go back

Postdischarge In-Home Visit, New Patient, Extensive

Pennsylvania 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?

$209

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $245 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$209$170 to $214
FacilityA hospital or hospital-owned outpatient department$245$170 to $5,012

How much rates vary

Facilitymedian $245 · 10th to 90th $166 to $5,012Professionalmedian $209 · 10th to 90th $166 to $214
$200$1K$5K$20Kfacility $245professional $209

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
$165.96
Median
$165.96
Typical High
$169.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$169.82
Typical High
$169.82
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$83.18
Median
$85.11
Typical High
$85.11
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$33.11
Median
$33.88
Typical High
$33.88
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$25.12
Median
$25.70
Typical High
$25.70
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$16.60
Median
$16.98
Typical High
$16.98
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$79,432.82
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$213.80
Typical High
$213.80
Cigna
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Geisinger
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$169.82
Typical High
$223.87
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$169.82
Typical High
$169.82
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$83.18
Median
$85.11
Typical High
$85.11
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$33.11
Median
$33.88
Typical High
$33.88
Martin's Point
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$25.12
Median
$25.70
Typical High
$25.70
Martin's Point
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$16.60
Median
$16.98
Typical High
$16.98
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$245.47
Typical High
$245.47
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$213.80
Typical High
$245.47
United
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$234.42
Typical High
$398.11

Where Pennsylvania 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.

Pennsylvania· 26th of 51

$209

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.