CMS Price Transparency Data

Extended office visit (prolonged)

Facility: Childrens Hospital of Wisconsin

Billing Code: G2212 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$31
about 0.9× the $34 Medicare rate · typically $24–$63
modeled estimate · not a bill or quote
What this hospital charges insurers
$27
Below the fair price — a good deal
about $4 under the fair price · 0.8× Medicare
Medicare pays $34 Fair price $31 This hospital $27 Cash price $63 Hospital's list price $114

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

A typical price — 3 charge more and 3 charge less, among the 9 WI hospitals compared.

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 $31 (about 0.9× the $34 Medicare rate). Childrens Hospital of Wisconsin charges insurers about $27, or about $63 in cash — below the fair price — a good deal. Located in Milwaukee, 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✓ Aetna✓ Cigna HumanaKaiser 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 $25 - $69 73%
Blue Cross Blue Shieldmajor $27 - $79 79%
Aetnamajor $39 - $108 114%
Cignamajor $103 302%
Dean Health Plan $91 267%
Health Net $97 285%
HealthPartners $89 - $100 261%
Molina $27 79%
Quartz $97 285%
Security Health Plan $95 279%
+ 19 smaller / regional plans $26 - $108
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: 9000 W Wisconsin Ave, Milwaukee, WI 53226
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens