CMS Price Transparency Data

Extended office visit (prolonged)

Facility: Valley County Health System

Billing Code: G2212 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G2212
Insurance Median: $44
Cash Discount Price: $77
vs. Medicare Baseline: 1.29x Medicare

The contracted insurance negotiated median rate for a Extended office visit (prolonged) at Valley County Health System is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $77. Compared to the federal Medicare reimbursement reference rate of $34.07, this hospital’s rate is 1.29x the Medicare baseline. Located in 2707 L Street, Ord, NE.

Cash / Self-Pay

$77

Average discount available for prompt cash payment at this facility.

Insurance Median

$44

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: $77 (226%)

Insurance Median: $44 (129%)

Cash: $77 (226% of Medicare)

Ins. Median: $44 (129% 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
Medica	$17 - $82	50%
Great Plains	$17 - $27	50%
Humana	$17 - $26	50%
Blue Cross Blue Shield	$17 - $82	50%
UnitedHealthcare	$17 - $41	50%
Nebraska Total Care	$27 - $47	79%
Wellcare	$27 - $46	79%
Aetna	$27 - $82	79%
Molina	$44 - $45	129%
Multiplan/Phcs	$83 - $84	244%

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 $77.
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 Valley County Health System 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.