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Postdischarge In-Home Visit, New Patient, Comprehensive

Massachusetts rates for HCPCS G2004

Comprehensive (60 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 October 2026.

How much does Postdischarge In-Home Visit, New Patient, Comprehensive cost?

$182

Typical negotiated rate. In Massachusetts, October 2026.

Insurers have agreed to pay about $182 for this service. The price depends on where it is billed: about $182 from a physician practice, and about $166 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$182$148 to $200
FacilityA hospital or hospital-owned outpatient department$166$166 to $240

How much rates vary

Facilitymedian $166 · 10th to 90th $166 to $288Professionalmedian $182 · 10th to 90th $148 to $537
$100$200$500$1K$2K$5Kfacility $166professional $182

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Aetna
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$18.20
Median
$18.20
Typical High
$18.20
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$147.91
Typical High
$154.88
AllWays Health Partners
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$1,096.48
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$199.53
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$269.15
Fallon Health
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$239.88
Typical High
$316.23
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$147.91
Typical High
$281.84
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$147.91
Typical High
$154.88
Mass General Brigham
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$1,096.48
Typical High
$1,096.48
United
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$257.04
Typical High
$512.86
Well Sense
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$288.40
Typical High
$416.87

Where Massachusetts sits

The same service costs 2.6 times more in Alaska than in Arizona. 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· 16th of 51

$182

AK $316AZ $120

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.