Price Transparency

Orthopedic Surgery located in Wasilla, AK

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

Office Visit Level 4

Code: 99204

Price: $520.00

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

Office Visit Level 3

Code: 99203

Price: $346.00

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

Office Visit Level 2

Code: 99202

Price: $282.00

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

Office Follow-up Level 4

Code: 99214

Price: $360.00

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

Office Follow-up Visit Level 3

Code: 99213

Price: $265.00

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

Office Follow-up Visit Level 2

Code: 99212

Price: $180.00

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

Initial Hospital Visit

Code: 99221

Price: $900.00

Emergency Department Visit

Code: 99283

Price: $465.00

Moderate severity

Telephone Visit

Code: 99441

Price: $60.00

5-10 minutes phone call.

Surgery

Arthrocenesis Aspiration and Injection of Major Joint without Ultrasound

Code: 20610

Price: $446.00

Repair of Biceps Tendon

Code: 23430

Price: $6,398.00

Decompression of Shoulder

Code: 29826

Price: $5,848.00

Arthroscopy of Joint

Code: 29999

Price: $5,850.00

Rotator Cuff Repair

Code: 29827

Price: $10,033.00

Shoulder Arthroscopy

Code: 29806

Price: $9,989.00

Total Knee Arthoplasty

Code: 27447

Price: $13,168.00

Shoulder Arthroscopy

Code: 29824

Price: $5,003.00

Knee Arthroscopy

Code: 29881

Price: $5,493.00

Cast of Elbow to Finger

Code: 29075

Price: $620.00

X-Ray

X-ray Shoulder 2 Views

Code: 73030

Price: $157.00

X-ray Knee 1-2 Views

Code: 73560

Price: $165.00

X-ray Knee 4 Views

Code: 73564

Price: $211.00

X-ray Knees

Code: 73565

Price: $200.00

X-ray Hand 2 Views

Code: 73120

Price: $151.00

X-ray Foot 2-3 Views

Code: 73630

Price: $156.00

X-ray Hip 2-3 Views

Code: 73502

Price: $220.00

X-ray Wrist

Code: 73110

Price: $185.00

X-ray Ankle

Code: 73610

Price: $168.00

X-ray Elbow

Code: 73080

Price: $167.00

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.