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Home Visit for Patient Assessment (BPCI Initiative)

Colorado rates for HCPCS G9187

Bundled payments for care improvement initiative home visit for patient assessment performed by a qualified health care professional for individuals not considered homebound including, but not limited to, assessment of safety, falls, clinical status, fluid status, medication reconciliation/management, patient compliance with orders/plan of care, performance of activities of daily living, appropriateness of care setting; (for use only in the Medicare-approved bundled payments for care improvement initiative); may not be billed for a 30-day period covered by a transitional care management code

Rates data updated October 2026.

How much does Home Visit for Patient Assessment (BPCI Initiative) cost?

$54.95

Typical negotiated rate. In Colorado, October 2026.

Insurers have agreed to pay about $54.95 for this service. The price depends on where it is billed: about $56.23 from a physician practice, and about $54.95 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$56.23$48.98 to $67.61
FacilityA hospital or hospital-owned outpatient department$54.95$53.70 to $61.66

How much rates vary

Facilitymedian $55 · 10th to 90th $44 to $107Professionalmedian $56 · 10th to 90th $46 to $91
$50$100facility $55professional $56

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
Facility
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Aetna
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$54.95
Typical High
$54.95
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$61.66
Typical High
$104.71
Cigna
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$67.61
Denver HMP
Setting
Facility
Modifier
None
Typical Low
$41.69
Median
$54.95
Typical High
$79.43
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$67.61
Typical High
$77.62
Select Health
Setting
Facility
Modifier
None
Typical Low
$53.70
Median
$100.00
Typical High
$112.20
Select Health
Setting
Professional
Modifier
None
Typical Low
$31.62
Median
$47.86
Typical High
$53.70
United
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$57.54
Typical High
$91.20

Where Colorado sits

The same service costs 4.9 times more in Alabama than in Louisiana. 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.

Colorado· 16th of 51

$54.95

AL $151LA $30.90

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.