Please scroll to the bottom of the page for a list of "in-network" insurance companies and to request an estimate.

 

The listed price reflects the undiscounted rate. The price you pay for a service or procedure may differ from the amount stated on this list, depending on your sliding fee discount and insurance plan benefits.

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

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Evaluation and Management

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Procedure: New patient office visit (level IV)

Procedure code: 99204

Price: $457.00

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Procedure: New patient office visit (level III)

Procedure code: 99203

Price: $320.00

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Procedure: Established patient office visit (level IV)

Procedure code: 99214

Price: $299.00

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Procedure: Established patient office visit (level III)

Procedure code: 99213

Price: $207.00

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Procedure: Established patient office visit (level II)

Procedure code: 99212

Price: $162.00

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Procedure: Established patient (1–4 years) preventive visit

Procedure code: 99392

Price: $260.00

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Procedure: Established patient (under 1 year) preventive visit

Procedure code: 99391

Price: $244.00

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Procedure: Telephone appointment (no video, 5–10 minutes of medical discussion)

Procedure code: 99441

Price: $45.00

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Procedure: Telephone appointment (no video, 11–20 minutes of medical discussion)

Procedure code: 99442

Price: $125.00

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Procedure: Telephone appointment (no video, 21–30 minutes of medical discussion)

Procedure code: 99443

Price: $270.00

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Surgery

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Procedure: Care for simple abscess

Procedure code: 10060

Price: $504.00

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

Procedure code: 11200

Price: $477.00

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Procedure: Removal of small skin growths from torso, arms, or legs

Procedure code: 11400

Price: $472.00

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Procedure: Removal of medium-sized skin growths from torso, arms, or legs

Procedure code: 11401

Price: $561.00

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Procedure: Removal of large skin growths from torso, arms, or legs

Procedure code: 11403

Price: $921.00

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Procedure: Removal of medium-sized skin growths from scalp, neck, hands, feet, or genitals

Procedure code: 11422

Price: $764.00

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

Procedure code: 11426

Price: $1,797.00

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Procedure: Insertion of Implanon birth control device under the skin

Procedure code: 11981

Price: $825.00

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Procedure: Removal of Implanon birth control device from under the skin

Procedure code: 11982

Price: $825.00

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

Procedure code: 20610

Price: $450.00–900.00

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Radiology

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

Procedure code: 77063

Price: $84.73

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Procedure: X-ray to screen for breast cancer

Procedure code: 77067

Price: $397.00

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Procedure: X-ray of chest (2 views)

Procedure code: 71046

Price: $239.00

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Procedure: X-ray of spine (2 views)

Procedure code: 72100

Price: $285.00

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Procedure: X-ray of shoulder (2 views)

Procedure code: 73030

Price: $301.00

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Procedure: X-ray of hip (2–3 views)

Procedure code: 73502

Price: $284.00

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Procedure: X-ray of hand (2 views)

Procedure code: 73120

Price: $242.00

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Procedure: X-ray of knee (3 views)

Procedure code: 73562

Price: $270.00

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Procedure: X-ray of ankle (3 views)

Procedure code: 73610

Price: $253.00

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Procedure: X-ray of foot (3 views)

Procedure code: 73630

Price: $248.00

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Pathology/Lab

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Procedure: Blood sample for lab testing

Procedure code: 36415

Price: $46.00

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Procedure: Blood sugar measurement

Procedure code: 83036

Price: $95.00

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

Procedure code: 80053

Price: $131.00

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

Procedure Code: 85025

Price: $75.00

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

Procedure code: 84443

Price: $161.00

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

Procedure code: 80061

Price: $150.00

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

Procedure code: 81001

Price: $47.00

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

Procedure code: 82044

Price: $74.00

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

Procedure code: 80050

Price: $256.00

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Procedure: Rapid test for COVID-19 infection

Procedure code: 87635

Price: $102.00

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Medicine

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Procedure: Vaccine administration fee (adults, first vaccine)

Procedure code: 90471

Price: $35.00–$62.00

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Procedure: Vaccine administration fee (children, first vaccine)

Procedure code: 90460

Price: $35.00–$62.00

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Procedure: Charge for each additional vaccine (adults)

Procedure code: 90472

Price: $37.00

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Procedure: Charge for each additional vaccine (children)

Procedure code: 90461

Price: $37.00

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

Procedure code: 90715

Price: $75.00

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Procedure: Shingrix (vaccine to prevent shingles)

Procedure code: 90750

Price: $571.00

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Procedure: Nutrition, pharmacy, or behavioral health telephone appointment (no video, 21–30 minutes of discussion)

Procedure code: 98968

Price: $244.00

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Procedure: Behavioral health appointment (30 minutes)

Procedure code: 90832

Price: $178.00

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Procedure: Behavioral health appointment (45 minutes)

Procedure code: 90834

Price: $228.00

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Procedure: Behavioral health appointment (60 minutes)

Procedure code: 90837

Price: $320.00

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Dental

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Procedure: Dental exam (new patients)

Procedure code: D0150

Price: $169.00

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Procedure: Dental exam (specific problem)

Procedure code: D0140

Price: $144.00

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Procedure: Cleaning (to prevent gum disease)

Procedure code: D1110

Price: $170.00

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Procedure: Fluoride application (to prevent tooth decay)

Procedure code: D1206

Price: $35.00

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

Procedure code: D0220

Price: $45.00

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

Procedure code: D0230

Price: $40.00

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

Procedure code: D0274

Price: $108.00

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Procedure: Dental x-ray (entire mouth)

Procedure code: D0330

Price: $183.00

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Procedure: Removal of a tooth (simple extraction)

Procedure code: D7140

Price: $309.00

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Procedure: Dental exam (established patients)

Procedure code: D0120

Price: $98.00

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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.

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In-Network Preferred Providers

 

What does "in-network" mean? 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.

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Out-of-pocket charges: Even if your ANHC provider is in-network with your insurance company, there may be services or procedures that your insurance company does not cover or only partially covers. You may still be responsible for out-of-pocket charges, depending on your insurance plan benefits.

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ANHC providers are in-network with the following health insurance companies: 

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Medical

• Aetna

• Medicaid

• Medicare

• Moda

• Premera Blue Cross Blue Shield

• TriWest

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Dental

• Cigna Dental

• Delta Dental

• Medicaid

• Premera Blue Cross Blue Shield Dental

Request an Estimate

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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 insurance coverage, medical condition, final diagnosis, treatment recommended by your provider, and unknown circumstances. All requests for an estimate will receive a response within 10 business days.