CMS Price Transparency Data
Extended office visit (prolonged)
Facility: University Medical Center
Billing Code: G2212 (HCPCS)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: G2212
- Insurance Median: $36
- Cash Discount Price: $59
- vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Extended office visit (prolonged) at University Medical Center is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $59. Compared to the federal Medicare reimbursement reference rate of $34.07, this hospital’s rate is 1.06x the Medicare baseline. Located in 1800 W Charleston Blvd, Las Vegas, NV.
Cash / Self-Pay
$59
Average discount available for prompt cash payment at this facility.
Insurance Median
$36
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: $59 (173%)
Insurance Median: $36 (106%)
Cash: $59 (173% of Medicare)
Ins. Median: $36 (106% 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.
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 |
|---|---|---|
| Mirage Las Vegas | $30 - $31 | 88% |
| Clark County EPO | $30 - $31 | 88% |
| Las Vegas Sand Corps | $30 - $40 | 88% |
| Truline Corporation | $30 - $40 | 88% |
| Advantra Freedom | $30 - $31 | 88% |
| P3 Health Partners | $30 - $40 | 88% |
| Blue Cross Blue Shield | $30 - $37 | 88% |
| UnitedHealthcare | $30 - $36 | 88% |
| P3 Health Partners Nevada | $30 - $31 | 88% |
| Rebel Oil Company | $30 - $40 | 88% |
| Clark County Self Funded | $30 - $31 | 88% |
| Selecthealth | $30 - $46 | 88% |
| Venetian/Palazzo | $30 - $40 | 88% |
| Golden Entertainment | $30 - $40 | 88% |
| Golden Nugget Hotel & Casino | $30 - $40 | 88% |
| Pli Las Vegas | $30 - $40 | 88% |
| Resorts World Las Vegas | $30 - $40 | 88% |
| Sierra Health and Life | $30 - $40 | 88% |
| Healthcare Partners of Nevada | $30 - $31 | 88% |
| Mgm Grand | $30 - $31 | 88% |
| Las Vegas Metro Police Dept | $30 - $31 | 88% |
| Molina | $30 - $54 | 88% |
| Dignity Health | $30 - $40 | 88% |
| City of North Las Vegas | $30 - $40 | 88% |
| Marshall Retail Group | $30 - $40 | 88% |
| Caesar's Entertainment | $30 - $37 | 88% |
| Allwell | $30 - $31 | 88% |
| Wynn Resorts | $30 - $40 | 88% |
| Stations Casinos | $30 - $40 | 88% |
| VA Pc3 (VA Choice) | $30 - $31 | 88% |
| City of Henderson | $30 - $31 | 88% |
| Operating Engineers | $30 - $37 | 88% |
| Arroweye Solutions | $30 - $40 | 88% |
| Aetna | $30 - $124 | 88% |
| Teacher's Health Trust | $30 - $40 | 88% |
| State of Nevada | $30 - $40 | 88% |
| Alignment Health | $31 - $32 | 91% |
| Scan | $31 - $32 | 91% |
| Nevada Energy | $33 - $34 | 97% |
| Coventry | $33 - $46 | 97% |
| Mail Handlers Benefit Plan | $33 - $46 | 97% |
| Employee Painters Trust | $33 - $34 | 97% |
| Geha | $33 - $46 | 97% |
| First Health | $33 - $46 | 97% |
| Clark County Firefighters 1908 | $33 - $34 | 97% |
| Health Net | $33 - $234 | 97% |
| Three Rivers Provider Network | $33 - $46 | 97% |
| Southwest Carpenters H&W | $36 - $37 | 106% |
| American Postal Workers Health Plan | $36 | 106% |
| Surest | $36 | 106% |
| Teamsters Local 14 | $36 - $37 | 106% |
| Teamsters Local 631 | $36 - $37 | 106% |
| Switch | $36 | 106% |
| Sheet Metal Workers | $36 - $37 | 106% |
| Las Vegas Firefighters 1285 | $36 | 106% |
| Ufcw Local 711 Retail Clerks | $36 - $37 | 106% |
| Laborers Health and Welfare | $36 - $37 | 106% |
| California Ironwork Field Welfare | $36 - $37 | 106% |
| Culinary Workers Hwf | $36 - $38 | 106% |
| Boyd Group | $36 - $37 | 106% |
| So Ca Pipe Trades H&W | $36 - $37 | 106% |
| Bricklayers Local 13 | $36 - $37 | 106% |
| Teamsters Local 986 | $36 - $37 | 106% |
| Plumbers & Pipefitters Loc 525 | $36 - $37 | 106% |
| Electrical Workers | $36 - $37 | 106% |
| Universal Health Network (Uhn) | $44 - $46 | 129% |
| Prominence Health Plan | $44 - $46 | 129% |
| Hometown Health Plan Nevada | $44 - $46 | 129% |
| Jw Marriott | $44 - $46 | 129% |
| Nevada Preferred Professionals | $44 - $46 | 129% |
| Ambetter / Centene | $44 - $46 | 129% |
| One Health Plan | $44 - $46 | 129% |
| Health Direct Partners | $49 - $51 | 144% |
| Laughlin Coalition | $107 | 314% |
| Zuffa | $165 | 484% |
| Aig | $192 | 564% |
| Cement Masons & Plasters H&W | $192 | 564% |
| Beech Street | $192 | 564% |