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See a sample rate comparisonHCPCS G0087 Fee Schedule
Medicare rates as of October 2026
HCPCS G0087 is classified under Procedures / Professional Services, in the Home Care Management Services subgroup.
Comprehensive (60 minutes) care management home care plan oversight. 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 | $103.21 national non-facility rate (2026) · View Medicare rates for G0087 |
| Medicaid Fee Schedule | $55.355 median of the 2 states in the free preview · View Medicaid rates for G0087 |
National average reimbursement for HCPCS G0087 by major payers:
$146.42
BCBS / Anthem
$135.23
UnitedHealthcare
$105.39
Aetna
$111.08
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0087.
HCPCS G0087
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$266.07Published rateJohn D. Archbold Memorial Hospital, Inc.
John D Archbold Memorial Hospital Inc
$239.97Published rateStephens County Anesthesia Services,LLC
Stephens County Anesthesia Servicesllc
$143.66Published rateTanner Medical Center, Inc, Tanner Health System
Tanner Medical Center Inc
$120.97Published rateGeorge Hemstreet
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$87.18Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0087 vs. Other Home Care Management Services Codes
The table lists codes related to G0087. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G0086-HCPCS | Low | Limited (30 minutes) care management home care plan oversight. 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) |
| G0087-HCPCS | Low | Comprehensive (60 minutes) care management home care plan oversight. 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) |
| G0088-HCPCS | Moderate | Professional services, initial visit, for the administration of anti-infective, pain management, chelation, pulmonary hypertension, inotropic, or other intravenous infusion drug or biological (excluding chemotherapy or other highly complex drug or biological) for each infusion drug administration calendar day in the individual's home, each 15 minutes |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0087. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0087 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.
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