CMS Price Transparency Data
Extended office visit (prolonged)
Facility: St Francis Hospital & Medical Center
Billing Code: G2212 (HCPCS)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: G2212
- Insurance Median: $68
- Cash Discount Price: $68
- vs. Medicare Baseline: 2.00x Medicare
The contracted insurance negotiated median rate for a Extended office visit (prolonged) at St Francis Hospital & Medical Center is $68. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $34.07, this hospital’s rate is 2.00x the Medicare baseline. Located in 114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT.
Cash / Self-Pay
$68
Average discount available for prompt cash payment at this facility.
Insurance Median
$68
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$34.07
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $34.07 (100%)
Cash / Self-Pay: $68 (200%)
Insurance Median: $68 (200%)
Cash: $68 (200% of Medicare)
Ins. Median: $68 (200% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $34.07 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $17 - $68 | 50% |
| Aetna | $28 - $68 | 82% |
| Align Senior Care | $28 | 82% |
| Ally Align Care Adv | $28 | 82% |
| American Health Advantage of Idaho | $28 | 82% |
| American Health Plan | $28 | 82% |
| Aurora Special Needs | $28 | 82% |
| Blue Care Network Advantage | $28 | 82% |
| Blue Cross Blue Shield | $28 - $49 | 82% |
| Blue Shield - De (Highmark) Medciare Advantage | $28 | 82% |
| Care Dimensions | $28 | 82% |
| Care Improvement Plus | $28 | 82% |
| Care Resources Pace | $28 | 82% |
| Careplus Health Plans | $28 | 82% |
| Cca - Zing Health | $28 | 82% |
| Central Valley Medical Services Corp Pace | $28 | 82% |
| Champion Health Plan McR Advantage | $28 | 82% |
| Cigna | $28 | 82% |
| Clear Spring Health | $28 | 82% |
| Clover Health | $28 | 82% |
| Commonwealth Care Alliance | $28 - $30 | 82% |
| Community Pace at Home | $28 | 82% |
| Eddy Senior Care-Pace | $28 | 82% |
| Eddy Seniorcare Pace | $28 | 82% |
| Elementcare | $28 | 82% |
| Evercare | $28 | 82% |
| Everence | $28 | 82% |
| Gateway Health Plan | $28 | 82% |
| Genesys Pace of Genesee County | $28 | 82% |
| Georgia Health Advantage | $28 | 82% |
| Gold Advantage | $28 | 82% |
| Gpa Croell Redi Mix | $28 | 82% |
| Health America Advantra | $28 | 82% |
| Highmark Health Options Dual Plan | $28 | 82% |
| Hope Select Pace | $28 | 82% |
| Horizon Nj Total Care | $28 | 82% |
| Hudson Headwaters Pace | $28 | 82% |
| Humana | $28 - $30 | 82% |
| Huron Valley Pace | $28 | 82% |
| Innovative Integrated Health Community Plans | $28 | 82% |
| Iowa Health Advantage | $28 | 82% |
| Johns Hopkins Advantage Md | $28 | 82% |
| Lasso Healthcare Msa | $28 | 82% |
| Life St Marys Pace | $28 | 82% |
| Lifecircles Pace | $28 | 82% |
| Longevity Health Plan | $28 | 82% |
| Longevity IPA of Michigan LLC Health Plan Isnp | $28 | 82% |
| Martins Point Generations Advantage | $28 | 82% |
| Mass General Brigham McR Adv | $28 | 82% |
| Medicare (plans) | $28 - $31 | 82% |
| Medipak Advantage | $28 | 82% |
| Mercy Life | $28 | 82% |
| Mercyone Cedar Valley | $28 | 82% |
| Meridian Complete | $28 | 82% |
| Michigan Complete Health | $28 | 82% |
| Nascentia Health Plus | $28 | 82% |
| New Centry Health Careplus | $28 | 82% |
| Osu Prime Care Advantage | $28 | 82% |
| Pace Cny | $28 | 82% |
| Pace Iowa Immanuel Pathways | $28 | 82% |
| Pace Southeast | $28 | 82% |
| Pace of Southwest Michigan | $28 | 82% |
| Pace-Trinity Health | $28 | 82% |
| Peak Pace Solutions | $28 | 82% |
| Perennial Advantage | $28 | 82% |
| Preferred Care Partners | $28 | 82% |
| Presbyterian Senior Plan | $28 | 82% |
| Provider Partners Health Plan of Illinois | $28 | 82% |
| Provider Partners Health Plan of Indiana | $28 | 82% |
| Pruitthealth Premier | $28 | 82% |
| Reliance Community Care Partners Care Resources Pace | $28 | 82% |
| Rx Allwin | $28 | 82% |
| Rx Grane Grnmedd | $28 | 82% |
| Rx Retiree Rx Care | $28 | 82% |
| Scan Health Plan McR IPA Meritage Oon | $28 | 82% |
| Secure Horizons Ma Pffs | $28 | 82% |
| Serenity Pace | $28 | 82% |
| Siouxland Pace | $28 | 82% |
| Solis Health Plans | $28 | 82% |
| Sunnyview-Pace Finance Dept | $28 | 82% |
| Texan Plus | $28 | 82% |
| The Health Plan | $28 | 82% |
| Thome Pace | $28 | 82% |
| Todays Options | $28 | 82% |
| Tribute Health Plans | $28 | 82% |
| Um Health Advantage | $28 | 82% |
| Union Health Service | $28 | 82% |
| UnitedHealthcare | $28 - $55 | 82% |
| Welbe Health | $28 | 82% |
| Wellmed | $28 | 82% |
| Veterans Administration | $29 | 85% |
| Cca Senior Care Options | $30 | 88% |
| Champva | $30 | 88% |
| Tricare | $30 | 88% |
| Triwest Health Alliance | $30 | 88% |
| Veterans Eval Services | $30 | 88% |
| Fallon Health | $36 - $60 | 106% |
| Coventry | $38 | 112% |
| First Health | $38 | 112% |
| Guardian | $38 | 112% |
| Meritain | $38 | 112% |
| Connecticare | $44 | 129% |
| Multiplan | $44 | 129% |
| Unicare | $45 | 132% |
| Wellpoint | $45 | 132% |
| Mass General Brigham Health Plan | $46 - $67 | 135% |
| Bcn Domestic | $49 | 144% |
| Blue Benefit Administrators of Massachusetts | $49 | 144% |
| Blue Care Network | $49 | 144% |
| Blue Distinction Transplant | $49 | 144% |
| Blue Shield - Ca | $49 | 144% |
| Blue Shield - Id (Regence) | $49 | 144% |
| Blue Shield - Ny Highmark Northeastern | $49 | 144% |
| Blue Shield - Ny Highmark Western | $49 | 144% |
| Blue Shield - PA (Highmark) | $49 | 144% |
| Blue Shield - Wa (Regence) | $49 | 144% |
| Health Choices | $49 | 144% |
| Kaiser Domestic | $49 | 144% |
| Pre-Employment | $49 | 144% |
| Wc Domestic | $49 | 144% |
| Claimdoc | $50 | 147% |
| Innovative Health Plan II | $50 | 147% |
| Health Smart | $58 | 170% |
| Wc Corvel | $58 | 170% |
| Healthscope | $60 | 176% |
| Centivo | $66 | 194% |
| Health New England | $67 - $68 | 197% |
| Tufts Health Plan | $67 | 197% |
| Us Family Health Plan | $67 | 197% |
| Andrie Inc | $68 | 200% |
| Delta Dental Ga | $68 | 200% |
| Delta Dental Mi | $68 | 200% |
| Delta Dental Mo | $68 | 200% |
| Delta Dental Nj | $68 | 200% |
| Delta Dental Ny | $68 | 200% |
| Delta Dental Oh | $68 | 200% |
| Delta Dental Or | $68 | 200% |
| Delta Dental PA | $68 | 200% |
| Delta Dental VA | $68 | 200% |
| Delta Dental Wa | $68 | 200% |
| East Greenbush Central School District | $68 | 200% |
| Genex Wc | $68 | 200% |
| Harvard Pilgrim Healthcare | $68 | 200% |
| Healthsmart Workers Comp | $68 | 200% |
| Jag Source | $68 | 200% |
| Liberty Dental | $68 | 200% |
| New York State Insurance Fund | $68 | 200% |
| Njm Insurance Group | $68 | 200% |
| Prime Health Services | $68 | 200% |
| Rx Heatlhcomp | $68 | 200% |
| Rx Restat | $68 | 200% |
| Rx Saif Opdp Wc | $68 | 200% |
| Rx Worker's Comp | $68 | 200% |
| Wc Accident Fund | $68 | 200% |
| Wc Ace | $68 | 200% |
| Wc Acs Federal Employees | $68 | 200% |
| Wc Acuity | $68 | 200% |
| Wc Advantage | $68 | 200% |
| Wc Aegis | $68 | 200% |
| Wc Aig | $68 | 200% |
| Wc Aims | $68 | 200% |
| Wc Alaska National Ins | $68 | 200% |
| Wc Align Network | $68 | 200% |
| Wc Allied | $68 | 200% |
| Wc Am Trust N America | $68 | 200% |
| Wc American Claims Mgmt | $68 | 200% |
| Wc Amerisure | $68 | 200% |
| Wc Amtrust | $68 | 200% |
| Wc Asu Risk Mgt | $68 | 200% |
| Wc Benetech | $68 | 200% |
| Wc Berkley Admin | $68 | 200% |
| Wc Broadspire | $68 | 200% |
| Wc Broward County | $68 | 200% |
| Wc Bunch & Associates | $68 | 200% |
| Wc California State Comp Ins | $68 | 200% |
| Wc California State Ins Fund | $68 | 200% |
| Wc Capitol Area Health Consortium | $68 | 200% |
| Wc Ccmsi | $68 | 200% |
| Wc Chartis | $68 | 200% |
| Wc Chubb | $68 | 200% |
| Wc Cirma | $68 | 200% |
| Wc City of Albany | $68 | 200% |
| Wc City of Sioux City | $68 | 200% |
| Wc Claims Mgmt Inc | $68 | 200% |
| Wc Cna | $68 | 200% |
| Wc Comp One Admin C/O Manageability | $68 | 200% |
| Wc Compone Admin | $68 | 200% |
| Wc Ct Healthcare Trust | $68 | 200% |
| Wc Donegal Insurance Group | $68 | 200% |
| Wc Emc Insurance Company | $68 | 200% |
| Wc Employee Mutual | $68 | 200% |
| Wc Enablecomp | $68 | 200% |
| Wc Encore Health Network | $68 | 200% |
| Wc Erie | $68 | 200% |
| Wc Esis | $68 | 200% |
| Wc Evolutions | $68 | 200% |
| Wc Fcci | $68 | 200% |
| Wc Fed Ex | $68 | 200% |
| Wc Federal Black Lung | $68 | 200% |
| Wc Federated | $68 | 200% |
| Wc Finley Occupational Health | $68 | 200% |
| Wc First Agency/Occunet | $68 | 200% |
| Wc Ford Motor | $68 | 200% |
| Wc Fresno Unified Emp | $68 | 200% |
| Wc Gallagher Bassett | $68 | 200% |
| Wc General Motors | $68 | 200% |
| Wc Generic | $68 | 200% |
| Wc Genex Care for Ohio | $68 | 200% |
| Wc Great West Casualty | $68 | 200% |
| Wc Guarantee Insurance | $68 | 200% |
| Wc Guard Insurance Company | $68 | 200% |
| Wc Hab | $68 | 200% |
| Wc Hartford | $68 | 200% |
| Wc Hastings | $68 | 200% |
| Wc Health Management | $68 | 200% |
| Wc Heritage Summit | $68 | 200% |
| Wc Hireright | $68 | 200% |
| Wc Horizon | $68 | 200% |
| Wc Icw Group | $68 | 200% |
| Wc Idaho State Ins Fund | $68 | 200% |
| Wc Intercare Insurance | $68 | 200% |
| Wc Intermountain | $68 | 200% |
| Wc Johns Eastern | $68 | 200% |
| Wc Kemberton | $68 | 200% |
| Wc Key Ins & Benefit Solutions | $68 | 200% |
| Wc Liberty Mutual | $68 | 200% |
| Wc Mac Risk Management | $68 | 200% |
| Wc Massachusetts | $68 | 200% |
| Wc Mdia | $68 | 200% |
| Wc Meadowbrook Claim | $68 | 200% |
| Wc Medical Administrators | $68 | 200% |
| Wc Meijers | $68 | 200% |
| Wc Memic | $68 | 200% |
| Wc Mercy Workcare | $68 | 200% |
| Wc Michigan | $68 | 200% |
| Wc Michigan Millers Mutual | $68 | 200% |
| Wc Mitchell Frankenmuth | $68 | 200% |
| Wc Mra | $68 | 200% |
| Wc Nationwide | $68 | 200% |
| Wc Nca Comp | $68 | 200% |
| Wc New York | $68 | 200% |
| Wc New York Special Funds | $68 | 200% |
| Wc North American Rishces | $68 | 200% |
| Wc Northeast Health | $68 | 200% |
| Wc Notre Dame | $68 | 200% |
| Wc Novanet | $68 | 200% |
| Wc O'Hara Corp | $68 | 200% |
| Wc Occ Health Allen | $68 | 200% |
| Wc Ohio Bureau | $68 | 200% |
| Wc One Call Medical | $68 | 200% |
| Wc Paradigm | $68 | 200% |
| Wc Peerless | $68 | 200% |
| Wc Pma | $68 | 200% |
| Wc Praxis Health Network | $68 | 200% |
| Wc Price Chopper | $68 | 200% |
| Wc Procura Management | $68 | 200% |
| Wc Qualcare | $68 | 200% |
| Wc Quiktrip | $68 | 200% |
| Wc Reny Company | $68 | 200% |
| Wc Rev Claims | $68 | 200% |
| Wc Risico | $68 | 200% |
| Wc Rural Mutual | $68 | 200% |
| Wc Saif Oregon | $68 | 200% |
| Wc Secura | $68 | 200% |
| Wc Sedgwick | $68 | 200% |
| Wc Sentry | $68 | 200% |
| Wc Sheakley Unicomp | $68 | 200% |
| Wc Smile Lodge | $68 | 200% |
| Wc Society | $68 | 200% |
| Wc Srs | $68 | 200% |
| Wc Taconic (Mro) | $68 | 200% |
| Wc Taconic Farms | $68 | 200% |
| Wc Travelers | $68 | 200% |
| Wc Triad Group | $68 | 200% |
| Wc Tristar | $68 | 200% |
| Wc Troy Ny | $68 | 200% |
| Wc Tyson | $68 | 200% |
| Wc Unified Health Services | $68 | 200% |
| Wc United Heartland | $68 | 200% |
| Wc Us Dept of Labor | $68 | 200% |
| Wc Velocity | $68 | 200% |
| Wc Walmart | $68 | 200% |
| Wc West Bend | $68 | 200% |
| Wc West Bend Mutual/Argent | $68 | 200% |
| Wc Winnebago Industries | $68 | 200% |
| Wc Yankee Trails | $68 | 200% |
| Wc York Risk | $68 | 200% |
| Wc Zenith | $68 | 200% |
| Wc Zurich | $68 | 200% |