Supplies, drugs & other prices at Alaska Native Medical Center

Anchorage, AK · every code in this section with a posted price and a Medicare benchmark.

88 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
2019-ncov diagnostic p (U0001) $47 $47 1.3×
Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T)
range across 2 matching MRF lines
$6,728–$6,894 $6,728–$6,894 varies
Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T)
range across 2 matching MRF lines
$12,092–$12,390 $12,092–$12,390 varies
Admin hepatitis b vaccine (G0010) $34 $34 0.7×
Admin influenza virus vac (G0008) $158 $158 3.0×
Admin pneumococcal vaccine (G0009) $182 $182 3.5×
Arthro/shoul surg; w/spacer (C9781) $13,214 $13,214 0.9×
Bia whole body composition assessment w/i&r (0358T)
range across 2 matching MRF lines
$49–$333 $49–$333 varies
Ca screen;flexi sigmoidscope (G0104)
range across 2 matching MRF lines
$427–$1,107 $427–$1,107 varies
Cardiokymography (Q0035)
range across 2 matching MRF lines
$43–$44 $43–$44 varies
Catheterize for urine spec (P9612) $52 $52 5.6×
Colon ca scrn not hi rsk ind (G0121)
range across 2 matching MRF lines
$1,603–$2,010 $1,603–$2,010 varies
Colorectal scrn; hi risk ind (G0105)
range across 2 matching MRF lines
$2,094–$3,120 $2,094–$3,120 varies
Covid-19 lab test non-cdc (U0002) $72 $72 1.4×
Devlopment test interpt&rep (G0451) $31 $31 0.3×
Diab manage trn per indiv (G0108)
range across 2 matching MRF lines
$171–$246 $171–$246 varies
Diab manage trn ind/group (G0109)
range across 2 matching MRF lines
$66–$163 $66–$163 varies
Drug test def 1-7 classes (G0480)
range across 2 matching MRF lines
$540–$582 $540–$582 varies
Drug test def 15-21 classes (G0482) $821 $821 4.1×
Drug test def 22+ classes (G0483) $1,063 $1,063 4.3×
Drug test def 8-14 classes (G0481) $610 $610 3.9×
Egd flexible transnasal w/insj intral tube/cath (0654T)
range across 2 matching MRF lines
$5,615–$6,933 $5,615–$6,933 varies
Elec stim other than wound (G0283) $143 $143 11.3×
Elec stim unattend for press (G0281) $144 $144 12.3×
Esophag muc integ w/eso egd (C9777)
range across 2 matching MRF lines
$6,933–$8,050 $6,933–$8,050 varies
Ev Catheter Dir Chem Abltj Incmptnt Xtr Vein (0524T) $5,830 $5,830 1.7×
Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS), including muscularis propria (ie,… (0184T)
range across 2 matching MRF lines
$10,401–$10,953 $10,401–$10,953 varies
Fern test (Q0114)
range across 2 matching MRF lines
$94–$114 $94–$114 varies
Followup eval of foot pt lop (G0246)
range across 2 matching MRF lines
$95–$207 $95–$207 varies
Fractional abl lsr fenestration first 100 sqcm (0479T) $1,137 $1,137 1.4×
Glaucoma scrn hgh risk direc (G0118) $69 $69 1.7×
Glaucoma scrn hgh risk direc (G0117) $51 $51 1.6×
Glyca nuc mr spectroscopy quantitative (0024U) $24 $24 0.7×
Heart Symp Image Plnr (0331T) $2,598 $2,598 1.8×
Home sleep test/type 2 porta (G0398)
range across 2 matching MRF lines
$1,121–$1,135 $1,121–$1,135 varies
Home sleep test/type 3 porta (G0399)
range across 2 matching MRF lines
$511–$1,132 $511–$1,132 varies
Home sleep test/type 4 porta (G0400)
range across 2 matching MRF lines
$367–$1,121 $367–$1,121 varies
Hospital outpt clinic visit (G0463) $312 $312 2.1×
Initial foot exam pt lops (G0245) $243 $243 1.6×
Initial preventive exam (G0402) $243 $243 1.6×
Insertion of sinus tarsi implant (0335T) $12,946 $12,946 1.6×
Insertion wrls car stimulator lv pacg compl sys (0515T) $44,656 $44,656 1.8×
Insertion/Replacement Complete Iims (0525T) $20,214 $20,214 0.9×
Insertion/Replacement Iims Electrode Only (0526T) $15,975 $15,975 1.7×
Insertion/Replacement Iims Implantable Mntr Only (0527T) $15,975 $15,975 1.7×
Insj ant sgm drg dev trab mw w/o res&ctrc rmvl1+ (0671T)
range across 2 matching MRF lines
$4,274–$4,505 $4,274–$4,505 varies
Insj ocular telescope prosth (0308T) $35,403 $35,403 1.9×
Insj Wcs Lv Eltrd Only (0516T) $15,975 $15,975 1.4×
Insj Wcs Lv Pg Compnt (0517T) $15,975 $15,975 1.4×
Interrog dev eval iims ip (0529T) $70 $70 1.7×
Interrog Dev Eval Wrls Car Stimulator in Person (0521T)
range across 2 matching MRF lines
$46–$49 $46–$49 varies
Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg,… (0263T) $8,914 $8,914 1.8×
Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg,… (0264T) $8,914 $8,914 1.8×
Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg,… (0265T) $8,914 $8,914 1.8×
Myocrd Symp Innervaj Img Plnr Qual&Quant W/Spect (0332T) $2,598 $2,598 1.8×
Njx platelet plasma (0232T)
range across 2 matching MRF lines
$739–$884 $739–$884 varies
Obtaining screen pap smear (Q0091) $96 $96 3.0×
Onc thyr 10 microrna seq +/- rslt mod hi rsk mal (0018U) $1,986 $1,986 0.7×
Pathogen test for platelets (P9100) $150 $150 2.3×
Pattern erg w/i&r (0509T)
range across 2 matching MRF lines
$548–$700 $548–$700 varies
Pelvic ring fracture uni/bil (G0413)
likely a partial charge, not the full procedure
$1,294 $1,294 0.2×
Perc d-e cor revasc chro sin (C9607)
likely a partial charge, not the full procedure
$4,906 $4,906 0.2×
Perc d-e cor revasc t cabg s (C9604)
likely a partial charge, not the full procedure
$3,620 $3,620 0.3×
Perc d-e cor stent ather s (C9602)
likely a partial charge, not the full procedure
$5,414 $5,414 0.3×
Perc drug-el cor stent sing (C9600)
unusually low: confirm this is the full procedure
$4,872 $4,872 0.4×
Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without… (0274T) $12,694 $12,694 1.6×
Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone… (0221T) $4,605 $4,605 0.6×
Ppps, initial visit (G0438) $252 $252 1.4×
Ppps, subseq visit (G0439) $194 $194 1.4×
Prgrmg dev eval iims ip (0528T) $70 $70 1.7×
Prgrmg device eval wrls car stimulator in person (0522T)
range across 2 matching MRF lines
$66–$70 $66–$70 varies
Quan CT tiss charac i&r w/cncrnt CT exam (0722T) $2,035 $2,035 2.9×
Removal complete iims (0530T) $6,559 $6,559 1.6×
Removal iims electrode only (0531T) $6,559 $6,559 1.6×
Removal iims implt mntr only (0532T) $33,724 $33,724 8.1×
Rmvl & Rplcmt Pg Compnt Wcs (0519T) $6,559 $6,559 0.6×
Rmvl Pg Compnt Wcs (0518T) $6,559 $6,559 1.6×
Rmvl&Rplcmt Pg Wcs New Eltrd (0520T) $44,656 $44,656 3.8×
Routine footcare pt w lops (G0247)
range across 2 matching MRF lines
$223–$818 $223–$818 varies
Therapeutic apheresis with selective HDL delipidation and plasma reinfusion (0342T) $18,063 $18,063 3.7×
Transcatheter Renal Sympath Denervation Bilat (0339T) $10,207 $10,207 1.6×
Transcatheter renal sympath denervation unilat (0338T) $10,207 $10,207 1.6×
Trauma respons w/hosp criti (G0390)
range across 4 matching MRF lines
$3,376–$10,405 $3,376–$10,405 varies
Trim nail(s) (G0127)
range across 2 matching MRF lines
$162–$240 $162–$240 varies
Trnscut elect modlation pain reproces ea tx sess (0278T) $259 $259 1.8×
Visit to determ ldct elig (G0296)
range across 3 matching MRF lines
$126–$417 $126–$417 varies
Visual Field Assessment Tech Support W/Instruct (0379T)
range across 2 matching MRF lines
$67–$332 $67–$332 varies
Wet mounts/ w preparations (Q0111) $169 $169 9.1×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.