go back

MDPP Core Maintenance, Months 7-9, Under 5% Weight Loss

Oregon rates for HCPCS G9876

Two Medicare Diabetes Prevention Program (MDPP) core maintenance sessions (MS) were attended by an MDPP beneficiary in months (mo) 7-9 under the MDPP Expanded Model (EM). A core maintenance session is an MDPP service that: (1) is furnished by an MDPP supplier during months 7 through 12 of the MDPP services period; (2) is approximately 1 hour in length; and (3) adheres to a CDC-approved DPP curriculum for maintenance sessions. The beneficiary did not achieve at least 5% weight loss (WL) from his/her baseline weight, as measured by at least one in-person weight measurement at a core maintenance session in months 7-9

Rates data updated July 2026.

How much does MDPP Core Maintenance, Months 7-9, Under 5% Weight Loss cost?

$27.54

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $27.54 for this service. The price depends on where it is billed: about $25.70 from a physician practice, and about $27.54 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$25.70$13.18 to $63.10
FacilityA hospital or hospital-owned outpatient department$27.54$22.91 to $27.54

How much rates vary

Facilitymedian $28 · 10th to 90th $15 to $66Professionalmedian $26 · 10th to 90th $12 to $76
$10$20$50$100$200facility $28professional $26

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$19.05
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$30.20
Typical High
$36.31
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$21.38
Typical High
$87.10
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$27.54
Typical High
$27.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$21.38
Typical High
$87.10
Providence
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$79.43
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$29.51
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$26.30
Typical High
$38.90

Where Oregon sits

The same service costs 5.8 times more in South Dakota than in Hawaii. 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· 7th of 51

$27.54

SD $75.86HI $13.18

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.