Supplies, drugs & other prices at Ketchikan Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
2d tte w or w/o fol w/con,fu (C8924) $584.35 $899 1.5×
Admin influenza virus vac (G0008)
range across 2 matching MRF lines
$34.45–$74.10 $53–$114 varies
Ca screen;flexi sigmoidscope (G0104) $965.90 $1,486 0.9×
Ca screen;pelvic/breast exam (G0101) $54.60 $84 0.5×
Catheterize for urine spec (P9612)
range across 2 matching MRF lines
$11.05–$52 $17–$80 varies
Chemo extend iv infus w/pump (G0498) $679.25 $1,045 1.9×
Colon ca scrn not hi rsk ind (G0121)
range across 2 matching MRF lines
$589.11–$965.90 $906.33–$1,486 varies
Colorectal scrn; hi risk ind (G0105) $965.90 $1,486 0.9×
Dental bitewings two images (D0272) $297.19 $457.22 3.1×
Diab manage trn per indiv (G0108)
range across 2 matching MRF lines
$69.55–$139.10 $107–$214 varies
Diab manage trn ind/group (G0109) $17.55 $27 1.1×
Direct refer hospital observ (G0379) $355.55 $547 0.5×
Drug test def 1-7 classes (G0480)
range across 2 matching MRF lines
$35.75–$205.40 $55–$316 varies
Elec stim other than wound (G0283) $76.05 $117 6.0×
Extraction erupted tooth/exr (D7140) $339.90 $522.92 0.5×
Facility svs dental rehab (G0330) $2,379.36 $3,660.56 0.6×
Fecal blood scrn immunoassay (G0328) $32.50 $50 1.8×
Home sleep test/type 3 porta (G0399) $261.95 $403 1.1×
Hospital outpt clinic visit (G0463)
range across 3 matching MRF lines
$42.25–$118.95 $65–$183 varies
Inj for sacroiliac jt anesth (G0260) $638.30 $982 0.8×
Intraoral occlusal film (D0240) $297.19 $457.22 3.1×
Intraoral periapical first (D0220) $339.90 $522.92 3.5×
Mra w/cont, abd (C8900) $1,306.50 $2,010 3.4×
Mra w/o cont, lwr ext (C8913) $524.55 $807 2.0×
Mra w/o fol w/cont, abd (C8902) $1,979.90 $3,046 5.1×
Mra w/o fol w/cont, pelvis (C8920) $2,795.65 $4,301 7.2×
Mra, w/o&w/dye, upper extr (C8936) $837.20 $1,288 2.2×
Mri w/o fol w/cont, breast, (C8908) $4,080.05 $6,277 10.5×
Njx bone sub matrl into subchondral bone defect (0707T)
range across 2 matching MRF lines
$1,730.51–$2,345.04 $2,662.33–$3,607.75 varies
Obtaining screen pap smear (Q0091) $74.10 $114 2.3×
Oth resp proc, indiv (G0238) $114.40 $176 3.6×
Post 1 srfc resinbased cmpst (D2391) $277.73 $427.27 0.4×
Post 2 srfc resinbased cmpst (D2392) $277.73 $427.27 0.4×
Prefab stnlss steel crwn pri (D2930) $339.90 $522.92 0.5×
Prolonged iv inf, req pump (C8957) $796.25 $1,225 3.4×
Psa screening (G0103) $86.45 $133 4.5×
Pulp cap indirect (D3120) $297.19 $457.22 0.4×
Resin three surfaces-anterio (D2332) $297.19 $457.22 0.4×
Therapeutic pulpotomy (D3220) $339.90 $522.92 0.5×
Tomosynthesis, mammo (G0279)
range across 2 matching MRF lines
$81.25–$117 $125–$180 varies
Trauma respons w/hosp criti (G0390) $2,356.90 $3,626 1.6×
Tte w or wo fol wcon,doppler (C8929) $1,707.55 $2,627 2.0×

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.