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Comprehensive Postdischarge Care Plan Oversight, 60 Minutes

Pennsylvania rates for HCPCS G2015

Comprehensive (60 minutes) home care plan oversight. 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.)

Rates data updated October 2026.

How much does Comprehensive Postdischarge Care Plan Oversight, 60 Minutes cost?

$102

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $102 for this service. The price depends on where it is billed: about $102 from a physician practice, and about $117 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$102$83.18 to $107
FacilityA hospital or hospital-owned outpatient department$117$83.18 to $5,012

How much rates vary

Facilitymedian $117 · 10th to 90th $83 to $5,012Professionalmedian $102 · 10th to 90th $83 to $107
$100$1K$10Kfacility $117professional $102

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
$83.18
Median
$83.18
Typical High
$83.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$12.30
Median
$12.59
Typical High
$12.59
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
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
$102.33
Median
$107.15
Typical High
$107.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Geisinger
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$79.43
Typical High
$107.15
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
Martin's Point
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$12.30
Median
$12.59
Typical High
$12.59
Martin's Point
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$102.33
Median
$117.49
Typical High
$117.49
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$107.15
Typical High
$117.49
United
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$112.20
Typical High
$194.98

Where Pennsylvania sits

The same service costs 2.5 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

$102

AK $200AZ $79.43

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.