Prolonged outpatient or office visit

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR PROLONGED E&M EA 15 MIN

Payers reporting HCPCS G2212

Payer pricing summary

Low

Average

$53

Median

$47

High

$118

Payer rate distribution

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#
1	Ucare professional · fee schedule · outpatient · +15 other terms	23	$27	$29	$7	25%	1,369–1,396	$18 – $58
2	Medica professional · fee schedule · outpatient · +18 other terms	26	$34	$30	$15	48%	496–541	$1 – $67
3	UnitedHealthcare fee schedule · outpatient · +31 other terms	113	$32	$54	$32	59%	92–119	$1 – $152
4	Optum professional · fee schedule · outpatient · +12 other terms	34	$31	$29	$4	15%	21–75	$21 – $35
5	Molina professional · fee schedule · outpatient · +21 other terms	49	$31	$29	$5	18%	14–32	$18 – $63
6	Tricare professional · fee schedule · outpatient · +11 other terms	23	$29	$29	$2	8%	2–20	$24 – $33
7	Blue Cross Blue Shield fee schedule · outpatient · +30 other terms	124	$100	$105	$58	55%	1–10	$0 – $403
8	WellCare professional · fee schedule · outpatient · +17 other terms	38	$30	$30	$4	12%	1–10	$20 – $37
9	Regence professional · fee schedule · outpatient · +10 other terms	36	$31	$49	$23	47%	1–10	$22 – $100
10	Highmark professional · fee schedule · both · +16 other terms	19	$30	$31	$8	27%	1–10	$17 – $60
11	Premera professional · fee schedule · both · +7 other terms	9	$44	$47	$10	21%	1–10	$35 – $60
12	Aetna fee schedule · outpatient · +27 other terms	108	$31	$60	$59	97%	—	$1 – $619
13	Humana fee schedule · outpatient · +26 other terms	82	$30	$40	$25	63%	—	$17 – $152
14	Cigna fee schedule · outpatient · +23 other terms	50	$32	$70	$46	66%	—	$17 – $164
15	Anthem fee schedule · outpatient · +19 other terms	46	$105	$126	$92	73%	—	$17 – $372
16	Kaiser fee schedule · outpatient · +18 other terms	32	$32	$72	$97	134%	—	$27 – $523
17	Bcbs Tx fee schedule · outpatient · +3 other terms	28	$122	$120	$47	39%	—	$38 – $225
18	Medcost professional · percent of total billed charges · outpatientfrom % of charges · +6 other terms	24	$130	$113	$40	36%	—	$38 – $175
19	Devoted fee schedule · outpatient · +13 other terms	22	$32	$31	$1	4%	—	$30 – $35
20	Caresource professional · fee schedule · both · +13 other terms	21	$28	$29	$5	18%	—	$17 – $42
21	First Health professional · fee schedule · both · +14 other terms	20	$23	$25	$15	57%	—	$0 – $52
22	MultiPlan professional · fee schedule · both · +14 other terms	20	$46	$49	$20	40%	—	$0 – $84
23	Excellus professional · fee schedule · both · +11 other terms	19	$31	$32	$10	30%	—	$17 – $74
24	Wellmark fee schedule · both · +17 other terms	19	$40	$40	$6	16%	—	$28 – $45
25	Medicare fee schedule · outpatient · +13 other terms	18	$30	$29	$1	2%	—	$28 – $30

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