CMS Price Transparency Data

Extended office visit (prolonged)

Facility: St Charles Hospital

Billing Code: G2212 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$43
about 1.3× the $34 Medicare rate · typically $30–$78
modeled estimate · not a bill or quote
What this hospital charges insurers
$46
About the fair price
about $3 over the fair price · 1.4× Medicare
Medicare pays $34 Fair price $43 This hospital $46 Hospital's list price $200

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

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

Cheapest $23 Priciest $46

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

A fair price for a Extended office visit (prolonged) is about $43 (about 1.3× the $34 Medicare rate). St Charles Hospital charges insurers about $46 — about the fair price. Located in Port Jefferson, NY.

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✓ Cigna HumanaKaiser 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 - $130 59%
Blue Cross Blue Shieldmajor $100 294%
Aetnamajor $100 - $170 294%
Cignamajor $100 - $130 294%
AmeriHealth $90 264%
MVP Health Care $100 294%
Oscar Health $82 241%
UniCare $130 382%
+ 36 smaller / regional plans $40 - $200
Government programs also on file: Military & VA.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 200 Belle Terre Road, Port Jefferson, NY 11777
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals