Alaska · 99204

New Patient Office Or Other Outpatient Visit, 45-59 Minutes in Alaska

Alaska Medicare Avg
$135.22
21% above national avg
National Medicare Avg
$111.40
All states combined
Billed Charge (AK)
$573.46
What providers submit
Est. Commercial (AK)
$490.29
National avg: $353.76
Est. Cash / Self-Pay (AK)
$304.79
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

23.0K
Services in AK
1.2K
Providers
N/A
Min Payment
N/A
Max Payment

Alaska Pricing in Context

In Alaska, CPT code 99204 (New Patient Office Or Other Outpatient Visit, 45-59 Minutes) carries an average Medicare payment of $135.22 — 21% above the national benchmark of $111.40. 1.2K providers across the state submitted claims for this procedure in 2023, performing 23.0K total services. Individual payments in AK ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Alaska is $573.46, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Alaska sits above the national Medicare average, commercial rates in the state may also run higher than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Office Visit procedures, the estimated commercial insurance price in Alaska lands near $490.29, with self-pay cash prices typically around $304.79. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does New Patient Office Or Other Outpatient Visit, 45-59 Minutes cost in Alaska?

The average Medicare payment for New Patient Office Or Other Outpatient Visit, 45-59 Minutes in Alaska is $135.22, which is 21% above the national average of $111.40. Providers in AK typically bill $573.46 for this procedure.

What does New Patient Office Or Other Outpatient Visit, 45-59 Minutes cost with insurance in Alaska?

With commercial insurance in Alaska, New Patient Office Or Other Outpatient Visit, 45-59 Minutes costs an estimated $490.29. Without insurance, the estimated cash price is $304.79. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform New Patient Office Or Other Outpatient Visit, 45-59 Minutes in Alaska?

1.2K providers in Alaska billed Medicare for New Patient Office Or Other Outpatient Visit, 45-59 Minutes in 2023, performing 23.0K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is New Patient Office Or Other Outpatient Visit, 45-59 Minutes cheaper in Alaska than the national average?

No — New Patient Office Or Other Outpatient Visit, 45-59 Minutes costs 21% above the national average in Alaska. The state average Medicare payment is $135.22 compared to $111.40 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial