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
Medicare pricing data for 47,935 providers across 51 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
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 (HCPCS code G2212) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $30.83, but hospitals typically charge $94.38 — a 3.1x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $30.83, your out-of-pocket cost would be approximately $6.17. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.1x more than what Medicare allows for this procedure. Medicare actually pays $24.10 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $39 | $121 | 154 | 1,457 | +27.1% |
| District of Columbia | $34 | $80 | 257 | 5,536 | +10.5% |
| California | $34 | $124 | 5,617 | 108,180 | +9.4% |
| New Jersey | $33 | $111 | 679 | 12,814 | +7.3% |
| New York | $33 | $122 | 2,605 | 39,459 | +6.2% |
| Maryland | $32 | $73 | 1,480 | 35,378 | +5.1% |
| Massachusetts | $32 | $108 | 1,998 | 32,527 | +3.9% |
| Hawaii | $32 | $76 | 133 | 1,961 | +3.6% |
| Illinois | $32 | $104 | 1,752 | 24,741 | +2.3% |
| Washington | $32 | $94 | 2,071 | 27,633 | +2.2% |
| Delaware | $31 | $67 | 99 | 1,062 | +1.8% |
| Connecticut | $31 | $89 | 545 | 9,292 | +1.1% |
| Pennsylvania | $31 | $80 | 1,982 | 19,733 | 0.0% |
| Texas | $31 | $82 | 2,064 | 41,867 | -0.3% |
| Florida | $31 | $88 | 1,880 | 37,125 | -0.4% |
| Rhode Island | $31 | $78 | 111 | 1,012 | -0.7% |
| Virginia | $30 | $76 | 1,244 | 18,204 | -1.4% |
| Colorado | $30 | $85 | 1,478 | 20,625 | -1.9% |
| Nevada | $30 | $94 | 212 | 4,854 | -2.2% |
| New Hampshire | $30 | $151 | 423 | 3,062 | -2.5% |
| Georgia | $30 | $95 | 773 | 8,176 | -2.6% |
| New Mexico | $30 | $108 | 285 | 3,585 | -2.7% |
| Arizona | $30 | $86 | 982 | 22,860 | -2.9% |
| Oregon | $30 | $84 | 1,008 | 13,251 | -2.9% |
| Vermont | $30 | $79 | 153 | 2,724 | -3.2% |
| Alabama | $30 | $67 | 232 | 2,930 | -3.5% |
| Maine | $30 | $85 | 317 | 3,542 | -3.9% |
| Missouri | $30 | $83 | 887 | 10,611 | -4.1% |
| South Carolina | $30 | $80 | 506 | 9,604 | -4.2% |
| Wyoming | $29 | $87 | 81 | 1,039 | -4.6% |
| Louisiana | $29 | $81 | 438 | 5,481 | -5.0% |
| Michigan | $29 | $67 | 1,825 | 16,378 | -5.1% |
| North Carolina | $29 | $77 | 1,646 | 25,603 | -5.2% |
| Oklahoma | $29 | $62 | 327 | 5,796 | -5.3% |
| Minnesota | $29 | $84 | 2,661 | 42,353 | -5.6% |
| Kentucky | $29 | $79 | 495 | 4,062 | -5.9% |
| West Virginia | $29 | $71 | 202 | 1,707 | -6.2% |
| Ohio | $29 | $91 | 1,612 | 17,837 | -6.8% |
| Montana | $29 | $96 | 368 | 5,752 | -7.0% |
| Indiana | $29 | $80 | 678 | 10,915 | -7.0% |
| Nebraska | $28 | $84 | 379 | 6,529 | -7.8% |
| Wisconsin | $28 | $131 | 1,624 | 18,337 | -7.8% |
| Tennessee | $28 | $88 | 606 | 8,315 | -7.9% |
| Kansas | $28 | $74 | 509 | 9,257 | -7.9% |
| North Dakota | $28 | $88 | 299 | 4,147 | -8.6% |
| Utah | $28 | $83 | 706 | 9,782 | -9.6% |
| South Dakota | $28 | $68 | 222 | 4,125 | -9.8% |
| Mississippi | $28 | $69 | 140 | 2,567 | -10.2% |
| Iowa | $27 | $92 | 602 | 7,855 | -12.0% |
| Idaho | $27 | $64 | 442 | 6,569 | -12.1% |
| Arkansas | $27 | $58 | 129 | 2,747 | -12.4% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber