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
*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.
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 Physician/QHP Telephone Evaluation – 5–10 Minutes
99442 $257.09 Physician/QHP Telephone Evaluation – 11–20 Minutes
99443 $330.00 Physician/QHP Telephone Evaluation – 21–30 Minutes
CPT Code Charge Description
71046 $182.05 Radiological Exam Chest – 2 Views
72100 $206.31 Radiological Exam Lumbosacral Spine – 2 or 3 Views
73130 $182.51 Radiological Exam Hand – Minimum 3 Views
72040 $190.44 Radiological Exam Cervical Spine – 2 or 3 Views
73630 $219.01 Radiological Exam Foot – Minimum 3 Views
73030 $190.79 Radiological Exam Shoulder – Minimum 2 Views
73560 $219.01 Radiological Exam Knee – 1 or 2 Views
73502 $165.00 Radiological Exam Unilateral Hip with Pelvis – 2 or 3 Views
74018 $182.51 Radiological Exam Abdomen – 1 View
73110 $182.51 Radiological Exam Wrist – Minimum 3 Views
CPT Code Charge Description
11719 $87.29 Trimming Nondystrophic Nails
11721 $200.00 Debridement of Nails (6 or More)
12001 $847.46 Simple Repair – Wound 2.5 cm or Less
17110 $436.43 Destruction of Benign Lesions (Up to 14)
20552 $156.06 Trigger Point Injection – 1 or 2 Muscles
20610 $428.49 Arthrocentesis, Aspiration or Injection – Major Joint
29580 $238.05 Application of Unna Boot
36415 $34.28 Venous Blood Collection (Venipuncture)
36416 $28.57 Capillary Blood Specimen Collection
69209 $40.00 Removal of Impacted Earwax (Cerumen)
CPT Code Charge Description
80053 $97.50 Comprehensive Metabolic Panel (CMP)
80061 $97.83 Lipid Panel
80305 $69.00 Presumptive Drug Test (Any Number of Drugs)
81002 $28.90 Urinalysis (Non-Automated, Without Microscopy)
83036 $87.89 Hemoglobin A1c (Glycosylated Hemoglobin)
85025 $52.50 Complete Blood Count (CBC)
87635 $70.00 COVID-19 Laboratory Test (In-House)
CPT Code Charge Description
90460 $55.55 Immunization Administration (Through Age 18) – First Vaccine
90471 $80.00 Immunization Administration – Subcutaneous/Intramuscular Vaccine
90715 $40.00 Tdap Vaccine (Age 7 Years and Older)
90832 $134.90 Psychotherapy with Patient – 30 Minutes
90834 $158.70 Psychotherapy with Patient – 45 Minutes
90837 $383.53 Psychotherapy with Patient – 60 Minutes
93000 $142.83 Routine Electrocardiogram (ECG/EKG)
96372 $66.65 Therapeutic Injection (Subcutaneous or Intramuscular)