CMS Price Transparency Data

Extended office visit (prolonged)

Facility: Clay County Hospital

Billing Code: G2212 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$40
about 1.2× the $34 Medicare rate · typically $26–$144
modeled estimate · not a bill or quote
What this hospital charges insurers
$30
Below the fair price — a good deal
about $10 under the fair price · 0.9× Medicare
Medicare pays $34 Fair price $40 This hospital $30

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

On the higher side — 6 of 8 other IL hospitals charge less.

Cheapest $21 Priciest $31

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

A fair price for a Extended office visit (prolonged) is about $40 (about 1.2× the $34 Medicare rate). Clay County Hospital charges insurers about $30 — below the fair price — a good deal. Located in Flora, IL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $40 117%
Blue Cross Blue Shieldmajor $29 - $31 85%
Aetnamajor $28 82%

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Facility Profile & Credentials

  • Address: 911 Stacy Burk Dr, Flora, IL 62839
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals