HCPCS G2212 at Cascade Medical Center

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes)

Cascade Medical Center, Leavenworth

Description from CMS's HCPCS Level II code file.

What Cascade Medical Center publishes for this code: as an outpatient

Cascade Medical Center’s prices for HCPCS G2212, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$55.20 – $57.682 plans	—
Medicare AdvantageInsurer rates	$51.39 – $76.917 plans	—
Medicaid managed careInsurer rates	$51.18 – $76.914 plans	—
Medicaid (state program)Insurer rates	$49.141 plan	—
Medicare (traditional)Insurer rates	$53.191 plan	—
Other government programInsurer rates	$32.52 – $82.062 plans	—
UnknownInsurer rates	$55.20 – $82.806 plans	—
Cash pricePaying yourself, without insurance	$73.60	—
List priceBefore any discount; few people pay it	$92.00	—

Lowest and highest amounts Cascade Medical Center lists for this code as an outpatient, including lines it lists for both settings or without saying which. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

Bills to expect for HCPCS G2212 at Cascade Medical Center
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital's feeThe hospital	The clinic's facility fee, when the clinic belongs to the hospital	—	The price above
Doctor's visitThe doctor's practice	The visit itself	$27.54	$32.50 – $49.30

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare HCPCS G2212 at every Washington hospital, with Medicare’s reference amounts.