145
FacilityA hospital or hospital-owned outpatient department$132$123 to $178

How much rates vary

Facilitymedian $132 · 10th to 90th $123 to $776Professionalmedian $123 · 10th to 90th $98 to $245
$100$200$500$1K$2K$5K$10Kfacility $132professional $123

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
$131.83
Median
$131.83
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$109.65
Typical High
$138.04
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$190.55
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$134.90
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$147.91
Typical High
$389.05
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$165.96
Typical High
$234.42
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$144.54
Typical High
$295.12
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$190.55
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$190.55
Typical High
$338.84

Where Massachusetts 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.

Massachusetts· 13th of 51

$123

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.