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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 1-800-230-7526 to learn more. 

Estimating the Costs of Your Care

For Indiana Patients:

Let us know if you'd like a free estimate of the costs of your care. This estimate is good for 30 days and is our best guess of what you'll be charged. The estimate is not binding, and is not a guarantee of the final billed charges to you. Your final bill may be different from the estimate we give you for reasons such as complications, recommended treatment, and services ordered by your provider. If you ask for an estimate, we will give it to you within five business days.

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 straightforward health concern, established patient
$163

99202
Office visit with a provider for a straightforward health concern, new patient 
$166

99212
Office visit with a provider for a minor health concern, established patient
$98

99395
Periodic wellness visit age 18-39, established patient
$260

99385
Periodic wellness visit age 18-39, new patient
$289

99214
Office visit with a provider for a moderate health concern, established patient
$236

99396
Periodic wellness visit age 40-64, established patient
$277

99386
Periodic wellness visit age 40-64, new patient
$334

99203
Office visit with a provider for a moderate health concern, new patient
$237

Surgery

36415
Venipuncture
$6

36416
Finger Stick
$6

11983
Implant Removal/Reinsertion
$ 504

59840
Induced abortion by dilation and curettage
$564

58300
Insertion of intrauterine contraceptive device (IUD)
$162

11981
Insertion of contraceptive implant
$317

58301
Removal of intrauterine contraceptive device (IUD)
$210

11982
Removal of contraceptive implant
$354

59841
Induced abortion by dilation and evacuation
Up to $1,111

57454
Cervical biopsy
$331

 

Lab & Pathology

87491
Chlamydia
$50

87591
Gonorrhea
$50

81025
Urine pregnancy test
$20

86592
Syphilis
$9

87389
HIV 1/ HIV 2
$50

85018
Hemoglobin
$7

86901
RH (D) Blood Typing
$8

87210
Wet Mount
$12

88142
Pap test, thin layer
$42

86703
Rapid HIV Test
$38

Radiology

76817
OB transvaginal ultrasound
$221

76830
Non OB transvaginal ultrasound
$280

76815
OB pelvic ultrasound
$221

76857
Non OB pelvic ultrasound
$109

Medicine

96372
Injection, Subcutaneous or Intramuscular
$46

90471
Immunization administration
$46

90651
HPV Vaccine (Gardasil 9)
$250

99156
Moderate sedation, different provider
$95

90632
HEP A Vaccine
$72

90746
HEP B Vaccine
$65

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.