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Postdischarge In-Home Visit, New Patient, Comprehensive

Missouri 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?

$148

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $141 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 6 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$151$135 to $182
FacilityA hospital or hospital-owned outpatient department$141$120 to $191

How much rates vary

Facilitymedian $141 · 10th to 90th $112 to $275Professionalmedian $151 · 10th to 90th $112 to $200
$100.0$200.0$500.0$1.0Kfacility $141professional $151

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
$112.20
Median
$112.20
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$141.25
Typical High
$186.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$177.83
Typical High
$223.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$190.55
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$151.36
Typical High
$302.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$218.78
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$275.42
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$194.98
Typical High
$302.00

Where Missouri sits

The same service costs 1.7 times more in Minnesota than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Missouri $148 · 34th of 51
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.