CMS Price Transparency Data

Extended office visit (prolonged)

Facility: St Mary Medical Center

Billing Code: G2212 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$35
about 1.0× the $34 Medicare rate · typically $27–$54
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 Cash price $66 Hospital's list price $66

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). St Mary Medical Center charges insurers about $32, or about $66 in cash — about the fair price. Located in Langhorne, PA.

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 $16 - $48 47%
Blue Cross Blue Shieldmajor $27 - $66 79%
Aetnamajor $25 - $66 73%
Cignamajor $28 - $56 82%
Humanamajor $28 - $59 82%
Kaiser Permanentemajor $66 194%
Ambetter (Centene) $40 117%
AmeriHealth $66 194%
Clover Health $28 82%
GEHA $48 141%
Health Net $32 94%
HealthPartners $38 112%
Meridian $28 82%
Oscar Health $42 123%
Presbyterian $28 82%
WellMed $28 82%
+ 228 smaller / regional plans $23 - $66
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 13 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: Langhorne-Newtown Rd, Langhorne, PA 19047
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals