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)