Price Checker / CPT G2211
How much does Complex E/m Visit Add On cost?
CPT G2211 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is about above the fair price. You have grounds to ask for a reduction.
Fair price
$25
What this should cost
With insurance
~$65
Typical out-of-pocket
Overcharged if over
$30
Push back above this
The average hospital charge of $41 is $16 over the fair price.
What hospitals charge for Complex E/m Visit Add On
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Northern Light Acadia Hospital BANGOR, ME | $41 | $15 | 136% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Complex E/m Visit Add On
CPT code G2211 refers to complex e/m visit add on (billing description: "Complex e/m visit add on"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $14 in a facility (hospital or surgery center) and $17 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.