Home Visit for Patient Assessment (BPCI Initiative)

Montana 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?

$72.44

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $72.44 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $75.86 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$72.44	$61.66 to $75.86
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$75.86	$64.57 to $89.13

How much rates vary

Facilitymedian $76 · 10th to 90th $51 to $89Professionalmedian $72 · 10th to 90th $48 to $79

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77	Professional	None	$46.77	$46.77	$46.77
Cigna Setting Facility Modifier None Typical Low $72.44 Median $75.86 Typical High $75.86	Facility	None	$72.44	$75.86	$75.86
Cigna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86	Professional	None	$75.86	$75.86	$75.86
MountainHealth Co-op Setting Facility Modifier None Typical Low $51.29 Median $87.10 Typical High $95.50	Facility	None	$51.29	$87.10	$95.50
MountainHealth Co-op Setting Professional Modifier None Typical Low $56.23 Median $64.57 Typical High $87.10	Professional	None	$56.23	$64.57	$87.10
Providence Setting Facility Modifier None Typical Low $51.29 Median $75.86 Typical High $75.86	Facility	None	$51.29	$75.86	$75.86
Providence Setting Professional Modifier None Typical Low $43.65 Median $66.07 Typical High $79.43	Professional	None	$43.65	$66.07	$79.43
United Setting Professional Modifier None Typical Low $64.57 Median $70.79 Typical High $83.18	Professional	None	$64.57	$70.79	$83.18

Where Montana 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.

Montana· 7th of 51

$72.44

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.