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Pay My Bill

Updated: Jul 25, 2023

Sunshine Community Health Center is dedicated to providing access to quality healthcare regardless of your ability to pay. We accept patients with or without insurance. We receive federal grants to help cover patients with financial needs who cannot pay for all or part of their bills.


“Financial needs” and “ability to pay” are based on eligibility for the Sliding Fee Discount, so be sure to apply and provide any needed proof of income. We can assist you with this by calling 1-907-376-2273 (CARE) and scheduling time with one of our Patient Advocates and/or our Financial Counsellor.


Your Payment Responsibilities

You are expected to arrange for payment or coverage at the time of service. If you have insurance you must provide your insurance information and pay any co-pays or estimated co-insurance at the time of check-in. If you are not insured and you cannot pay the standard fee, or if you are insured but are unable to pay your portion in full due to financial need, we encourage you to apply for our Sliding Fee Discount program and set-up a payment plan for your portion of the bill.


If your appointment is being covered by other means, such as through a worker’s compensation claim, you are expected to provide all needed information for Sunshine Community Health Center to file a claim for reimbursement at the time of check-in. If you fail to do so, you will be responsible for paying the bill.


Insurance and Billing

Sunshine Community Health Center can bill your insurance companies. If you are out of network and do not have coverage in our area, your insurance may deny payment. We welcome you to our practice anyway and advise you to contact our billing office before your appointment to see if we can accept your insurance. If we cannot, we recommend you apply for our Sliding Fee Discount to see if you are eligible based on financial need. Please bring a copy of your insurance card or claim information to your appointment.


In-Network Providers

Sunshine Community Health Center is considered an "In-Network Provider" for the following insurers:

  • Aetna

  • Blue Cross/Premera

  • Delta Dental

  • Medicaid/DenaliCare

  • Medicare

  • Multi Plan Network

  • TriCare

  • United Health Care

  • Veterans Community Care Network

Where to Pay

Paying Online

We recently transitioned from one electronic medical record system to another. That means that our patients have two platforms to pay for services.

  • Prior to December 13th, 2022, and all dental services please click here to pay your outstanding balance.

  • On or AFTER December 13th, 2022, please click here to pay for your balance.

Paying in Person

If you would rather pay in person please visit either of our clinic locations to speak with a patient services representative.

Talkeetna Clinic

Mile 4.4 Talkeetna Spur Road

Talkeetna Alaska 99676

Willow Clinic

24091 Long Lake Road

Willow Alaska 99676

Paying by Phone

You may pay your outstanding balance over the phone by dialing 1-907-733-2273 and selecting option 5 to speak to our billing team.


Sliding Fee Discount

As a Federally Qualified Health Center, we offer a Sliding Fee Discount. Eligibility and financial need is based on household size and income per federal poverty guidelines. You must provide us with detailed financial information in order to qualify. We’re here to help you. If you can’t demonstrate proof of income with the usual information, or don't qualify from your provided proof, but are experiencing a financial emergency, please share as much information with us as you can. Proof of household income can come from your most recent pay stubs, your last tax forms, social security or pension benefit statements, or signed letters of support from witnesses who can verify your household income.


It is very important to us that all patients have access to quality healthcare, regardless of their ability to pay.

Price Transparency

We believe it should not be difficult to figure out what you might be expected to pay for your visit. The undiscounted pricing may be higher or lower than the amount an individual actually pays for the health care services described in the list.


You are also entitled, upon request, to receive a good-faith estimate of reasonably anticipated charges for a given service prior to receiving those services and no later than 10 days following the receipt of your request.


We ask that you contact our billing office at 1-907-733-2273, option 5 with any further questions.

 

Below you will find the 10 Most Commons codes per CPT category. CPT stands for Current Procedural Terminology and is a language used between health professionals for coding services for consistency in billing and reporting. For example:

  • New patient urinary tract infection 20-minute visit ($295.00) with a urinalysis ($16.00) and 1 dispensed medication ($11.00) for a total cost of $322.00 for the visit.

  • New patient broken foot 30-minute visit ($350.00) with a x-ray of the foot ($169.00) for a total cost of $519.00 for the visit.


Evaluation and Management

CPT Code

Charge

Description

99202

$295.00

OFFICE OUTPATIENT NEW 20 MINUTES

99203

$350.00

OFFICE OUTPATIENT NEW 30 MINUTES

99204

$536.00

OFFICE OUTPATIENT NEW 45 MINUTES

99211

$150.00

OFFICE OUTPATIENT VISIT 5 MINUTES

99212

$195.00

OFFICE OUTPATIENT VISIT 10 MINUTES

99213

$275.00

OFFICE OUTPATIENT VISIT 15 MINUTES

99214

$385.00

OFFICE OUTPATIENT VISIT 35 MINUTES

99441

$114.00

PHYS/QHP TELEPHONE EVALUATION 5-10 MINUTES

99442

$145.00

PHYS/QHP TELEPHONE EVALUATION 11-20 MINUTES

99443

$206.00

PHYS/QHP TELEPHONE EVALUATION 21-30 MINUTES

Surgery

CPT Code

Charge

Description

11719

$84.00

TRIMMING NONDYSTROPHIC NAILS

11721

$258.00

DEBRIDEMENT NAIL ANY METHOD 6/>

12001

$643.00

SIMPLE REPAIR 2.5CM/<

17110

$575.00

DESTRUCTION BENIGN LESIONS UP TO 14

20552

$412.00

INJECTION TRIGGER POINT 1/2 MUSCLES

20610

$412.00

ARTHROCENTESIS ASPIR/INJECT MAJOR JOINT

29580

$351.00

STRAPPING UNNA BOOT

36415

$47.00

COLLECTION VENOUS BLOOD VENIPUNCTURE

36416

$23.00

COLLECTION CAPILLARY BLOOD SPECIMEN

69209

$93.00

REMOVAL IMPACTED CERUMEN

Radiology

CPT Code

Charge

Description

71046

$177.00

RADIOLOGIC EXAM CHEST 2 VIEWS

72100

$213.00

RADEX SPINE LUMBOSACRAL 2/3 VIEWS

73130

$198.00

RADEX HAND MINIMUM 3 VIEWS

72040

$196.00

RADEX SPINE CERVICAL 2 OR 3 VIEWS

73630

$231.00

RADEX FOOT COMPLETE MINIMUM 3 VIEWS

73030

$240.00

RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS

73560

$197.00

RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS

73502

$250.00

RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS

74018

$179.00

RADIOLOGIC EXAM ABDOMENT 1 VIEW

73110

$206.00

RADEX WRIST COMPLETE MINIMUM 3 VIEWS

Pathology and Laboratory

​CPT Code

Charge

Description

80050

$123.00

GENERAL HEALTH PANEL

80053

$41.00

COMPREHENSIVE METABOLIC PANEL (CMP)

80061

$50.00

LIPID PANEL

80305

$62.00

DRUG TEST PRESUMPTIVE, ANY NUMBER OF DRUG

81002

$16.00

URINALYSIS NON-AUTO W/O MICROSCOPE

83037

$44.00

HEMOGLOBIN: GLYCOSYLATED (A1C)

84153

$56.00

ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL (PSA)

84443

$55.00

ASSAY OF THYROID STIMULATING HORMONE (TSH)

85025

$28.00

BLOOD COUNT COMPLETE

87635

$ --

COVID-19 LABORATORY TEST (IN-HOUSE)

Medicine

CPT Code

Charge

Description

90460

$28.00

IMMUNIZATION ADM THRU 18YR 1ST VACCINE

90471

$42.00

IMMUNIZATION ADM SUBQ VACCINE

90674

$47.00

INFLUENZA VACCINE, FLUCELVAX

90715

$83.00

TDAP VACCINE 7 YRS/>

90832

$201.00

PSYCHOTHERAPY W/PATIENT 30 MINUTES

90834

$232.00

PSYCHOTHERAPY W/PATIENT 45 MINUTES

90837

$268.00

PSYCHOTHERAPY W/PATIENT 60 MINUTES

90853

$155.00

GROUP PSYCHOTHERAPY

93000

$168.00

ELECTROCARDIOGRAM, ROUTINE ECG

96372

$109.00

THERAPEUTIC INJECTION

Sunshine Community Health Center does not provider anesthesia services. CPT Copyright 2021 - American Medical Association (AMA). 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.


Sunshine Community Health Center

1-907-376-2273 (CARE)

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