CMS Price Transparency Data

Extended office visit (prolonged)

Facility: Mount Carmel St Ann's

Billing Code: G2212 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$40
about 1.2× the $34 Medicare rate · typically $28–$94
modeled estimate · not a bill or quote
What this hospital charges insurers
$27
Below the fair price — a good deal
about $13 under the fair price · 0.8× Medicare
Medicare pays $34 Fair price $40 This hospital $27 Cash price $70 Hospital's list price $70

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

One of the lower prices — 7 of 8 other OH hospitals charge more for the same procedure.

Cheapest $24 Priciest $32

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

A fair price for a Extended office visit (prolonged) is about $40 (about 1.2× the $34 Medicare rate). Mount Carmel St Ann's charges insurers about $27, or about $70 in cash — below the fair price — a good deal. Located in Westerville, OH.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 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 $69 - $71 203%
Blue Cross Blue Shieldmajor $69 - $71 203%
Aetnamajor $22 - $71 65%
Cignamajor $69 - $71 203%
Humanamajor $25 - $71 73%
Kaiser Permanentemajor $69 - $71 203%
Ambetter (Centene) $69 - $71 203%
AmeriHealth $69 - $71 203%
AvMed $69 - $71 203%
Bright Health $69 - $71 203%
CareSource $69 - $71 203%
Clover Health $69 - $71 203%
Dean Health Plan $69 - $71 203%
Fidelis Care $69 - $71 203%
Friday Health $69 - $71 203%
GEHA $69 - $71 203%
Geisinger $69 - $71 203%
Harvard Pilgrim $69 - $71 203%
Health Net $69 - $71 203%
HealthLink $69 - $71 203%
HealthPartners $69 - $71 203%
Independent Health $69 - $71 203%
MagnaCare $69 - $71 203%
Medica $69 - $71 203%
Meridian $69 - $71 203%
Moda Health $69 - $71 203%
Molina $69 - $71 203%
MVP Health Care $69 - $71 203%
Oscar Health $69 - $71 203%
PacificSource $69 - $71 203%
Paramount $69 - $71 203%
Presbyterian $69 - $71 203%
Priority Health $69 - $71 203%
Providence Health Plan $69 - $71 203%
Sanford Health Plan $69 - $71 203%
Security Health Plan $69 - $71 203%
SelectHealth $69 - $71 203%
Sentara $69 - $71 203%
Tufts Health Plan $69 - $71 203%
UCare $69 - $71 203%
UniCare $69 - $71 203%
UPMC Health Plan $69 - $71 203%
WellCare $69 - $71 203%
WellMed $69 - $71 203%
WellSense $69 - $71 203%
+ 1044 smaller / regional plans $25 - $71
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 42 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 500 South Cleveland Avenue, Westerville, OH 43081
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals