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Postdischarge In-Home Visit, New Patient, Moderate

Montana 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?

$126

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $204 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$123$102 to $151
FacilityA hospital or hospital-owned outpatient department$204$126 to $209

How much rates vary

Facilitymedian $204 · 10th to 90th $107 to $219Professionalmedian $123 · 10th to 90th $95 to $209
$100$200facility $204professional $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
Professional
Modifier
Global
Typical Low
$95.50
Median
$112.20
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$190.55
Typical High
$190.55
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$208.93
Typical High
$218.78
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$208.93
Typical High
$218.78
Providence
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$123.03
Typical High
$190.55
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$138.04
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$213.80
Typical High
$251.19

Where Montana 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.

Montana· 11th of 51

$126

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.