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See a sample rate comparisonHCPCS G2001 Fee Schedule
Medicare rates as of October 2026
HCPCS G2001 is classified under Procedures / Professional Services, in the Other Evaluation and Management Services subgroup.
Brief (20 minutes) in-home visit for a new 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 days following discharge from an inpatient facility and no more than 9 times.)
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Other Evaluation and Management Services |
| Complexity Level | Low |
| Medicare Fee Schedule | $49.43 national non-facility rate (2026) · View Medicare rates for G2001 |
| Medicaid Fee Schedule | $48.395 median of the 2 states in the free preview · View Medicaid rates for G2001 |
National average reimbursement for HCPCS G2001 by major payers:
$71.78
BCBS / Anthem
$68.48
UnitedHealthcare
$50.92
Aetna
$53.08
Cigna
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HCPCS G2001
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$132.64Published rateKamran Rajaee
$120.13Published rateAlicia Encinas
Miguel A Arenas Md PC
$73.91Published rateEmanuel County Hospital Authority, Emanuel Medical Center
$65.15Published rateMiguel Arenas
Miguel A Arenas Md PC
$44.65Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G2001 vs. Other Other Evaluation and Management Services Codes
The table lists codes related to G2001. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G2000-HCPCS | Moderate | Blinded administration of convulsive therapy procedure, either electroconvulsive therapy (ect, current covered gold standard) or magnetic seizure therapy (mst, non-covered experimental therapy), performed in an approved ide-based clinical trial, per treatment session |
| G2001-HCPCS | Low | Brief (20 minutes) in-home visit for a new 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 days following discharge from an inpatient facility and no more than 9 times.) |
| G2002-HCPCS | Low | Limited (30 minutes) in-home visit for a new 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 days following discharge from an inpatient facility and no more than 9 times.) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G2001. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G2001 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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