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Postdischarge In-Home Visit, New Patient, Comprehensive

Ohio 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?

$145

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $145 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $148 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$145$123 to $174
FacilityA hospital or hospital-owned outpatient department$148$123 to $178

How much rates vary

Facilitymedian $148 · 10th to 90th $123 to $178Professionalmedian $145 · 10th to 90th $123 to $195
$0.1$1.0$10.0$100.0$1.0Kfacility $148professional $145

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
$123.03
Median
$147.91
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$144.54
Typical High
$181.97
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$181.97
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$173.78
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$275.42
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$204.17
Typical High
$309.03

Where Ohio 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.

Ohio $145 · 42nd 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.