CMS Price Transparency Data

Extended office visit (prolonged)

Facility: Mainehealth Stephens 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 $31–$107
modeled estimate · not a bill or quote
What this hospital charges insurers
$42
About the fair price
about $2 over the fair price · 1.2× Medicare
Medicare pays $34 Fair price $40 This hospital $42

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

One of the lower prices — 3 of 7 other ME hospitals charge more for the same procedure.

Cheapest $38 Priciest $57

Black dot = this hospital, among the 8 ME 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). Mainehealth Stephens Hospital charges insurers about $42 — about the fair price. Located in Norway, ME.

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✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $35 - $59 103%
Blue Cross Blue Shieldmajor $30 - $56 88%
Aetnamajor $30 - $42 88%
Humanamajor $35 103%
Harvard Pilgrim $62 182%
WellCare $36 106%
+ 1 smaller / regional plan $62
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 181 Main Street, Norway, ME 04268
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals