We have created an online fee schedule that you can use to find the price of an office based procedure for an AHN member. If you have any questions about using the online fee schedule or about the fees our members should be paying for their care, please call our care coordination department at 775.284.8989 ext. 528.
Out-Patient Surgeries and Procedures
Please do not use this fee schedule to price hospital or surgery center based procedures. Please contact our Care Coordination Department at 775.284.8989 ext. 528.
Office Visit Fees
The following are the AHN fees for office visits. These fees correspond to CPT codes 99201-99292.
Initial Visit – New Patient
| Tier 1 Member (T01) | Tier 2 Member (T02) | |
|---|---|---|
| Primary Care Provider | $70 | $80 |
| Specialty Care Provider | $150 | $160 |
Follow-Up Visit – Established Patient
| Tier 1 Member (T01) | Tier 2 Member (T02) | |
|---|---|---|
| Primary Care Provider | $50 | $55 |
| Specialty Care Provider | $75 | $80 |
Using the Online Fee Schedule
To price a procedure or lab service, please click the corresponding Pricing Tool link and follow these steps:
- On your keyboard, type CTRL + F
- This will populate a search box. Enter your CPT code in this box and key ENTER or click FIND.
- Your CPT code with corresponding pricing will then be pulled up
- If you do not get a price or you believe the price to inaccurate, please contact our Care Coordination Department at 775.284.8989 ext. 528
Fees Not Included in the Online Fee Schedule
Some of the fees associated with your practice may not be found in the online fee schedule. Please consult your MOU for information about these “carve out” rates or call our care coordination department at 775.284.8989 ext. 528.