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Postdischarge In-Home Visit, New Patient, Comprehensive

Oregon 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?

$195

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $182 from a physician practice, and about $302 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 8 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$182$148 to $229
FacilityA hospital or hospital-owned outpatient department$302$186 to $316

How much rates vary

Facilitymedian $302 · 10th to 90th $151 to $347Professionalmedian $182 · 10th to 90th $135 to $372
$100.0$200.0$500.0facility $302professional $182

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
$158.49
Median
$158.49
Typical High
$158.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$162.18
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$309.03
Typical High
$389.05
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$181.97
Typical High
$281.84
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$323.59
Typical High
$416.87
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$316.23
Typical High
$346.74
Providence
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$177.83
Typical High
$302.00
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$177.83
Typical High
$380.19
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$323.59
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$346.74
Typical High
$457.09

Where Oregon 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.

Oregon $195 · 2nd 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.