Price Transparency

Alaska Breast Center is pleased to provide its patients with an “estimate” of charges based on general visit guidelines. We do our best to estimate patient charges, but true patient liability depends on the patient’s insurance benefits at the time the insurance receives the patient’s charges.

State of Alaska Required Posting of 10 Most Commonly Performed Services

Per state law (Senate Bill 105-passed by the 30th Alaska Legislature during its second session), starting 1/1/2019, we are required to post annually 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. The six sections are:

Evaluation and Management | Codes 99201-99499

Anesthesia | Codes 00100-01999; 99100-99140

Surgery | Codes 10021-69990

Radiology | Codes 70010-79999

Pathology and Laboratory | Codes 80047-89398

Medicine | Codes 90281-99199; 99500-99607

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.   By law, we are required to tell you that the “undiscounted price” that we are required to report may, in the state’s words, “be higher or lower” than the amount an individual will pay for the health care services described on these lists.

To translate this required statement, it means that if we are an in-network provider with your insurance, the price could be significantly lower than the price listed here. If we are not in network with your insurance, our price will be no higher than the price listed here. If you are able to make other arrangements to pay any difference, it may still be significantly discounted. Each individual’s circumstance will vary by their insurance and by the arrangements made with this office.

The following are insurances for which we are an in-network provider:

Aetna

Tricare/Triwest

Premera/Blue Cross Blue Shield

Medicare

Medicaid

United Healthcare

Moda

For all other insurances, we are not considered an in-network provider. But we are willing to work with you to provide the best care for the best price possible.

As required by the law, you may request to be provided with an estimate of the anticipated charges for your nonemergency care. Please do not hesitate to ask for this information. This estimate will only include our estimated fees; we cannot provide estimates for the cost of other facilities or providers (example: the cost of your hospital stays for surgery or the cost of an anesthesiologist’s services); these providers will need to be contacted directly in order to obtain an estimate of their costs. We will provide you with contact information so that you can obtain estimates from these individuals.

Evaluation & Management

Alaska Surgical Group’s 10 Most Commonly Performed Evaluation & Management Codes
(All are unadjusted cost, NOT INCLUDING IN-NETWORK/NEGOTIATED DISCOUNTS.)

Surgery

Alaska Surgical Group’s 10 Most Commonly Performed SURGERY Codes
(All are unadjusted cost, NOT INCLUDING IN-NETWORK/NEGOTIATED DISCOUNTS.)

Radiology

Alaska Surgical Group’s 10 Most Commonly Performed RADIOLOGY Codes
(All are unadjusted cost, NOT INCLUDING IN-NETWORK/NEGOTIATED DISCOUNTS.)