go back

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.

Facilitymedian $182 · 10th–90th $166$1,0960%20%10th90th$182Professionalmedian $170 · 10th–90th $135$3390%10%20%10th90th$170$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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