CROSS ROAD HEALTH MINISTRIES
Price Transparency Listing

AS 18.23.400

 

Cross Road Health Ministries (Cross Road Medical Center, Interior Alaska Medical Center, and North Country Clinic) offers discounts on fees.  The discounts are based on income and family size and based on the federal poverty guidelines.  Please ask for an application if you would like to apply for our sliding fee scale.  We also provide payment options to help you pay your balance in a timely manner.  If you pay your bill the same day of service, you will receive a 10% incentive off your balance.  We are here to assist you in receiving accessible, affordable health care.

If you request it, we will give you an estimate of the charges we anticipate for your office visit. If your visit is for urgent care, the cost will vary depending on the situation.  Please do not hesitate to ask for information.

 

10 Most Common Codes per CPT Category

Evaluation and Management

CPT Code Charge Description
99202 $314.23 OFFICE OUTPATIENT NEW 20 MINUTES
99203 $466.58 OFFICE OUTPATIENT NEW 30 MINUTES
99204 $547.52 OFFICE OUTPATIENT NEW 45 MINUTES
99211 $104.74 OFFICE OUTPATIENT ESTABLISHED 5 MINUTES
99212 $190.44 OFFICE OUTPATIENT ESTABLISHED 10 MINUTES
99213 $257.09 OFFICE OUTPATIENT ESTABLISHED 15 MINUTES
99214 $399.92 OFFICE OUTPATIENT ESTABLISHED 25 MINUTES
99441 $190.44 PHYS/QHP TELEPHONE EVALUATION 5-10 MINUTES
99442 $257.09 PHYS/QHP TELEPHONE EVALUATION 11-20 MINUTES
99443 $330.00 PHYS/QHP TELEPHONE EVALUATION 21-30 MINUTES

Radiology

CPT Code Charge Description
71046 $182.051 RADIOLOGICAL EXAM CHEST 2 VIEWS
72100 $206.31 RADEX SPINE LUMBOSACRAL 2 OR 3 VIEWS
73130 $182.51 RADEX HAND MINIMUM 3 VIEWS
72040 $190.44 RADEX SPINE CERVICAL 2 OR 3 VIEWS
73630 $219.01 RADEX FOOT COMPLETE MINIMUM 3 VIEWS
73030 $190.79 RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS
73560 $219.01 RADIOLOGICAL EXAMINATION KNEE 1 OR 2 VIEWS
73502 $165.00 RADEX HIP UNILATERAL WITH PELVIS 2 OR 3 VIEWS
74018 $182.51 RADIOLOGIC EXAM ABDOMEN 1 VIEW
73110 $182.51 RADEX WRIST COMPLETE MINIMUM 3 VIEWS

Surgery/Procedures

CPT Code Charge Description
11719 $87.29 TRIMMING NONDYSTROPHIC NAILS
11721 $200.00 DEBRIDEMENT NAIL ANY METHOD 6/>
12001 $847.46 SIMPLE REPAIR 2.5CM/<
17110 $436.43 DESTRUCTION BENIGN LESIONS UP TO 14
20552 $156.06 INJECTION TRIGGER POINT 1 OR 2 MUSCLES
20610 $428.49 ARTHROCENTESIS ASPIRATION/INJECT MAJOR JOINT
29580 $238.05 STRAPPING UNNA BOOT
36415 $34.28 COLLECTION VENOUS BLOOD VENIPUNCTURE
36416 $28.57 COLLECTION CAPILLARY BLOOD SPECIMEN
69209 $40.00 REMOVAL IMPACTED CERUMEN

Pathology and Laboratory

CPT Code Charge Description
80053 $97.50 COMPREHENSIVE METABOLIC PANEL
80061 $97.83 LIPID PANEL
80305 $69.00 DRUG TEST PRESUMPTIVE, ANY NUMBER OF DRUGS
81002 $28.90 URINALYSIS NON-AUTO W/O MICROSCOPE
83036 $87.89 HEMOGLOBIN: GLYCOSYLATED (A1c)
85025 $52.50 BLOOD COUNT COMPLETE
87635 $70.00 COVID-19 LABORATORY TEST (IN HOUSE)

Medicine

CPT Code Charge Description
90460 $55.55 IMMUNIZATION ADMN THRU 18 YRS 1ST VACCINE
90471 $80.00 IMMUNIZATION ADM SUBQ VACCINE
90715 $40.00 TDAP VACCINE 7 YRS/>
90832 $134.90 PSYCHOTHERAPY W/PATIENT 30 MINUTES
90834 $158.70 PSYCHOTHERAPY W/PATIENT 45 MINUTES
90837 $383.53 PSYCHOTHERAPY W/PATIENT 60 MINUTES
93000 $142.83 ELECTROCARDIOGRAM, ROUTINE ECG
96372 $66.65 THERAPEUTIC INJECTION

Anesthesia

CPT Code

*CPT Copyright 2020. American Medical Association. All rights reserved.  CPT is a registered trademark of the American Medical Association. The CPT codes are provided “as is” without warranty of any kind. The AMA specifically disclaims all liability for use of accuracy of any CPT codes.