CMS Price Transparency Data

Diagnostic procedure preparation

Facility: Alaska Regional Hospital

Billing Code: G0279 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0279
Insurance Median: $130
Cash Discount Price: $227
vs. Medicare Baseline: 3.22x Medicare

The contracted insurance negotiated median rate for a Diagnostic procedure preparation at Alaska Regional Hospital is $130. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $227. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 3.22x the Medicare baseline. Located in 2801 Debarr Road, Anchorage, AK.

Cash / Self-Pay

$227

Average discount available for prompt cash payment at this facility.

Insurance Median

$130

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$40.41

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $40.41 (100%)

Cash / Self-Pay: $227 (562%)

Insurance Median: $130 (322%)

Cash: $227 (562% of Medicare)

Ins. Median: $130 (322% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $40.41 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 322% of the Medicare baseline (a markup of 222%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Veteran's Administration	$14	35%
United	$14 - $171	35%
Triwest Healthcare Alliance	$14	35%
Veterans Evaluation Services	$17	42%
Aetna	$64 - $118	158%
Union Coalition	$67	166%
Union Coalition Cement Masons	$69	171%
Moda Health	$72 - $107	178%
Premerafirst	$112	277%
Geha PPO USA	$117 - $199	290%
Cigna	$123	304%
Multiplan	$136 - $211	337%
Coventry Healthcare	$143	354%
First Health	$159	393%
Risk & Benefit Management	$170	421%
Bering Strait School District	$170	421%
Nreca Group Benefit Trust	$170	421%
Matanuska Telephone	$182	450%
Banner Health	$182	450%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $227.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0279.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Alaska Regional Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0279.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.