CMS Price Transparency Data

Extended office visit (prolonged)

Facility: Ellsworth County Medical Center

Billing Code: G2212 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$54
about 1.6× the $34 Medicare rate · typically $29–$209
modeled estimate · not a bill or quote
Medicare pays $34 Fair price $54 Cash price $60 Hospital's list price $60

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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 $57 - $258 167%
Aetnamajor $54 - $60 158%
Cignamajor $57 167%
Humanamajor $57 - $258 167%
+ 3 smaller / regional plans $60 - $258
Government programs also on file: Medicaid, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1604 Aylward Avenue, Ellsworth, KS 67439
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals