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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 July 2026.

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

$170

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $170 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $182 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$170$145 to $200
FacilityA hospital or hospital-owned outpatient department$182$166 to $240

How much rates vary

Facilitymedian $182 · 10th to 90th $166 to $1,096Professionalmedian $170 · 10th to 90th $135 to $339
$100$200$500$1K$2K$5K$10Kfacility $182professional $170

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
$181.97
Median
$181.97
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$151.36
Typical High
$199.53
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$269.15
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$177.83
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$199.53
Typical High
$537.03
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$223.87
Typical High
$316.23
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$199.53
Typical High
$407.38
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$269.15
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$269.15
Typical High
$457.09

Where Massachusetts sits

The same service costs 1.7 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.

Massachusetts· 14th of 51

$170

MN $240DE $141

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.