Providence Kodiak Island Medical Ctr

Kodiak, AK · Critical Access Hospital

Posts prices for 42 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-04.

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ProcedurePosted cashPosted gross× Medicare
Breast lesion removal (open) (19120) $5,701.80 $7,310 1.3×
Shoulder arthroscopy with decompression (29826) $5,486.52 $7,034 —
Knee arthroscopy with meniscectomy (29881) $6,913.92 $8,864 1.9×
Upper GI endoscopy (EGD), diagnostic (43235)
range across 2 matching MRF lines
$2,129.40–$2,577.90 $2,730–$3,305 varies
Upper GI endoscopy (EGD) with biopsy (43239)
range across 2 matching MRF lines
$2,341.56–$3,115.32 $3,002–$3,994 varies
Diagnostic colonoscopy (45378)
range across 2 matching MRF lines
$2,143.44–$2,917.98 $2,748–$3,741 varies
Colonoscopy with biopsy (45380) $3,343.86 $4,287 2.5×
Colonoscopy with lesion removal (45385) $4,266.60 $5,470 3.2×
Laparoscopic gallbladder removal (47562) $11,117.34 $14,253 1.7×
Inguinal hernia repair (age 5+) (49505)
range across 2 matching MRF lines
$6,191.64–$6,906.90 $7,938–$8,855 varies
Epidural injection, lumbar/sacral (with imaging) (62322)
range across 2 matching MRF lines
$780–$1,661.40 $1,000–$2,130 varies
Transforaminal epidural injection, lumbar/sacral (64483) $2,262 $2,900 2.3×
CT head/brain without contrast (70450) $2,079.48 $2,666 17.9×
MRI brain without contrast (70551) $4,273.62 $5,479 16.1×
MRI brain with contrast (70552) $4,901.52 $6,284 12.7×
MRI brain without and with contrast (70553) $5,938.92 $7,614 15.3×
X-ray lower spine, 4+ views (72110) $783.12 $1,004 6.7×
MRI lumbar spine without contrast (72148) $3,650.40 $4,680 13.8×
CT pelvis with contrast (72193) $2,431.26 $3,117 12.5×
MRI lower-extremity joint without contrast (73721) $3,651.96 $4,682 13.8×
CT abdomen and pelvis with contrast (74177) $3,091.92 $3,964 8.0×
Ultrasound, abdomen complete (76700) $1,728.48 $2,216 14.9×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $1,102.92 $1,414 9.5×
Ultrasound, transvaginal (76830) $715.26 $917 6.2×
Mammography, one breast (diagnostic) (77065) $615.42 $789 7.1×
Mammography, both breasts (diagnostic) (77066) $677.82 $869 6.1×
Mammography, screening (bilateral) (77067) $559.26 $717 6.1×
Basic metabolic panel (80048) $381.42 $489 45.1×
Comprehensive metabolic panel (80053) $390.78 $501 37.0×
Lipid panel (80061)
range across 5 matching MRF lines
$12.48–$142.74 $16–$183 varies
Renal function panel (80069) $381.42 $489 43.9×
Hepatic function panel (80076)
range across 2 matching MRF lines
$14.04–$289.38 $18–$371 varies
PSA, total (84153)
range across 4 matching MRF lines
$120.90–$296.40 $155–$380 varies
Thyroid stimulating hormone (TSH) (84443)
range across 5 matching MRF lines
$15.60–$173.16 $20–$222 varies
CBC with automated differential (85025)
range across 4 matching MRF lines
$11.70–$214.50 $15–$275 varies
CBC, automated (85027)
range across 4 matching MRF lines
$18.72–$167.70 $24–$215 varies
Prothrombin time (PT) (85610)
range across 7 matching MRF lines
$17.94–$170.82 $23–$219 varies
Partial thromboplastin time (PTT) (85730)
range across 9 matching MRF lines
$7.02–$188.76 $9–$242 varies
Physical therapy, therapeutic exercise (per 15 min) (97110) $199.68 $256 6.9×
Office visit, new patient (low complexity, ~30 min) (99203)
range across 2 matching MRF lines
$745.68–$1,408.68 $956–$1,806 varies
Office visit, new patient (moderate complexity, ~45 min) (99204)
range across 2 matching MRF lines
$1,010.10–$2,633.28 $1,295–$3,376 varies
Office visit, new patient (high complexity, ~60 min) (99205)
range across 2 matching MRF lines
$1,081.86–$4,422.60 $1,387–$5,670 varies

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.

As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.

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Download the machine-readable file (JSON, 165.5 MB) ↓ — captured 2026-09-04

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