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Nursing Facility Onsite Acute Care, CHF

Nationwide rates for HCPCS G9680

Onsite acute care treatment of a nursing facility resident with CHF. May only be billed once per day per beneficiary

Rates data updated October 2026.

How much does Nursing Facility Onsite Acute Care, CHF cost?

$74.13

Typical negotiated rate. Nationwide, October 2026.

Insurers have agreed to pay about $74.13 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $224 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 24 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$72.44$60.26 to $79.43
FacilityA hospital or hospital-owned outpatient department$224$69.18 to $437

How much rates vary

Facilitymedian $224 · 10th to 90th $0 to $3,631Professionalmedian $72 · 10th to 90th $26 to $115
$0.1$1$10$100$1K$10Kfacility $224professional $72

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
$52.48
Median
$52.48
Typical High
$52.48
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$63.10
Median
$269.15
Typical High
$436.52
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$446.68
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$0.02
Median
$0.02
Typical High
$0.03
BCBS Minnesota
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$74.13
Typical High
$416.87
BCBS Minnesota
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$67.61
Typical High
$74.13
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$100.00
Typical High
$100.00
Blue Shield
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$81.28
Typical High
$190.55
Cigna
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.07
Median
$1.07
Typical High
$1.23
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$1,995.26
Typical High
$8,511.38
Hally Health
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$151.36
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Medica
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Medica
Setting
Professional
Modifier
None
Typical Low
$1.20
Median
$1.20
Typical High
$1.20
Midlands
Setting
Professional
Modifier
None
Typical Low
$1.23
Median
$1.23
Typical High
$1.23
Moda Health
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$39.81
Typical High
$70.79
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$954.99
Typical High
$2,187.76
Providence
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$79.43
Typical High
$79.43
Select Health
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$5,011.87
Sentara
Setting
Facility
Modifier
None
Typical Low
$7,413.10
Median
$10,232.93
Typical High
$11,481.54
Sentara
Setting
Professional
Modifier
None
Typical Low
$7,413.10
Median
$10,232.93
Typical High
$11,481.54
Well Sense
Setting
Facility
Modifier
None
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Well Sense
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$3,019.95
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1.00
Median
$1.00
Typical High
$1.00
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$26.30
Typical High
$26.30

What it costs in each state

The same service costs 512861.4 times more in Virginia 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.

Touch or drag across the chart to see any state's rate.

VA $10,233LA $0.02

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.