CMS Price Transparency Data

Extended office visit (prolonged)

Facility: St Joe Mercy Hospital System Livonia

Billing Code: G2212 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$27
about 0.8× the $34 Medicare rate · typically $14–$32
modeled estimate · not a bill or quote
What this hospital charges insurers
$34
Above the fair price
about $7 over the fair price · 1.0× Medicare
Medicare pays $34 Fair price $27 This hospital $34 Hospital's list price $65

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

Highest price of the 9 MI hospitals we have prices for — worth calling around.

Cheapest $12 Priciest $34

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

A fair price for a Extended office visit (prolonged) is about $27 (about 0.8× the $34 Medicare rate). St Joe Mercy Hospital System Livonia charges insurers about $34 — above the fair price. Located in Livonia, MI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $27. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $20 - $34 59%
Blue Cross Blue Shieldmajor $20 - $69 59%
Aetnamajor $20 - $50 59%
Cignamajor $20 - $35 59%
Humanamajor $20 - $40 59%
Ambetter (Centene) $20 59%
AmeriHealth $35 - $40 103%
Clover Health $28 - $34 82%
Dean Health Plan $38 - $47 112%
Health Net $20 - $47 59%
HealthPartners $20 - $35 59%
MagnaCare $35 - $40 103%
Medical Mutual $35 - $40 103%
Meridian $20 - $34 59%
Molina $20 - $47 59%
MVP Health Care $38 - $47 112%
Paramount $20 59%
Presbyterian $20 - $34 59%
Priority Health $36 - $37 106%
Tufts Health Plan $20 - $35 59%
UniCare $35 - $40 103%
WellMed $28 - $34 82%
WellSense $20 59%
+ 419 smaller / regional plans $20 - $69
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 16 rental-network / third-party entries (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.

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Facility Profile & Credentials

  • Address: 36475 Five Mile Road, Livonia, MI 48154
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals