CMS Price Transparency Data

Extended office visit (prolonged)

Facility: Sunrise Hospital and Medical Center

Billing Code: G2212 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G2212
Insurance Median: $37
Cash Discount Price: $112
vs. Medicare Baseline: 1.09x Medicare

The contracted insurance negotiated median rate for a Extended office visit (prolonged) at Sunrise Hospital and Medical Center is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $112. Compared to the federal Medicare reimbursement reference rate of $34.07, this hospital’s rate is 1.09x the Medicare baseline. Located in 3186 S Maryland Pkwy, Las Vegas, NV.

Cash / Self-Pay

$112

Average discount available for prompt cash payment at this facility.

Insurance Median

$37

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: $112 (329%)

Insurance Median: $37 (109%)

Cash: $112 (329% of Medicare)

Ins. Median: $37 (109% 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.

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
Humana	$22 - $32	65%
Healthcare Partners of Nv	$29 - $42	85%
Alignment Health Plan	$30 - $31	88%
Aetna	$30 - $44	88%
Blue Cross Blue Shield	$30 - $63	88%
United	$31 - $47	91%
Caremore	$31 - $32	91%
Hometown Health Providers	$34 - $56	100%
Silver Summit	$37 - $39	109%
Sierra	$39 - $43	114%
Multiplan	$40 - $42	117%
Culinary Health Fund	$44 - $46	129%
Select Health	$59 - $73	173%

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 $112.
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 Sunrise Hospital and 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.