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Postdischarge In-Home Visit, New Patient, Comprehensive

Rhode Island 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 Rhode Island, October 2026.

Insurers have agreed to pay about $132 for this service. Most negotiated rates run $117 to $191.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $380 · 10th to 90th $331 to $501Professionalmedian $117 · 10th to 90th $117 to $191
$200$500facility $380professional $117

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
Professional
Modifier
None
Typical Low
$181.97
Median
$190.55
Typical High
$190.55
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$91.20
Median
$95.50
Typical High
$95.50
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$36.31
Median
$38.02
Typical High
$38.02
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$27.54
Median
$28.84
Typical High
$28.84
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$18.20
Median
$19.05
Typical High
$19.05
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$380.19
Typical High
$501.19
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$117.49
Typical High
$151.36
Cigna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
United
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$218.78
Typical High
$316.23

Where Rhode Island 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.

Rhode Island· 49th 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.