CMS Price Transparency Data

Extended office visit (prolonged)

Facility: Stoughton Hospital

Billing Code: G2212 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$39
about 1.1× the $34 Medicare rate · typically $28–$140
modeled estimate · not a bill or quote
What this hospital charges insurers
$26
Below the fair price — a good deal
about $13 under the fair price · 0.8× Medicare
Medicare pays $34 Fair price $39 This hospital $26 Cash price $24 Hospital's list price $43

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

One of the lower prices — 6 of 8 other WI hospitals charge more for the same procedure.

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 $39 (about 1.1× the $34 Medicare rate). Stoughton Hospital charges insurers about $26, or about $24 in cash — below the fair price — a good deal. Located in Stoughton, 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✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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 $26 - $34 76%
Aetnamajor $26 - $33 76%
Cignamajor $34 100%
Humanamajor $38 112%
Dean Health Plan $26 - $152 76%
GEHA $32 94%
Health Net $22 65%
Quartz $26 76%
+ 1 smaller / regional plan $35
Government programs also on file: Medicaid, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 900 Ridge St, Stoughton, WI 53589
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals