CMS Price Transparency Data

Extended office visit (prolonged)

Facility: Texas Health Presbyterian Hospital Allen

Billing Code: G2212 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$45
about 1.3× the $34 Medicare rate · typically $34–$104
modeled estimate · not a bill or quote
What this hospital charges insurers
$35
Below the fair price — a good deal
about $10 under the fair price · 1.0× Medicare
Medicare pays $34 Fair price $45 This hospital $35

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

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

Cheapest $19 Priciest $35

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

A fair price for a Extended office visit (prolonged) is about $45 (about 1.3× the $34 Medicare rate). Texas Health Presbyterian Hospital Allen charges insurers about $35 — below the fair price — a good deal. Located in Allen, TX.

What each insurance company pays

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

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $37 - $38 109%
Blue Cross Blue Shieldmajor $33 97%
Humanamajor $35 103%
Amerigroup $35 103%
Cigna HealthSpring $34 100%
Molina $35 103%
WellCare $35 - $37 103%
+ 1 smaller / regional plan $33

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1105 Central Expressway North, Allen, TX 75013
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals