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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 October 2026.

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

$132

Typical physician fee. In Ohio, October 2026.

Insurers have agreed to pay about $132 for this service. Most negotiated rates run $123 to $162.

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.

How much rates vary

Facilitymedian $123 · 10th to 90th $123 to $427Professionalmedian $132 · 10th to 90th $112 to $214
$100$200facility $123professional $132

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
$123.03
Median
$123.03
Typical High
$426.58
Aetna
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$162.18
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$61.66
Median
$61.66
Typical High
$81.28
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$25.12
Median
$25.12
Typical High
$32.36
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$18.62
Median
$18.62
Typical High
$23.99
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$12.30
Median
$12.30
Typical High
$16.22
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$199.53
Typical High
$263.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Molina
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$131.83
Typical High
$194.98
SummaCare
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$158.49
Typical High
$165.96
United
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$194.98
Typical High
$316.23

Where Ohio 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.

Ohio· 48th of 51

$132

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.