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See a sample rate comparisonHCPCS G9187 Fee Schedule
Medicare rates as of October 2026
HCPCS G9187 is classified under Procedures / Professional Services, in the Bundled Payment Care subgroup.
Bundled payments for care improvement initiative home visit for patient assessment performed by a qualified health care professional for individuals not considered homebound including, but not limited to, assessment of safety, falls, clinical status, fluid status, medication reconciliation/management, patient compliance with orders/plan of care, performance of activities of daily living, appropriateness of care setting; (for use only in the Medicare-approved bundled payments for care improvement initiative); may not be billed for a 30-day period covered by a transitional care management code
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Bundled Payment Care |
| Complexity Level | Low |
| Medicare Fee Schedule | $51.10 national non-facility rate (2026) · View Medicare rates for G9187 |
| Medicaid Fee Schedule | View Medicaid rates for G9187 |
National average reimbursement for HCPCS G9187 by major payers:
$61.37
BCBS / Anthem
$57.03
UnitedHealthcare
$43.58
Aetna
$51.82
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G9187.
HCPCS G9187
5 of 25 sample ratesHigher to lower in this preview
Emory Healthcare
Emory University
$119.94Published rateCarolina Radiology Associates LLC
Carolina Radiology Associates, LLC
$67.08Published rateHamilton Medical Center, Inc.
Hamilton Medical Center Inc
$58.38Published rateScottish Rite Childrens Medical Ctr, Children'S Healthcare Of Atlanta At Scottish Rite
Childrens Healthcare Of Atlanta Inc
$54.22Published rateTexas Radiology Associates LLP
Texas Radiology Associates, LLP
$37.72Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G9187 vs. Other Bundled Payment Care Codes
The table lists codes related to G9187. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G9157-HCPCS | Low | Transesophageal Doppler Measurement Of Cardiac Output (Including Probe Placement, Image Acquisition, And Interpretation Per Course Of Treatment) For Monitoring Purposes |
| G9187-HCPCS | Low | Bundled payments for care improvement initiative home visit for patient assessment performed by a qualified health care professional for individuals not considered homebound including, but not limited to, assessment of safety, falls, clinical status, fluid status, medication reconciliation/management, patient compliance with orders/plan of care, performance of activities of daily living, appropriateness of care setting; (for use only in the Medicare-approved bundled payments for care improvement initiative); may not be billed for a 30-day period covered by a transitional care management code |
| G9188-HCPCS | Low | Beta-blocker therapy not prescribed, reason not given |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G9187. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G9187 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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