Imaging prices at Providence Kodiak Island Medical Ctr
Kodiak, AK · every code in this section with a posted price and a Medicare benchmark.
195 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $577.20 | $740 | 6.0× |
| Abdomen 2 views (74019) | $635.70 | $815 | 5.5× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$429.78–$473.46 | $551–$607 | varies |
| Bone age studies (77072) | $410.28 | $526 | 3.5× |
| Chest 1 view (71045) | $648.18 | $831 | 6.7× |
| Chest 2 views (71046) | $716.04 | $918 | 7.4× |
| Chest 3 views (71047) | $787.02 | $1,009 | 8.1× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $247.26 | $317 | 2.1× |
| Clavicle complete (73000) | $420.42 | $539 | 4.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $221.52 | $284 | 1.9× |
| CT abdomen and pelvis without and with contrast (74178) | $4,035.72 | $5,174 | 10.4× |
| CT abdomen and pelvis without contrast (74176) | $2,020.98 | $2,591 | 7.6× |
| CT abdomen w contrast (74160) | $2,953.86 | $3,787 | 15.2× |
| CT abdomen w wo contrast (74170) | $3,688.62 | $4,729 | 18.9× |
| CT abdomen w/o contrast (74150) | $2,553.72 | $3,274 | 22.0× |
| CT Angio Abdomen and Pelvis (74174) | $4,557.54 | $5,843 | 11.8× |
| CT Angio Chest (71275) | $3,485.82 | $4,469 | 17.9× |
| CT Angio Head (70496) | $3,669.12 | $4,704 | 18.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,344.64 | $4,288 | 17.2× |
| CT Angio Neck (70498) | $3,663.66 | $4,697 | 18.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $347.10 | $445 | 1.8× |
| CT cervical spine w/ contrast (72126) | $2,487.42 | $3,189 | 6.4× |
| CT cervical spine w/o contrast (72125) | $2,224.56 | $2,852 | 19.2× |
| CT chest w contrast (71260) | $3,275.22 | $4,199 | 16.8× |
| CT chest w/wo contrast (71270) | $3,603.60 | $4,620 | 18.5× |
| CT head/brain with contrast (70460) | $2,554.50 | $3,275 | 13.1× |
| CT head/brain without and with contrast (70470) | $2,613.78 | $3,351 | 13.4× |
| CT iac w contrast (70481) | $2,737.80 | $3,510 | 14.1× |
| CT lower ext w/o (73700) | $2,389.92 | $3,064 | 20.6× |
| CT lower extremity w/contrast material (73701) | $2,628.60 | $3,370 | 13.5× |
| CT lumbar spine w contrast (72132) | $2,846.22 | $3,649 | 7.4× |
| CT lumbar spine w/o contrast (72131) | $2,506.14 | $3,213 | 21.6× |
| CT maxillofacial w contrast (70487) | $2,334.54 | $2,993 | 12.0× |
| CT maxillofacial wo contrast (70486) | $2,056.86 | $2,637 | 17.7× |
| CT neck tissue combo (70492) | $3,077.88 | $3,946 | 15.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,921.88 | $3,746 | 15.0× |
| CT orbits w/o contrast (70480) | $2,383.68 | $3,056 | 20.5× |
| CT pelvis w&w/o contrast (72194) | $2,860.26 | $3,667 | 14.7× |
| CT pelvis w/o contrast (72192) | $2,073.24 | $2,658 | 17.9× |
| CT scans face/jaw combo (70488) | $2,818.14 | $3,613 | 14.5× |
| CT soft tissue neck w contrast (70491) | $2,457.78 | $3,151 | 12.6× |
| CT soft tissue neck w/o contrast (70490) | $2,066.22 | $2,649 | 17.8× |
| CT thoracic spine w contrast (72129) | $3,090.36 | $3,962 | 15.9× |
| CT thoracic spine w/o contrast (72128) | $2,809.56 | $3,602 | 24.2× |
| CT thorax w/o contrast (71250) | $2,978.04 | $3,818 | 25.7× |
| CT upper ext wo (73200) | $2,389.92 | $3,064 | 20.6× |
| CT upper extremity w/o & w/contrast material (73202) | $347.10 | $445 | 1.8× |
| CT upper extremity with contrast (73201) | $2,801.76 | $3,592 | 7.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $5,043.48 | $6,466 | 25.9× |
| Cta Abdomen (74175) | $4,158.96 | $5,332 | 21.4× |
| CTA pelvis (72191) | $1,364.22 | $1,749 | 7.0× |
| Dxa Bone Density Axial (77080) | $561.60 | $720 | 4.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $318.24 | $408 | 3.3× |
| Echo exam uterus (76831) | $1,297.92 | $1,664 | 4.9× |
| Esophagram (74220) | $1,114.62 | $1,429 | 5.7× |
| Fetal Biophys Profile W/Nst (76818) | $1,711.32 | $2,194 | 14.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,556.10 | $1,995 | 13.4× |
| Fluoroscopy up to 1 hr (76000) | $697.32 | $894 | 2.6× |
| Foot 2 views (73620) | $438.36 | $562 | 4.5× |
| Forearm 2 views (73090) | $510.90 | $655 | 5.3× |
| Hand 2 views (73120) | $657.54 | $843 | 5.7× |
| Hysterosalpingogram (74740) | $606.84 | $778 | 2.3× |
| Joint Survey Single View (77077) | $393.90 | $505 | 3.4× |
| Knee 3 Views (73562) | $573.30 | $735 | 5.9× |
| Magnetic Image Jaw Joint (70336) | $3,084.90 | $3,955 | 11.6× |
| Mra Head W/O & W/Contrast Material (70546) | $5,741.58 | $7,361 | 14.8× |
| MRA head w/o contrast (70544) | $3,430.44 | $4,398 | 13.0× |
| MRA neck w contrast (70548) | $4,036.50 | $5,175 | 10.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $5,082.48 | $6,516 | 13.1× |
| MRA neck w/o contrast (70547) | $3,354 | $4,300 | 12.7× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$4,839.12–$5,203.38 | $6,204–$6,671 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $4,340.70 | $5,565 | 5.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $5,782.14 | $7,413 | 14.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $4,343.04 | $5,568 | 5.0× |
| MRI cervical spine w/o cont (72141) | $3,750.24 | $4,808 | 14.2× |
| MRI chest w/o contrast (71550) | $3,338.40 | $4,280 | 12.6× |
| MRI chest wo w contrast (71552) | $5,146.44 | $6,598 | 13.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $5,782.14 | $7,413 | 14.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,947.58 | $5,061 | 14.9× |
| MRI lumbar spine w contrast (72149) | $3,841.50 | $4,925 | 9.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $5,938.92 | $7,614 | 15.3× |
| MRI orbit face &/neck w/o contrast (70540) | $3,173.04 | $4,068 | 12.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $5,525.52 | $7,084 | 14.3× |
| MRI pelvis w/o & w contrast (72197) | $5,389.02 | $6,909 | 13.9× |
| MRI pelvis w/o contrast (72195) | $3,338.40 | $4,280 | 12.6× |
| MRI thoracic spine w/o contrast (72146) | $3,650.40 | $4,680 | 13.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,947.58 | $5,061 | 14.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $5,782.14 | $7,413 | 14.9× |
| MRI, abdomen, combo (74183) | $6,296.16 | $8,072 | 16.3× |
| MRI, dorsal spine combo (72157) | $5,782.14 | $7,413 | 14.9× |
| MRI, dorsal spine contrast (72147) | $3,841.50 | $4,925 | 9.9× |
| MRI, joint upper extrem (73221) | $3,947.58 | $5,061 | 14.9× |
| MRI, joint upper extrem combo (73223) | $5,782.14 | $7,413 | 14.9× |
| MRI, lumbar spine combo (72158) | $5,782.14 | $7,413 | 14.9× |
| Neck soft tissue (70360) | $499.98 | $641 | 5.2× |
| Pelvis 1 or 2 views (72170) | $438.36 | $562 | 3.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,038.18 | $1,331 | 8.9× |
| Radex Ankle Complete Minimum 3 Views (73610) | $609.96 | $782 | 6.3× |
| Radex Calcaneus Minimum 2 Views (73650) | $471.12 | $604 | 4.9× |
| Radex elbow complete minimum 3 views (73080) | $593.58 | $761 | 6.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $810.42 | $1,039 | 7.0× |
| Radex fingr minimum 2 views (73140) | $438.36 | $562 | 4.5× |
| Radex foot complete minimum 3 views (73630) | $609.96 | $782 | 6.3× |
| Radex Hand Minimum 3 Views (73130) | $789.36 | $1,012 | 8.2× |
| Radex lower extremity infant minimum 2 views (73592) | $401.70 | $515 | 4.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $542.10 | $695 | 5.6× |
| Radex Ribs Unilateral 2 Views (71100) | $438.36 | $562 | 4.5× |
| Radex shoulder complete minimum 2 views (73030) | $735.54 | $943 | 7.6× |
| Radex Sinuses Paransl < 3 Views (70210) | $554.58 | $711 | 5.7× |
| Radex Spine 1 View Specify Level (72020) | $372.84 | $478 | 3.9× |
| Radex Sternum Minimum 2 Views (71120) | $707.46 | $907 | 7.3× |
| Radex Toe Minimum 2 Views (73660) | $504.66 | $647 | 5.2× |
| Radex upper extremity infant minimum 2 views (73092) | $401.70 | $515 | 3.5× |
| Radex Wrist Complete Minimum 3 Views (73110) | $550.68 | $706 | 5.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $627.12 | $804 | 5.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $207.48 | $266 | 1.8× |
| Radiologic exam colon double contrast study (74280) | $1,365 | $1,750 | 7.0× |
| Radiologic exam colon single contrast study (74270) | $1,162.20 | $1,490 | 6.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,209.78 | $1,551 | 6.2× |
| Radiologic exam knee complete 4/more views (73564) | $766.74 | $983 | 6.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $573.30 | $735 | 4.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $925.86 | $1,187 | 4.8× |
| Radiologic exam swallow function contrast study (74230) | $1,114.62 | $1,429 | 5.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,194.96 | $1,532 | 6.1× |
| Radiologic examination femur minimum 2 views (73552) | $875.16 | $1,122 | 9.1× |
| Radiologic examination knee 1/2 views (73560) | $506.22 | $649 | 5.2× |
| Radiologic Examination Osseous Survey Limited (77074) | $1,102.14 | $1,413 | 9.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $613.86 | $787 | 6.4× |
| Ribs bilateral 3 views (71110) | $735.54 | $943 | 6.3× |
| Scapula (73010) | $420.42 | $539 | 3.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $411.84 | $528 | 17.6× |
| Shoulder 1 view (73020) | $602.16 | $772 | 6.2× |
| Shoulder Arthrography (73040) | $2,129.40 | $2,730 | 5.5× |
| Skull less than 4 views (70250) | $622.44 | $798 | 5.4× |
| Sternoclavicular joints (71130) | $171.60 | $220 | 1.8× |
| Thoracic spine 2 views (72070) | $659.88 | $846 | 5.7× |
| Thoracic spine 3 views (72072) | $698.88 | $896 | 6.0× |
| Thoracolumbar 2 views (72080) | $735.54 | $943 | 7.6× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$489.06–$562.38 | $627–$721 | varies |
| Ultrasound Exam Aaa Screen (76706) | $1,184.82 | $1,519 | 10.2× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$643.50–$740.22 | $825–$949 | varies |
| Umbilical-artery Doppler (OB) (76820) | $461.76 | $592 | 4.0× |
| Unlisted us procedure (76999) | $234.78 | $301 | 2.4× |
| Upper gi w/o kub (74240) | $1,194.96 | $1,532 | 6.1× |
| Urethrocystography retrograde (74450) | $510.12 | $654 | 1.9× |
| Us breast unilateral complete (76641) | $562.38 | $721 | 4.8× |
| Us chest (76604) range across 2 matching MRF lines |
$496.08–$570.18 | $636–$731 | varies |
| Us complete joint (76881) | $906.36 | $1,162 | 7.8× |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$398.58–$458.64 | $511–$588 | varies |
| Us kidney transplant (76776) | $673.92 | $864 | 5.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$507–$583.44 | $650–$748 | varies |
| Us ob detailed single fetus (76811) | $471.12 | $604 | 1.8× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$286.26–$382.98 | $367–$491 | varies |
| Us ob transvaginal (76817) | $740.22 | $949 | 6.4× |
| Us pelvic non ob complete (76856) | $1,046.76 | $1,342 | 9.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,046.76 | $1,342 | 9.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $701.22 | $899 | 6.0× |
| Us retroperitoneal complete (76770) | $1,304.94 | $1,673 | 11.2× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$987.48–$1,135.68 | $1,266–$1,456 | varies |
| Us scrotum and contents (76870) | $1,180.14 | $1,513 | 10.2× |
| Us thyroid (76536) range across 2 matching MRF lines |
$1,203.54–$1,383.72 | $1,543–$1,774 | varies |
| Us transrectal (76872) | $1,394.64 | $1,788 | 12.0× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$421.20–$463.32 | $540–$594 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $581.88 | $746 | 6.0× |
| X-Ray Bend Only L-S Spine (72120) | $224.64 | $288 | 1.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $517.14 | $663 | 5.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $552.24 | $708 | 5.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $1,105.26 | $1,417 | 9.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $207.48 | $266 | 1.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $419.64 | $538 | 4.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $840.06 | $1,077 | 8.7× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $1,255.80 | $1,610 | 10.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $629.46 | $807 | 5.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,255.80 | $1,610 | 10.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,886.04 | $2,418 | 16.3× |
| X-Ray Exam L-S Spine Bending (72114) | $879.06 | $1,127 | 7.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $612.30 | $785 | 6.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,162.98 | $1,491 | 10.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $621.66 | $797 | 5.4× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$492.96–$509.34 | $632–$653 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $273.78 | $351 | 2.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $659.88 | $846 | 5.7× |
| X-ray nose-rectum child f.b. (76010) | $173.94 | $223 | 1.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $207.48 | $266 | 1.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $554.58 | $711 | 4.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $517.14 | $663 | 5.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $760.50 | $975 | 7.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $228.54 | $293 | 2.0× |
| X-Ray Stress View (77071) | $171.60 | $220 | 1.8× |
| X-ray thoracic spine 4 vw (72074) | $737.88 | $946 | 6.4× |
| X-Rays Bone Length Studies (77073) | $615.42 | $789 | 5.3× |
| X-Rays Bone Survey Complete (77075) | $1,652.04 | $2,118 | 14.2× |
| Xr c-spine 4 or 5 views (72050) | $928.20 | $1,190 | 8.0× |
| Xr facial bones less than 3 views (70140) | $185.64 | $238 | 1.9× |
| Xr orbits complete 4 views (70200) | $207.48 | $266 | 1.8× |
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.