CMS Price Transparency Data

Extended office visit (prolonged)

Facility: Cheshire Medical Center

Billing Code: G2212 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G2212
Insurance Median: $70
Cash Discount Price: $70
vs. Medicare Baseline: 2.05x Medicare

The contracted insurance negotiated median rate for a Extended office visit (prolonged) at Cheshire Medical Center is $70. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $70. Compared to the federal Medicare reimbursement reference rate of $34.07, this hospital’s rate is 2.05x the Medicare baseline. Located in 580 Court Street, Keene, NH.

Cash / Self-Pay

$70

Average discount available for prompt cash payment at this facility.

Insurance Median

$70

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$34.07

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $34.07 (100%)

Cash / Self-Pay: $70 (205%)

Insurance Median: $70 (205%)

Cash: $70 (205% of Medicare)

Ins. Median: $70 (205% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $34.07 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 205% of the Medicare baseline (a markup of 105%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Mvp	$31 - $125	91%
Aetna	$31 - $172	91%
Amerihealth Caritas Nh	$31 - $34	91%
Cigna	$31 - $125	91%
UnitedHealthcare	$33 - $191	97%
Blue Cross Blue Shield	$33 - $200	97%
Ambetter / Centene	$33 - $34	97%
Wellcare Health Plans	$33 - $34	97%
Wellsense Health Plan	$33 - $35	97%
Martin's Point Generations Advantage	$33 - $34	97%
Granite State Health Plan	$34 - $42	100%
Martin's Point Health Care	$34	100%
Harvard Pilgrim Health Care of Ne	$54 - $115	158%
Mass General Brigham Health Plan	$82 - $252	241%
Tufts Health Plan	$87 - $161	255%
Maine Community Health Options	$113	332%
First Health/Hcvm	$214	628%
PHCS	$227	666%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $70.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G2212.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Cheshire Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G2212.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.