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Postdischarge In-Home Visit, New Patient, Extensive

Ohio rates for HCPCS G2005

Extensive (75 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, Extensive cost?

$195

Typical physician fee. In Ohio, October 2026.

Insurers have agreed to pay about $195 for this service. Most negotiated rates run $162 to $219.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $162 · 10th to 90th $162 to $501Professionalmedian $195 · 10th to 90th $162 to $302
$200$500facility $162professional $195

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
$162.18
Median
$162.18
Typical High
$501.19
Aetna
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$208.93
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$81.28
Median
$81.28
Typical High
$104.71
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$32.36
Median
$32.36
Typical High
$41.69
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$24.55
Median
$24.55
Typical High
$31.62
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$16.22
Median
$16.22
Typical High
$20.89
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$269.15
Typical High
$346.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Molina
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$194.98
Typical High
$295.12
SummaCare
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$208.93
Typical High
$223.87
United
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$239.88
Typical High
$389.05

Where Ohio 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.

Ohio· 36th of 51

$195

AK $407AZ $158

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.