CMS Price Transparency Data

Extended office visit (prolonged)

Facility: Deaconess Henderson Hospital

Billing Code: G2212 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G2212
  • Insurance Median: $30
  • Cash Discount Price: $46
  • vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a Extended office visit (prolonged) at Deaconess Henderson Hospital is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $46. Compared to the federal Medicare reimbursement reference rate of $34.07, this hospital’s rate is 0.88x the Medicare baseline. Located in 1305 N Elm St, Henderson, KY.
Cash / Self-Pay
$46

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

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: $46 (135%)
Insurance Median: $30 (88%)
Cash: $46 (135% of Medicare)
Ins. Median: $30 (88% 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

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Center Care Open Access $17 50%
Center Care Narrow $17 50%
UnitedHealthcare $28 - $40 82%
Wellcare Ky $28 82%
Blue Cross Blue Shield $28 - $30 82%
Molina Healthcare of Ky - Exchange $28 82%
Mytru Advantage $28 82%
Wellcare Il $28 82%
Molina Healthcare of Ky $28 82%
Humana $28 82%
Medicare (plans) $28 82%
Umwa $28 82%
Aetna $28 82%
Mhs McO $28 82%
Medicaid / KanCare $30 88%
Caresource In $30 88%
Encircle/Encore Prime $35 103%
Encircle/Encore Combined $35 103%
Caresource in Marketplace $36 106%
Wellcare Ky Commercial Exchange $36 106%
Alliance Coal $38 112%
Noncontracted $44 129%
Self-Pay $46 135%
Ky Racing Health & Welfare Fund $46 135%
Hstechnology $79 232%
Cigna $79 232%
Claimdoc $79 232%
Hopetrust $79 232%
Amish and Mennonite of Western Ky $85 249%
Coventry National Network $105 308%
Webster County Detention Center $105 308%
Henderson County Detention Center $118 346%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1305 N Elm St, Henderson, KY 42420
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals