Open Mon-Fri 7:30am-6pm • Saturday 9am-2pm
907-279-8486
Below are the prices for the top 10 most common services at Medical Park. Please note these are the “list price,” the amount all patients are charged. Your individual insurance plan, including Medicare and Medicaid reimburse Medical Park at different rates and they determine how much you, the patient, will be responsible for.
Medical Park may charge and collect at the time of service, a co-pay or an estimated amount of your bill. We will adjust the final amount accordingly once your insurance has paid their portion.
|
CPT Code |
Description |
Price |
|
99202 |
Level 2 Expanded Exam; New Patient |
$236.00 |
|
99203 |
Level 3 Detailed Exam; New Patient |
$362.00 |
|
99204 |
Level 4 Comprehensive Exam; New Patient |
$539.00 |
|
99211 |
Level 1 Minimal Exam; Established Patient |
$75.00 |
|
99213 |
Level 3 Expanded Exam, Established Patient |
$293.00 |
|
99214 |
Level 4 Detailed Exam, Established Patient |
$413.00 |
|
99215 |
Level 5 Comprehensive Exam, Established Patient |
$582.00 |
|
99385 |
Annual Preventative Exam 18-39; New Patient |
$430.00 |
|
99395 |
Annual Preventative Exam 18-39; Established Pt |
$378.00 |
|
99396 |
Annual Preventative Exam 40-64; Established Pt |
$406.00 |
|
CPT Code |
Description |
Price |
|
36415 |
Collection of Venous Blood, Venipuncture |
$25.00 |
|
36416 |
Collection of Venous Blood, Finger Stick |
$11.00 |
|
20610 |
Arthrocentesis Aspiration/Injection Major Joint/Bursa |
$307.00 |
|
20600 |
Arthrocentesis Aspiration/Injection Small Joint/Bursa |
$248.00 |
|
17110 |
Destruction of Benign Lesions; up to 14 lesions |
$528.00 |
|
11104 |
Punch biopsy of skin; single lesion |
$588.00 |
|
10060 |
Incision & Drainage of abscess; simple or single |
$585.00 |
|
10061 |
Incision & Drainage of abscess; complicated or multiple |
$1,030.00 |
|
11200 |
Removal of skin tags; 1 - 15 lesions |
$308.00 |
|
58300 |
Insertion of Intrauterine Device |
$377.00 |
|
58301 |
Removal of Intrauterine Device |
$487.00 |
|
CPT Code |
Description |
Price |
|
71046 |
X-ray exam, Chest; 2 views |
$115.00 |
|
72100 |
X-ray exam, Spine; 2-3 views |
$137.00 |
|
73030 |
X-ray exam of shoulder; minimum 2 views |
$166.00 |
|
76536 |
Ultrasound, Head and Neck |
$422.00 |
|
76700 |
Ultrasound, Abdominal; Complete |
$453.00 |
|
76705 |
Ultrasound, Limited; single organ |
$338.00 |
|
76770 |
Ultrasound , Retroperitoneal; Complete |
$419.00 |
|
76830 |
Ultrasound, Transvaginal |
$515.00 |
|
76856 |
Ultrasound, Pelvic (nonobstetric); complete |
$406.00 |
|
76882 |
Ultrasound, Limited joint; Non-vascular |
$217.00 |
|
77080 |
Dexascan |
$426.00 |
|
CPT Code |
Description |
Price |
|
83036 |
Glycohemoglobin (HGB A1C) |
$61.00 |
|
80061 |
Lipid Profile |
$84.00 |
|
80053 |
Comprehensive Metabolic Panel |
$67.00 |
|
85025 |
CBC Hemogram and Platelet Count WBC |
$49.00 |
|
80050 |
General Health Screen Panel |
$160.00 |
|
81003 |
Urinalysis, Automated without Microscopy |
$15.00 |
|
84443 |
TSH Assay |
$106.00 |
|
87635 |
COVID-19 Infectious Agent Detection |
$70.00 |
|
81001 |
Urinalysis, Automated with Microscopy |
$20.00 |
|
82570 |
Creatinine, any source |
$33.00 |
|
36415 |
Collection of Venous Blood, Venipuncture |
$25.00 |
|
CPT Code |
Description |
Price |
|
90471 |
Immunization Administration; 1 vaccine |
$43.00 |
|
96372 |
Therapeutic,prophylactic or diagnostic injection |
$66.00 |
|
90715 |
Tetanus, Diphtheria, Pertusis Vaccine (Tdap); > age 7 |
$64.00 |
|
90472 |
Immunization Administration; each additional vaccine |
$43.00 |
|
95251 |
Continuous Glucose Monitoring Analysis & interpretation |
$118.00 |
|
90750 |
Shingric Vaccine, each dose |
$225.00 |
|
93000 |
Electrogardiogram, complete |
$50.00 |
|
99173 |
Visual Acuity Screening Test |
$11.00 |
|
90651 |
HPV Vaccine (Gardasil) |
$275.00 |
|
90670 |
Pneumococcal Vaccine (PCV13), intramuscular |
$225.00 |
|
CPT Code |
Description |
Price |
|
97110 |
Therapeutic Exercise, each 15 minutes |
$105.00 |
|
97140 |
Manual Therapy techniques, each 15 minutes |
$92.00 |
|
97112 |
Neuromuscular Re-education, each 15 minutes |
$117.00 |
|
97161 |
Physical Therapy Evaluation; Low Complexity |
$255.00 |
|
97162 |
Physical Therapy Evaluation; Moderate Complexity |
$255.00 |
|
97530 |
Therapeutic Activities |
$127.00 |
|
97535 |
Self-Care Management Training |
$112.00 |
|
97014 |
Electrical Stimulation, unattended |
$45.00 |
|
20560 |
Needle Insertion w/o Injections; 1-2 muscles |
$100.00 |
|
97164 |
Physical Therapy Re-Evaluation |
$235.00 |
Prices are subject to change at any time. This list was last updated June 30, 2022. Prices