Health Care Services
Price Transparency List
-
The undiscounted prices for health care services described in this list may be higher or lower than the amount an individual will pay.
​​
-
You will be provided with an estimate of anticipated charges for our nonemergency care upon request. Please do not hesitate to ask for more information.
​​
-
Preferred health care insurers (as defined in AS 21.54.500): Premera Blue Cross Blue Shield, Aetna, Cigna, United Healthcare, Moda, and TriWest. (as defined in AS 21.54.500)
​​
-
CPT® Copyright 2025. 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.
CPT Code
99202
New Patient level 2
$270.00
99203
New Patient level 3
$310.00
99204
New Patient level 4
$490.00
99205
New Patient level 5
$610.00
99211
Established Patient nurse visit
$85.00
99212
Established Patient level 2
$150.00
99213
Established Patient level 3
$230.00
99214
Established Patient level 4
$330.00
99215
Established Patient level 5
$435.00
97810
Acupuncture, 1 or more needles. Initial15 mins
$130.00
97811
Acupuncture, 1 or more needles. Each addt'l 15 mins
$100.00
97813
Acupuncture, 1 or more needles, w/ electrircal stimulation. Initial 15 mins
$145.00
97814
Acupuncture, 1 or more needles, w/ electrircal stimulation. Each addt'l 15 mins
$120.00
97140
Manual therapy techniques. Each 15min
$100.00
58300
IUD, Insertion of
$490.00
58301
IUD, Removal of
$500.00
20552
TRIGGER POINT INJ 1-2 MUSCLES, SINGLE OR MULTIPLE
$290.00
20553
TRIGGER POINT INJ 3+ MUSCLES, SINGLE OR MULTIPLE
$335.00
20605
ARTHROCENTESIS, ASPIRATION AND/OR INJ INTERMEDIATE JOINT OR BURSA W/O US
$260.00
20610
ARTHROCENTESIS, ASPIRATION AND/OR INJ MAJOR BURSA OR BURSA W/O US
$315.00
11200
REMOVAL OF SKIN TAGS
$495.00
11201
REMOVE SKIN TAGS ADD-ON
$105.00
90791
Psych diagnostic evaluation
$398.00
90792
Psych diagnostic evaluation w/ medical services
$445.00
90832
PSYTX W PT 30 MINUTES
$200.00
90833
PSYTX W PT W E/M 30 MIN
$230.00
90834
PSYTX W PT 45 MINUTES
$270.00
90836
PSYTX W PT W E/M 45 MIN
$260.00
90837
PSYTX W PT 60 MINUTES
$350.00
90838
PSYTX W PT W E/M 60 MIN
$320.00
90853
GROUP PSYCHOTHERAPY
$85.00
Notice: Prices to increase by 10% beginning August 25, 2025.