Arizona · G2013

Extensive (75 Minutes) In-Home Visit For An Existing Patient Post-Discharge. For Use Only In A Medicare-Approved Cmmi Model. (services Must Be Furnished Within A Beneficiary's Home, Domiciliary, Rest Home, Assisted Living And/or Nursing Facility Within 90 in Arizona

Arizona Medicare Avg
$161.71
4% below national avg
National Medicare Avg
$169.18
All states combined
Billed Charge (AZ)
$402.00
What providers submit
Est. Commercial (AZ)
$462.72
National avg: $474.47
Est. Cash / Self-Pay (AZ)
$262.76
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

103
Services in AZ
30
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Arizona

Provider Medicare Services
Sharma, Nandini M.D. $161.67 13

Arizona Pricing in Context

In Arizona, CPT code G2013 (Extensive (75 Minutes) In-Home Visit For An Existing Patient Post-Discharge. For Use Only In A Medicare-Approved Cmmi Model. (services Must Be Furnished Within A Beneficiary's Home, Domiciliary, Rest Home, Assisted Living And/or Nursing Facility Within 90) carries an average Medicare payment of $161.71 — 4% below the national benchmark of $169.18. 30 providers across the state submitted claims for this procedure in 2023, performing 103 total services. Individual payments in AZ ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Arizona is $402.00, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Arizona sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Temporary Procedures procedures, the estimated commercial insurance price in Arizona lands near $462.72, with self-pay cash prices typically around $262.76. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Extensive (75 Minutes) In-Home Visit For An Existing Patient Post-Discharge. For Use Only In A Medicare-Approved Cmmi Model. (services Must Be Furnished Within A Beneficiary's Home, Domiciliary, Rest Home, Assisted Living And/or Nursing Facility Within 90 cost in Arizona?

The average Medicare payment for Extensive (75 Minutes) In-Home Visit For An Existing Patient Post-Discharge. For Use Only In A Medicare-Approved Cmmi Model. (services Must Be Furnished Within A Beneficiary's Home, Domiciliary, Rest Home, Assisted Living And/or Nursing Facility Within 90 in Arizona is $161.71, which is 4% below the national average of $169.18. Providers in AZ typically bill $402.00 for this procedure.

What does Extensive (75 Minutes) In-Home Visit For An Existing Patient Post-Discharge. For Use Only In A Medicare-Approved Cmmi Model. (services Must Be Furnished Within A Beneficiary's Home, Domiciliary, Rest Home, Assisted Living And/or Nursing Facility Within 90 cost with insurance in Arizona?

With commercial insurance in Arizona, Extensive (75 Minutes) In-Home Visit For An Existing Patient Post-Discharge. For Use Only In A Medicare-Approved Cmmi Model. (services Must Be Furnished Within A Beneficiary's Home, Domiciliary, Rest Home, Assisted Living And/or Nursing Facility Within 90 costs an estimated $462.72. Without insurance, the estimated cash price is $262.76. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Extensive (75 Minutes) In-Home Visit For An Existing Patient Post-Discharge. For Use Only In A Medicare-Approved Cmmi Model. (services Must Be Furnished Within A Beneficiary's Home, Domiciliary, Rest Home, Assisted Living And/or Nursing Facility Within 90 in Arizona?

30 providers in Arizona billed Medicare for Extensive (75 Minutes) In-Home Visit For An Existing Patient Post-Discharge. For Use Only In A Medicare-Approved Cmmi Model. (services Must Be Furnished Within A Beneficiary's Home, Domiciliary, Rest Home, Assisted Living And/or Nursing Facility Within 90 in 2023, performing 103 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Extensive (75 Minutes) In-Home Visit For An Existing Patient Post-Discharge. For Use Only In A Medicare-Approved Cmmi Model. (services Must Be Furnished Within A Beneficiary's Home, Domiciliary, Rest Home, Assisted Living And/or Nursing Facility Within 90 cheaper in Arizona than the national average?

Yes — Extensive (75 Minutes) In-Home Visit For An Existing Patient Post-Discharge. For Use Only In A Medicare-Approved Cmmi Model. (services Must Be Furnished Within A Beneficiary's Home, Domiciliary, Rest Home, Assisted Living And/or Nursing Facility Within 90 costs 4% below the national average in Arizona. The state average Medicare payment is $161.71 compared to $169.18 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial