go back

Postdischarge In-Home Visit, New Patient, Comprehensive

Michigan 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?

$166

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $457 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$166$162 to $240
FacilityA hospital or hospital-owned outpatient department$457$166 to $537

How much rates vary

Facilitymedian $457 · 10th to 90th $162 to $537Professionalmedian $166 · 10th to 90th $158 to $251
$200$500facility $457professional $166

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$524.81
Aetna
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$162.18
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$79.43
Median
$79.43
Typical High
$81.28
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$15.85
Median
$15.85
Typical High
$16.22
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$251.19
Typical High
$251.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$263.03
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$489.78
Typical High
$537.03
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$194.98
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
Priority Health
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$173.78
Typical High
$263.03
United
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$204.17
Typical High
$251.19

Where Michigan 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.

Michigan· 23rd of 51

$166

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.