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Postdischarge In-Home Visit, New Patient, Comprehensive

West Virginia 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?

$148

Typical physician fee. In West Virginia, October 2026.

Insurers have agreed to pay about $148 for this service. Most negotiated rates run $148 to $151.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $229 · 10th to 90th $229 to $229Professionalmedian $148 · 10th to 90th $148 to $302
$200$500facility $229professional $148

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
$147.91
Median
$147.91
Typical High
$147.91
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$29.51
Median
$29.51
Typical High
$29.51
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Cigna
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Cigna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$794.33
United
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$234.42
Typical High
$426.58

Where West Virginia 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.

West Virginia· 41st of 51

$148

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.