FDFairDoctor.org
Home/Procedures/Comprehensive 60 Minutes In-home Visit for an Existing Patient Post-discharge for Use Only in a Standard Insurance-approved Cmmi Model Services Must Be Furnished Within a Beneficiary S Home
HCPCS G2009Medical Service

Comprehensive 60 Minutes In-home Visit for an Existing Patient Post-discharge for Use Only in a Standard Insurance-approved Cmmi Model Services Must Be Furnished Within a Beneficiary S Home

Comprehensive (60 minutes) in-home visit for an existing patient post-discharge. for use only in a standard insurance-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within. Clinical pricing breakdown and utilization metrics across 1 practicing doctors nationwide.

$344.00
Peer Median Charge
Gross billed rate
$173.75
Standard Baseline
Customary allowable
2.0x
National Markup
Charge vs baseline
1
Active Physicians
Billing this code
Planning care or already received a bill for CPT G2009?Calculate total facility bundle costs or generate an assertive dispute settlement offer.

Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $344.00. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $173.75 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:
  • "Does Dr. [Name] participate in my specific insurance plan network?"
  • "What is the total self-pay or cash rate for code G2009 if paid upfront?"
  • "Are there separate facility, anesthesia, or pathology fees associated with this procedure?"