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

Oregon rates for HCPCS G9878

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 achieved 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 October 2026.

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

$79.43

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $110 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$79.43$47.86 to $95.50
FacilityA hospital or hospital-owned outpatient department$110$91.20 to $110

How much rates vary

Facilitymedian $110 · 10th to 90th $79 to $115Professionalmedian $79 · 10th to 90th $48 to $123
$50$100facility $110professional $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
Aetna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$79.43
Typical High
$79.43
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$33.11
Median
$39.81
Typical High
$39.81
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$13.18
Median
$15.85
Typical High
$15.85
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.00
Median
$12.02
Typical High
$12.02
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$6.61
Median
$7.94
Typical High
$7.94
Cigna
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$123.03
Typical High
$162.18
Moda Health
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$114.82
Typical High
$144.54
Moda Health
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$91.20
Median
$109.65
Typical High
$112.20
Providence
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$83.18
Typical High
$144.54
Providence
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$47.86
Typical High
$147.91
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$95.50
Typical High
$107.15
United
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$107.15
Typical High
$181.97

Where Oregon sits

The same service costs 3.0 times more in Alaska than in Connecticut. 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· 14th of 51

$79.43

AK $138CT $46.77

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.