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Postdischarge In-Home Visit, New Patient, Comprehensive

Vermont 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?

$182

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $182 for this service. Most negotiated rates run $182 to $182.

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

Professionalmedian $182 · 10th to 90th $151 to $263
$200$500professional $182

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$181.97
Typical High
$181.97
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$83.18
Median
$91.20
Typical High
$91.20
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$33.88
Median
$36.31
Typical High
$36.31
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$25.12
Median
$27.54
Typical High
$27.54
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$16.60
Median
$18.20
Typical High
$18.20
Cigna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$263.03
Typical High
$398.11
United
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$275.42
Typical High
$478.63

Where Vermont 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.

Vermont· 19th of 51

$182

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.