Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS G0080 Fee Schedule
Medicare rates as of October 2026
HCPCS G0080 is classified under Procedures / Professional Services, in the Home Care Management Services subgroup.
Extensive (75 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 | Moderate |
| Medicare Fee Schedule | $217.11 national non-facility rate (2026) · View Medicare rates for G0080 |
| Medicaid Fee Schedule | $112.325 median of the 2 states in the free preview · View Medicaid rates for G0080 |
National average reimbursement for HCPCS G0080 by major payers:
$288.40
BCBS / Anthem
$277.09
UnitedHealthcare
$213.84
Aetna
$222.78
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0080.
HCPCS G0080
5 of 25 sample ratesHigher to lower in this preview
David Epstein
Brevard Physician Associates, PLLC
$670.26Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$385.26Published rateJulie Webster
Musc Community Physicians
$277.45Published rateGood Samaritan Hospital, Inc., St. Mary'S Good Samaritan Hospital
Good Samaritan Hospital Inc
$245.74Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$89.98Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS G0080 vs. Other Home Care Management Services Codes
The table lists codes related to G0080. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G0079-HCPCS | Moderate | Comprehensive (60 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) |
| G0080-HCPCS | Moderate | Extensive (75 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) |
| G0081-HCPCS | Low | Brief (20 minutes) care management home visit for an existing 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 G0080. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0080 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
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS G0080) and we'll show you how you compare in 15 minutes or less.