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Postdischarge In-Home Visit, New Patient, Moderate

New York 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?

$112

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $112 from a physician practice, and about $115 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 9 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$112$100 to $129
FacilityA hospital or hospital-owned outpatient department$115$97.72 to $132

How much rates vary

Facilitymedian $115 · 10th to 90th $91 to $178Professionalmedian $112 · 10th to 90th $98 to $155
$100$500$2K$10K$50Kfacility $115professional $112

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
$91.20
Median
$97.72
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$107.15
Typical High
$131.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$120.23
Typical High
$218.78
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
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
$141.25
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$204.17
Typical High
$489.78
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$199.53
Typical High
$257.04
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$114.82
Typical High
$114.82
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$134.90
Typical High
$213.80
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$162.18
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$416.87
Typical High
$1,288.25
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$147.91
Typical High
$295.12
Univera
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$131.83
Typical High
$131.83
Univera
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$131.83
Typical High
$223.87

Where New York 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.

New York· 29th of 51

$112

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.