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Home Visit for Patient Assessment (BPCI Initiative)

Oregon 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?

$83.18

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $60.26 from a physician practice, and about $85.11 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$60.26$46.77 to $89.13
FacilityA hospital or hospital-owned outpatient department$85.11$74.13 to $93.33

How much rates vary

Facilitymedian $85 · 10th to 90th $50 to $95Professionalmedian $60 · 10th to 90th $47 to $126
$50$100facility $85professional $60

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
Professional
Modifier
None
Typical Low
$28.18
Median
$60.26
Typical High
$60.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$38.90
Median
$44.67
Typical High
$151.36
Moda Health
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$60.26
Typical High
$109.65
Moda Health
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$60.26
Typical High
$125.89
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$85.11
Typical High
$93.33
Providence
Setting
Facility
Modifier
None
Typical Low
$52.48
Median
$54.95
Typical High
$109.65
Providence
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$97.72
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$75.86
Median
$114.82
Typical High
$186.21
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$77.62
Typical High
$125.89
United
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$89.13
Typical High
$128.82

Where Oregon 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.

Oregon· 5th of 51

$83.18

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.