CMS Price Transparency Data

Extended office visit (prolonged)

Facility: Mercy Health Lakeshore Campus

Billing Code: G2212 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$26
about 0.8× the $34 Medicare rate · typically $25–$53
modeled estimate · not a bill or quote
What this hospital charges insurers
$38
Above the fair price
about $12 over the fair price · 1.1× Medicare
Medicare pays $34 Fair price $26 This hospital $38 Hospital's list price $71

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 $38

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 $26 (about 0.8× the $34 Medicare rate). Mercy Health Lakeshore Campus charges insurers about $38 — above the fair price. Located in Shelby, 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 $26. 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 $22 - $37 65%
Blue Cross Blue Shieldmajor $22 - $73 65%
Aetnamajor $22 - $50 65%
Cignamajor $22 - $33 65%
Humanamajor $22 - $42 65%
Ambetter (Centene) $22 65%
AmeriHealth $40 - $42 117%
Dean Health Plan $38 - $45 112%
GEHA $31 - $36 91%
Health Net $22 - $47 65%
HealthPartners $22 - $35 65%
MagnaCare $40 - $42 117%
Medical Mutual $40 - $42 117%
Meridian $22 65%
Molina $22 - $45 65%
MVP Health Care $38 - $45 112%
Oscar Health $38 - $45 112%
Paramount $22 65%
Presbyterian $22 65%
Priority Health $30 - $35 88%
Tufts Health Plan $22 - $35 65%
UniCare $40 - $42 117%
WellSense $22 65%
+ 350 smaller / regional plans $22 - $73
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: 72 South State Street, Shelby, MI 49455
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals