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Health Care Services Price List

Health care costs can be confusing. We’re here to help. 

High-quality, affordable health care

Understanding your health care costs and payment options is an important part of preparing for your visit. The price you pay for your health care services depends on a variety of factors, including your health insurance plan, Medicaid coverage, or if you qualify for federal, state, or local programs that help cover the cost of your care. We can help you understand your options. Give us a call at 1-800-769-0045 to learn more. 

No Surprise Act Notice

Your Right to a 'Good Faith Estimate'

You have the right to receive a ‘Good Faith Estimate’ explaining how much your medical care will cost.

Under the law, health care providers need to give patients who are self pay, or who don’t have certain types of health care coverage or who are not using certain types of health care coverage an estimate of their bill for the health care items and services before those items or services are provided.

You have the right to receive a good faith estimate for the total expected cost of any health care items or services upon request or when scheduling such items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

Your health care provider must give you a ‘Good Faith Estimate’ in writing for scheduled services at least one business day before your procedure. You can also ask your health care provider for a ‘Good Faith Estimate’ before you schedule an item or service

If you receive a bill that is at least $400 more than your good faith estimate, you can dispute the bill.

Make sure to save a copy or picture of your good faith estimate and the bill.

For questions or more information about your right to a good faith estimate, visit https://www.cms.gov/nosurprises, email [email protected], or call 1-800-985-3059.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.

Price List

This list contains the undiscounted costs for our most common health care services.  The price listed might be different than the amount you actually pay. For example, if you have health insurance, Medicaid, or qualify for discounted care your out-of-pocket costs might be much lower or even $0. Let us know if you’d like an estimate of your anticipated charges for your care. 

The list also includes CPT (Current Procedural Terminology) codes, which are a set of standardized codes to describe identical medical services among different health care providers. Because everyone uses the same codes to indicate the same services, CPT codes make it easier for you to understand and compare costs.   

Planned Parenthood is committed to quality, affordable health care. Please let us know if you have questions or need assistance covering the cost of your visit.

Evaluation & Management

99213
Office visit with a provider for a low level health concern, established patient
$199

99202
Office visit with a provider for a minor health concern, new patient 
$159

99212
Office visit with a provider for a minor health concern, established patient
$122

99395
Periodic wellness visit age 18-39, established patient
$258

99385
Periodic wellness visit age 18-39, new patient
$286

99214
Office visit with a provider for a moderate level health concern, established patient
$282

99396
Periodic wellness visit age 40-64, established patient
$275

99386
Periodic wellness visit age 40-64, new patient
$331

99203
Office visit with a provider for a low level health concern, new patient
$245

99204

Office visit with a provider for a moderate level health concern, new patient

$365

 

Surgery

36415
Venipuncture
$6

36416
Finger Stick
$6

11983
Implant Removal/Reinsertion
$ 384

59840
Induced abortion by dilation and curettage
Up to $1,300

58300
Insertion of intrauterine contraceptive device (IUD)
$229

11981
Insertion of contraceptive implant
$360

58301
Removal of intrauterine contraceptive device (IUD)
$239

11982
Removal of contraceptive implant
$252

59841
Induced abortion by dilation and evacuation
Up to $1,300

57500
Cervical biopsy
$285

57454
Colposcopy w/biopsy and ECC
$371

57455
Colposcopy w/biopsy
$353

55250
Vasectomy (not offered at all locations)
$764

 

Lab & Pathology

87491
Chlamydia
$50

87591
Gonorrhea
$50

81025
Urine pregnancy test
$17

86592
Syphilis
$9

87389
HIV 1/ HIV 2
$60

85018
Hemoglobin
$7

86901
RH (D) Blood Typing
$8

87210
Wet Mount
$12

88142
Pap test, thin layer
$50

86703
Rapid HIV Test
$40

Radiology

76817
OB transvaginal ultrasound
$221

76830
Non OB transvaginal ultrasound
$267

76815
OB pelvic ultrasound
$221

76857
Non OB pelvic ultrasound
$105

Medicine

96372
Injection, Subcutaneous or Intramuscular
$31

90471
Immunization administration
$37

90651
HPV Vaccine (Gardasil 9)
$375

99156
Moderate sedation, different provider
$95

90632
HEP A Vaccine
$135

90746
HEP B Vaccine
$118

This information is posted under legal requirements outlined in AS 18.23.400 and 7 AAC 86. 

CPT® Copyright 2020. American Medical Association. 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 or accuracy of any CPT codes.