go back

Postdischarge In-Home Visit, New Patient, Moderate

Pennsylvania 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?

$105

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $95.50 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$105$97.72 to $117
FacilityA hospital or hospital-owned outpatient department$95.50$95.50 to $95.50

How much rates vary

Facilitymedian $95 · 10th to 90th $95 to $145Professionalmedian $105 · 10th to 90th $95 to $132
$100$500$2K$10K$50Kfacility $95professional $105

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
$95.50
Median
$95.50
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$102.33
Typical High
$131.83
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
$107.15
Median
$125.89
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$95.50
Typical High
$123.03
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$102.33
Typical High
$131.83
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$144.54
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$120.23
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$147.91
Typical High
$239.88

Where Pennsylvania 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.

Pennsylvania· 47th of 51

$105

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.