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Postdischarge In-Home Visit, New Patient, Comprehensive

Texas 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?

$145

Typical negotiated rate. In Texas, October 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.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$145$129 to $151
FacilityA hospital or hospital-owned outpatient department$148$145 to $200

How much rates vary

Facilitymedian $148 · 10th to 90th $138 to $209Professionalmedian $145 · 10th to 90th $23 to $1,096
$20$50$100$200$500$1Kfacility $148professional $145

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
$144.54
Median
$147.91
Typical High
$147.91
Aetna
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$144.54
Typical High
$147.91
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$69.18
Median
$72.44
Typical High
$74.13
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$28.18
Median
$28.84
Typical High
$29.51
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$20.89
Median
$21.88
Typical High
$22.39
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$13.80
Median
$14.45
Typical High
$14.79
Cigna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,348.96
Typical High
$1,348.96
Moda Health
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$162.18
Typical High
$208.93
Moda Health
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$144.54
Typical High
$147.91
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$69.18
Median
$72.44
Typical High
$74.13
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$28.18
Median
$28.84
Typical High
$29.51
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$20.89
Median
$21.88
Typical High
$22.39
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$13.80
Median
$14.45
Typical High
$14.79
Molina
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$128.82
Typical High
$144.54
Providence
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$162.18
Typical High
$208.93
Providence
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
United
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$186.21
Typical High
$275.42
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18

Where Texas 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.

Texas· 44th of 51

$145

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.