CMS Price Transparency Data

Extended office visit (prolonged)

Facility: Lehigh Valley Hospital - Pocono

Billing Code: G2212 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$35
about 1.0× the $34 Medicare rate · typically $30–$40
modeled estimate · not a bill or quote
What this hospital charges insurers
$32
About the fair price
about $3 under the fair price · 0.9× Medicare
Medicare pays $34 Fair price $35 This hospital $32

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

A typical price — 1 charge more and 5 charge less, among the 9 PA hospitals compared.

Cheapest $23 Priciest $33

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

A fair price for a Extended office visit (prolonged) is about $35 (about 1.0× the $34 Medicare rate). Lehigh Valley Hospital - Pocono charges insurers about $32 — about the fair price. Located in East Stroudsburg, PA.

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 $23 - $30 68%
Blue Cross Blue Shieldmajor $30 - $130 88%
Aetnamajor $30 - $161 88%
Cignamajor $30 88%
Humanamajor $31 91%
Ambetter (Centene) $88 258%
AmeriHealth $30 88%
Devoted Health $31 91%
Geisinger $30 - $69 88%
HealthPartners $30 - $58 88%
UPMC Health Plan $31 - $141 91%
+ 4 smaller / regional plans $31 - $169

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Facility Profile & Credentials

  • Address: 206 East Brown Street, East Stroudsburg, PA 18301
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals