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See a sample rate comparisonHCPCS G0077 Fee Schedule
Medicare rates as of October 2026
HCPCS G0077 is classified under Procedures / Professional Services, in the Home Care Management Services subgroup.
Limited (30 minutes) care management home visit for a new patient. 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)
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Home Care Management Services |
| Complexity Level | Low |
| Medicare Fee Schedule | $74.48 national non-facility rate (2026) · View Medicare rates for G0077 |
| Medicaid Fee Schedule | $39.34 median of the 2 states in the free preview · View Medicaid rates for G0077 |
National average reimbursement for HCPCS G0077 by major payers:
$105.62
BCBS / Anthem
$99.10
UnitedHealthcare
$75.91
Aetna
$78.85
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0077.
HCPCS G0077
5 of 25 sample ratesHigher to lower in this preview
Jayne Bernier
Radiology Associates Of Clearwater, P.A.
$167.24Published rateBradley Smith
Emergeortho, P.A.
$133.89Published rateJulie Webster
Carolina Radiology Associates, LLC
$103.91Published rateGeorge Hemstreet
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$83.63Published rateCindy Chang
Miguel A Arenas Md PC
$62.43Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0077 vs. Other Home Care Management Services Codes
The table lists codes related to G0077. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G0076-HCPCS | Low | Brief (20 minutes) care management home visit for a new patient. 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) |
| G0077-HCPCS | Low | Limited (30 minutes) care management home visit for a new patient. 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) |
| G0078-HCPCS | Low | Moderate (45 minutes) care management home visit for a new patient. 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) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0077. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0077 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
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