CMS Price Transparency Data

Extended office visit (prolonged)

Facility: Little Falls Hospital

Billing Code: G2212 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$34
about 1.0× the $34 Medicare rate · typically $26–$100
modeled estimate · not a bill or quote
What this hospital charges insurers
$38
About the fair price
about $4 over the fair price · 1.1× Medicare
Medicare pays $34 Fair price $34 This hospital $38 Cash price $30 Hospital's list price $60

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 $38

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 $34 (about 1.0× the $34 Medicare rate). Little Falls Hospital charges insurers about $38, or about $30 in cash — about the fair price. Located in Little Falls, NY.

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 $17 - $42 50%
Blue Cross Blue Shieldmajor $18 - $60 53%
Aetnamajor $18 - $60 53%
Cignamajor $51 150%
Humanamajor $18 - $31 53%
CDPHP $17 - $60 50%
Fidelis Care $18 - $60 53%
MVP Health Care $17 - $60 50%
+ 1 smaller / regional plan $17 - $51
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 140 Burwell Street, Little Falls, NY 13365
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals