CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Fairbanks Memorial Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$105

about 1.1× the $95 Medicare rate · typically $61–$158

modeled estimate · not a bill or quote

What this hospital charges insurers

$157

Above the fair price

about $52 over the fair price · 1.7× Medicare

Medicare pays $95 Fair price $105 This hospital $157 Cash price $260 Hospital's list price $274

How we calculate the fair BaseRate →

How this hospital compares to other AK hospitals

A typical price — 3 charge more and 2 charge less, among the 6 AK hospitals compared.

Cheapest $125 Priciest $192

Black dot = this hospital, among the 6 AK hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (20-29 min) is about $105 (about 1.1× the $95 Medicare rate). Fairbanks Memorial Hospital charges insurers about $157, or about $260 in cash — above the fair price. Located in Fairbanks, AK.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $105. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$136 - $987	143%
Blue Cross Blue Shieldmajor	$79 - $977	83%
Aetnamajor	$235 - $998	247%
Cignamajor	$137 - $1,019	144%
Banner Health	$38 - $281	40%
Moda Health	$136 - $1,008	143%

Government programs also on file: Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 260), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 99213.

Insurance Before you use insurance

Call your insurance company to confirm Fairbanks Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 99213.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Fairbanks Memorial Hospital

Compare: Office visit, established patient (20-29 min) at other AK hospitals

Insurance negotiated median for the same procedure, sorted lowest first.