HCPCS G2212 at Kittitas Valley Community Hospital
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)
What Kittitas Valley Community Hospital publishes for this code: as an outpatient
| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
|---|---|---|
| Commercial insurance | — | $39.95 |
| Medicare Advantage | — | $27.54 |
| Unknown | — | $18.80 – $53.50 |
| Cash price | — | $39.95 |
| List price | — | $47.00 |
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.
| Bill | What it’s for | Original Medicare allows | Private plan estimate |
|---|---|---|---|
| Hospital's fee | The clinic's facility fee, when the clinic belongs to the hospital | — | The price above |
| Doctor's visit | The visit itself | $27.54 | $32.50 – $49.30 |
Compare HCPCS G2212 at every Washington hospital, with Medicare’s reference amounts.