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Postdischarge In-Home Visit, New Patient, Moderate

Virginia 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?

$115

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $126 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$115$100 to $126
FacilityA hospital or hospital-owned outpatient department$126$112 to $135

How much rates vary

Facilitymedian $126 · 10th to 90th $100 to $162Professionalmedian $115 · 10th to 90th $95 to $132
$100$200facility $126professional $115

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
$114.82
Median
$131.83
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$112.20
Typical High
$131.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$120.23
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$117.49
Typical High
$154.88
Medcost
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$120.23
Typical High
$162.18
Sentara
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$194.98
Sentara
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$158.49
Typical High
$263.03

Where Virginia 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.

Virginia· 20th of 51

$115

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.