Alaska · J1097

Phenylephrine 10.16 Mg/ml And Ketorolac 2.88 Mg/ml Ophthalmic Irrigation Solution, 1 Ml in Alaska

Alaska Medicare Avg
$74.60
2% below national avg
National Medicare Avg
$76.05
All states combined
Billed Charge (AK)
$151.17
What providers submit
Est. Commercial (AK)
$233.54
National avg: $213.59
Est. Cash / Self-Pay (AK)
$111.64
Typical self-pay discount

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

1.6K
Services in AK
1
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Alaska

Provider Medicare Services
Alaska Eye Surgery And Laser... $74.60 1.6K

Alaska Pricing in Context

In Alaska, CPT code J1097 (Phenylephrine 10.16 Mg/ml And Ketorolac 2.88 Mg/ml Ophthalmic Irrigation Solution, 1 Ml) carries an average Medicare payment of $74.60 — 2% below the national benchmark of $76.05. 1 providers across the state submitted claims for this procedure in 2023, performing 1.6K 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 $151.17, 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 below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Drugs (Administered) procedures, the estimated commercial insurance price in Alaska lands near $233.54, with self-pay cash prices typically around $111.64. 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 Phenylephrine 10.16 Mg/ml And Ketorolac 2.88 Mg/ml Ophthalmic Irrigation Solution, 1 Ml cost in Alaska?

The average Medicare payment for Phenylephrine 10.16 Mg/ml And Ketorolac 2.88 Mg/ml Ophthalmic Irrigation Solution, 1 Ml in Alaska is $74.60, which is 2% below the national average of $76.05. Providers in AK typically bill $151.17 for this procedure.

What does Phenylephrine 10.16 Mg/ml And Ketorolac 2.88 Mg/ml Ophthalmic Irrigation Solution, 1 Ml cost with insurance in Alaska?

With commercial insurance in Alaska, Phenylephrine 10.16 Mg/ml And Ketorolac 2.88 Mg/ml Ophthalmic Irrigation Solution, 1 Ml costs an estimated $233.54. Without insurance, the estimated cash price is $111.64. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Phenylephrine 10.16 Mg/ml And Ketorolac 2.88 Mg/ml Ophthalmic Irrigation Solution, 1 Ml in Alaska?

1 providers in Alaska billed Medicare for Phenylephrine 10.16 Mg/ml And Ketorolac 2.88 Mg/ml Ophthalmic Irrigation Solution, 1 Ml in 2023, performing 1.6K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Phenylephrine 10.16 Mg/ml And Ketorolac 2.88 Mg/ml Ophthalmic Irrigation Solution, 1 Ml cheaper in Alaska than the national average?

Yes — Phenylephrine 10.16 Mg/ml And Ketorolac 2.88 Mg/ml Ophthalmic Irrigation Solution, 1 Ml costs 2% below the national average in Alaska. The state average Medicare payment is $74.60 compared to $76.05 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