Office visit, established patient (20-29 min) cost in AK
What a office visit, established patient (20-29 min) costs at AK hospitals — and the fair price to aim for.
Typical commercial prices here are +85% above the fair benchmark (1.85×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Wide Procedure Spread · Upper-Quartile Skew Pricer
This hospital prices routine shoppable procedures at 4.4× Medicare (median 2.44× Fair BaseRate) while upper-quartile commercial rates jump +83% to 4.46× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.62× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 84% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (70/100 safety score) with 69% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 2.5× markup over Medicare rates
- Commercial insurance median sits at 2.44× Fair BaseRate (4.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 4.46×) jump +83% above the median procedure ratio (Q50 2.44×)
- Consolidated metro market (HHI 2,666) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
In general, AK hospitals charge above the fair price — worth shopping around here. how we calculate the BaseRate →
Compared with the rest of the country, AK’s fair BaseRate ($103) is above the national fair price of $87.
Cheapest AK hospitals for a office visit, established patient (20-29 min)
- Mat-Su Regional Medical Center · Palmer $125
- South Peninsula Hospital · Homer $141
- Fairbanks Memorial Hospital · Fairbanks $157
- Central Peninsula General Hospital · Soldotna $161
- Bartlett Regional Hospital · Juneau $174
- Norton Sound Regional Hospital · Nome $181
- Providence St Elias Specialty Hospital · Anchorage $192
Audit a Bill or Quote at AK Hospital Benchmark (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $140
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $140).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask AK Hospital Benchmark's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $103 Fair BaseRate ($60 Medicare)
Your bill ($386) is $283 above the denoised Fair BaseRate ($103) and 6.4× the $60 Medicare rate.