CMS Price Transparency Data

Extended office visit (prolonged)

Facility: Unitypoint Health - Meriter

Billing Code: G2212 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$35
about 1.0× the $34 Medicare rate · typically $26–$84
modeled estimate · not a bill or quote
What this hospital charges insurers
$29
Below the fair price — a good deal
about $6 under the fair price · 0.9× Medicare
Medicare pays $34 Fair price $35 This hospital $29 Cash price $76 Hospital's list price $95

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

On the higher side — 7 of 8 other WI hospitals charge less.

Cheapest $25 Priciest $30

Black dot = this hospital, among the 9 WI 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). Unitypoint Health - Meriter charges insurers about $29, or about $76 in cash — below the fair price — a good deal. Located in Madison, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser 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 $29 - $73 85%
Blue Cross Blue Shieldmajor $16 - $151 47%
Cignamajor $18 - $45 53%
Humanamajor $30 88%
HealthPartners $51 150%
Meridian $30 88%
Security Health Plan $19 - $48 56%
+ 5 smaller / regional plans $15 - $135

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: 202 S Park St, Madison, WI 53715
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals