CMS Price Transparency Data

Extended office visit (prolonged)

Facility: Greater Baltimore Medical Center

Billing Code: G2212 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G2212
Insurance Median: $34
Cash Discount Price: $66
vs. Medicare Baseline: 1.00x Medicare

The contracted insurance negotiated median rate for a Extended office visit (prolonged) at Greater Baltimore Medical Center is $34. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $66. Compared to the federal Medicare reimbursement reference rate of $34.07, this hospital’s rate is 1.00x the Medicare baseline. Located in 6701 North Charles Street, Baltimore, MD.

Cash / Self-Pay

$66

Average discount available for prompt cash payment at this facility.

Insurance Median

$34

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: $66 (194%)

Insurance Median: $34 (100%)

Cash: $66 (194% of Medicare)

Ins. Median: $34 (100% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Carefirst Blue Choice HMO [253]	$29 - $43	85%
Carefirst Administrator [252]	$31 - $47	91%
Carefirst [201]	$31 - $47	91%
Multiplan/Phcs [296]	$33 - $34	97%
Medicare (plans)	$33 - $34	97%
Johns Hopkins [213]	$33 - $46	97%
UnitedHealthcare	$33 - $34	97%
Carefirst Maryland Health Advantage McA [264]	$33 - $34	97%
Keycare Advantage [299]	$33 - $34	97%
Cigna	$33 - $43	97%
Cfchp McO [239]	$33 - $34	97%
Humana	$33 - $34	97%
Communicare Advantage [300]	$33 - $34	97%
Provider Partners Health Plan [298]	$33 - $34	97%
First Health Network [268]	$42 - $44	123%
Kaiser Permanente HMO [231]	$46 - $48	135%
USA Managed Care Organization [301]	$50 - $52	147%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $66.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G2212.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Greater Baltimore Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G2212.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.