Price Transparency

Published 01/10/2022

Per state law (Alaska Statute 18.23.400), beginning January 1st, 2021 we are required to annually post a list of our 10 most frequently billed service codes from the six sections of Category I of the Current Procedural Terminology (“CPT codes”) book, as adopted by the American Medical Association. 

Evaluation and Management

Follow-up outpatient visit. Usually presenting problem(s) are low to moderate in severity and the provider spends about 15 minutes in patient care.

Code: 99213
Price: $265.00

New outpatient visit. Usually the presenting problem(s) are moderate to high severity and the provider spends about 45 minutes in patient care.

Code: 99204
Price: $520.00

 New outpatient visit. Usually the presenting problem(s) are moderate severity and the provider spends about 30 minutes in patient care.

Code: 99203
Price: $346.00

Follow-up outpatient visit. Usually presenting problems are low in severity and the provider spends 10 minutes in patient care.

Code: 99212
Price: $180.00

New outpatient visit. Usually the presenting problem(s) are moderate to high severity and the provider spends about 45 minutes in patient care.

Code: 99204
Price: $520.00

5-10 minutes phone call.

Code: 99441
Price: $60.00

Follow-up outpatient visit. Usually, the presenting problem(s) are moderate to high severity and the provider spends about 25 minutes in patient care.

Code: 99214
Price: $360.00

Code: 99221
Price: $900.00

Moderate severity

Code: 99283
Price: $465.00

New outpatient visit. Usually the presenting problem(s) are mild severity and the provider spends about 15 minutes in patient care.

Code: 99202
Price: $282.00

Surgery

Code: 23430
Price: $6,398.00

Code: 29826
Price: $5,848.00

Code: 29999
Price: $5,850.00

Code: 29827
Price: $10,033.00

Code: 29806
Price: $9,989.00

Code: 27447
Price: $13,168.00

Code: 29824
Price: $5,003.00

Code: 29881
Price: $5,493.00

Code: 29075
Price: $620.00

Surgery

Code: 73030
Price: $157.00

Code: 73564
Price: $211.00

Code: 73502
Price: $220.00

Code: 73502
Price: $220.00

Code: 73110
Price: $185.00

Code: 73610
Price: $168.00

Code: 73560
Price: $165.00

Code: 73080
Price: $167.00

Code: 73120
Price: $151.00

Code: 73565
Price: $200.00

Code: 73630
Price: $156.00

The state department responsible for overseeing this law is the State of Alaska Department of Health and Social Services (DHSS), their website is: http://dhss.alaska.gov/Pages/default.aspx.

In adherence to the law, Pioneer Peak Orthopedic Surgery  is listing our “undiscounted price.” These prices are taken directly from our fee schedule as of the publication date and are also reported to the Alaska Department of Health & Social Services. These prices may be higher than the amount actually paid for the services received depending on the individual’s circumstance (ie. Insurance Coverage, In-Network Contracts, Medicaid Coverage, Self Pay Arrangements, etc.).

You are entitled, upon request, to receive a good-faith estimate of reasonably anticipated charges for a given nonemergency service(s) prior to receiving those services and no later than 10 days following the receipt of your request. This estimate does not include facility fees or other charges incurred outside of the service rendered by a Pioneer Peak Orthopedic Surgery Provider. This estimate will be provided in the form of your choosing – Orally, Written, or Electronic. Pioneer Peak Orthopedic Surgery will always provide you with a good-faith estimate when/if a surgical procedure is proposed. For estimate accuracy, Pioneer Peak Orthopedic Surgery is unable to provide surgical estimates without completion of the physician’s surgical orders.

Please do not hesitate to ask any questions. Our billing office may be reached directly at (907) 707-1671.

We are in-network with Premera Blue Cross Blue Shield, Aetna, United, MODA, EBMS, CIGNA, VA, Tricare, and we accept Medicare, Medicaid, Workers Comp and all other insurances.