Alaska · A9573

Injection, Gadopiclenol, 1 Ml in Alaska

Alaska Medicare Avg
$8.26
56% above national avg
National Medicare Avg
$5.30
All states combined
Billed Charge (AK)
$10.78
What providers submit
Est. Commercial (AK)
$25.92
National avg: $14.91
Est. Cash / Self-Pay (AK)
$10.74
Typical self-pay discount

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

1.5K
Services in AK
10
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Alaska

Provider Medicare Services
York, Gerald MD $8.25 394
Shirley, Darren M.D. $8.27 355
Minor, Matthew M.D. $8.27 310
Reed, Christopher MD $8.17 286

Alaska Pricing in Context

In Alaska, CPT code A9573 (Injection, Gadopiclenol, 1 Ml) carries an average Medicare payment of $8.26 — 56% above the national benchmark of $5.30. 10 providers across the state submitted claims for this procedure in 2023, performing 1.5K 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 $10.78, 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 Medical Supplies procedures, the estimated commercial insurance price in Alaska lands near $25.92, with self-pay cash prices typically around $10.74. 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 Injection, Gadopiclenol, 1 Ml cost in Alaska?

The average Medicare payment for Injection, Gadopiclenol, 1 Ml in Alaska is $8.26, which is 56% above the national average of $5.30. Providers in AK typically bill $10.78 for this procedure.

What does Injection, Gadopiclenol, 1 Ml cost with insurance in Alaska?

With commercial insurance in Alaska, Injection, Gadopiclenol, 1 Ml costs an estimated $25.92. Without insurance, the estimated cash price is $10.74. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Injection, Gadopiclenol, 1 Ml in Alaska?

10 providers in Alaska billed Medicare for Injection, Gadopiclenol, 1 Ml in 2023, performing 1.5K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Injection, Gadopiclenol, 1 Ml cheaper in Alaska than the national average?

No — Injection, Gadopiclenol, 1 Ml costs 56% above the national average in Alaska. The state average Medicare payment is $8.26 compared to $5.30 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