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Disclaimer: All price estimates are estimations only and should not be considered a price quote. Actual charges may vary based on on insurance coverage (see below), medical condition, unknown circumstances, final diagnosis, and treatment recommended by your provider. All requests for an estimate will receive a response within 10 business days. 

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Prices for Common Services and Procedures

In-Network Preferred Providers

 

What is the difference between in-network and out-of-network? If a health care provider has reached an agreement with a health insurance company to provide services at a discounted rate, the health care provider is in-network. If a health care provider and a health insurance company have not reached such an agreement, the health care provider is out-of-network. Visiting a health care provider that is out-of-network with your health insurance company may result in higher prices for you.

ANHC is an in-network preferred provider with the following health insurance companies:

Medical

  • Aetna

  • Medicaid

  • Medicare

  • Moda

  • Premera Blue Cross Blue Shield

  • TriWest

Dental

  • Cigna Dental

  • Delta Dental

  • Medicaid

  • Premera Blue Cross Blue Shield Dental

Price List

 

Note: The listed prices reflects the undiscounted rate. The price you pay for a particular service or procedure may differ from the amount stated on this list depending on your insurance coverage and sliding fee discount.

 

Procedure codes: Procedure codes are numbers used to report the health care services provided to a patient. They are used for health care billing.

Evaluation and Management

Procedure Code: 99204 

Procedure: New Patient Office Visit Level IV

Price: $457.00

Procedure Code: 99203

Procedure: New Patient Office Visit Level III

Price: $320.00

Procedure Code: 99202

Procedure: New Patient Office Visit Level II

Price: $245.00

Procedure Code: 99214

Procedure: Established Patient Office Visit Level IV

Price: $299.00

Procedure Code: 99213

Procedure: Established Patient Office Visit Level III

Price: $207.00

Procedure Code: 99212

Procedure: Established Patient Office Visit Level II

Price: $162.00

Procedure Code: 99211

Procedure: Established Patient Office Visit Level I

Price: $114.00

Procedure Code: 99396

Procedure: Established Patient (40–64 Years) Preventive Visit

Price: $450.00

Procedure Code: 99392

Procedure: Established Patient (1–4 Years) Preventive Visit

Price: $260.00

Procedure Code: 99391

Procedure: Established Patient (Under 1 Year) Preventive Visit

Price: $244.00

Surgery

Procedure Code: 11981

Procedure: Insertion of Implanon birth control device under the skin

Price: $825.00

Procedure Code: 20610

Procedure: Removal of fluid or injection for diagnosis and/or to relieve pain and swelling in the joint (one side or both sides)

Price: $450.00–$900.00

Procedure Code: 20551

Procedure: Injection where tendon connects with muscle to relieve pain and reduce inflammation

Price: $367.00

Procedure Code: 17110

Procedure: Removal of common or plantar warts

Price: $357.00

Procedure Code: 11200

Procedure: Removal of skin tags (1–15 tags)

Price: $477.00

Procedure Code: 11421

Procedure: Removal of smaller skin growths from scalp, neck, hands, feet, or genitals

Price: $606.00

Procedure Code: 11422

Procedure: Removal of larger skin growths from scalp, neck, hands, feet, or genitals

Price: $764.00

Procedure Code: 17000

Procedure: Removal of growths (mole, lesion, tumor) from skin without biopsy

Price: $317.00

Procedure Code: 11301

Procedure: Removal of smaller skin growths from torso, arms, legs

Price: $421.00

Procedure Code: 11403

Procedure: Removal of larger skin growths from torso, arms, legs

Price: $921.00

Radiology

Procedure Code: 77063 

Procedure: 3D x-ray to check for breast cancer

Price: $84.73

Procedure Code: 77067 

Procedure: X-ray to screen for breast cancer

Price: $397.00

Procedure Code: 71046

Procedure: X-ray of chest (2 views)

Price: $239.00

Procedure Code: 72100

Procedure: X-ray of spine (2 views)

Price: $285.00

Procedure Code: 73030

Procedure: X-ray of shoulder (2 views)

Price: $301.00

Procedure Code: 73502

Procedure: X-ray of hip (2–3 views)

Price: $284.00

Procedure Code: 73560

Procedure: X-ray of knee (2 views)

Price: $242.00

Procedure Code: 73562

Procedure: X-ray of knee (3 views)

Price: $270.00

Procedure Code: 73610

Procedure: X-ray of ankle (3 views)

Price: $253.00

Procedure Code: 73630

Procedure: X-ray of foot (3 views)

Price: $248.00

Pathology/Lab

Procedure Code: 36415

Procedure: Blood sample for lab testing

Price: $46.00

Procedure Code: 83036

Procedure: Blood sugar measurement

Price: $95.00

Procedure Code: 80053

Procedure: Complete metabolic panel (sugar [glucose] level, electrolyte and fluid balance, and kidney and liver function)

Price: $131.00

Procedure Code: 85025

Procedure: Complete blood count (measurement of red blood cells, white blood cells, and platelets)

Price: $75.00

Procedure Code: 84443

Procedure: Thyroid stimulating hormone (measurement of thyroid gland function)

Price: $161.00

Procedure Code: 80061

Procedure: Lipid panel (measurement of fats and fatty substances in blood)

Price: $150.00

Procedure Code: 81001

Procedure: Urinalysis (test for diseases or drugs present in urine)

Price: $47.00

Procedure Code: 82044

Procedure: Microal-Creat Ratio Dipstick (measurement of a protein in urine to check for kidney disease) 

Price: $74.00

Procedure Code: 80050

Procedure: General health panel (includes complete metabolic panel, complete blood count, and thyroid hormone test)

Price: $256.00

Procedure Code: 82306

Procedure: Measurement of vitamin D levels

Price: $323.00

Medicine

Procedure Code: 90471

Procedure: Vaccine administration fee (adults, first vaccine)

Price: $35.00–$62.00

Procedure Code: 90460

Procedure: Vaccine administration fee (children, first vaccine)

Price: $35.00–$62.00

Procedure Code: 90472

Procedure: Charge for each additional vaccine (adults)

Price: $37.00

Procedure Code: 90461

Procedure: Charge for each additional vaccine (children)

Price: $37.00

Procedure Code: 90715

Procedure: TDAP (vaccine to prevent diphtheria, pertussis, and tetanus)

Price: $75.00

Procedure Code: 90750

Procedure: Shingrix (vaccine to prevent shingles)

Price: $571.00

Procedure Code: 90732

Procedure: PPSV Pneumococcal (vaccine to prevent pneumonia)

Price: $107.00

Procedure Code: 90832

Procedure: Behavioral health appointment (30 minutes)

Price: $178.00

Procedure Code: 90834

Procedure: Behavioral health appointment (45 minutes)

Price: $228.00

Procedure Code: 90837

Procedure: Behavioral health appointment (60 minutes)

Price: $320.00

Dental

Procedure Code: D0150

Procedure: Dental exam (new patients)

Price: $169.00

Procedure Code: D0120

Procedure: Dental exam (established patients)

Price: $98.00

Procedure Code: D1110

Procedure: Cleaning (to prevent gum disease)

Price: $170.00

Procedure Code: D1206

Procedure: Fluoride application (to prevent tooth decay)

Price: $35.00

Procedure Code: D0220

Procedure: Dental x-ray showing tooth and surrounding tissue (first x-ray)

Price: $45.00

Procedure Code: D0230

Procedure: Dental x-ray showing tooth and surrounding tissue (additional x-rays)

Price: $40.00

Procedure Code: D0274

Procedure: Dental x-ray (upper and lower teeth)

Price: $108.00

Procedure Code: D0330

Procedure: Dental x-ray (entire mouth)

Price: $183.00

Procedure Code: D7140

Procedure: Removal of a tooth

Price: $309.00

Procedure Code: D2392

Procedure: Fillings (back teeth)

Price: $412.00

CPT Copyright 2020, 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 discalims all liability for use or accuracy of any CPT codes. The undiscounted price may differ from what the patient actually pays. You will be provided an estimate of services upon written request.

ONLINE PAYMENT

Anchorage Neighborhood Health Center

4951 Business Park Blvd

Anchorage AK 99503

Main: (907) 743-7200

Medical: (907) 743-7201

Dental: (907) 743-7202

Pharmacy Prescription Refill Line: (907) 743-7208

Medical Records fax: (907) 743-7255

 

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ANHC is a Health Center Program grantee under 42 U.S.C. 254b and a deemed Public Health Service employee under 42 U.S.C. 233 (g)-(n).

 © 2020 Anchorage Neighborhood Health Center