Visits & medical services prices at Providence Kodiak Island Medical Ctr
Kodiak, AK · every code in this section with a posted price and a Medicare benchmark.
132 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Actinotherapy Ultraviolet Light (96900) | $142.74 | $183 | 3.4× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $19.50 | $25 | 0.4× |
| Airway Inhalation Treatment (94640) | $356.46 | $457 | 1.5× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) | $399.36 | $512 | 1.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $199.68 | $256 | 13.9× |
| Behavral qualit analys voice (92524) | $586.56 | $752 | 5.4× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $174.72 | $224 | 2.1× |
| Bfb training ea addl 15 min (90913) | $174.72 | $224 | 5.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$94.38–$1,472.64 | $121–$1,888 | varies |
| Canalith repositioning proc (95992) | $336.18 | $431 | 8.2× |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$358.02–$2,119.26 | $459–$2,717 | varies |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$1,423.50–$2,493.66 | $1,825–$3,197 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$1,976.52–$2,530.32 | $2,534–$3,244 | varies |
| Chemo Admin Peritoneal Cavity (96446) | $1,932.84 | $2,478 | 5.3× |
| Chemo Anti-Neopl Sq/Im (96401) | $739.44 | $948 | 9.3× |
| Chemo Hormon Antineopl Sq/Im (96402) | $405.60 | $520 | 5.1× |
| Chemo IV infusion addl hr (96415) | $862.68 | $1,106 | 10.8× |
| Chemo IV push addl drug (96411) | $776.88 | $996 | 9.7× |
| Chemother Prolong Infuse W/Pump (96416) | $2,068.56 | $2,652 | 5.6× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $929.76 | $1,192 | 11.6× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $1,027.26 | $1,317 | 2.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $1,159.86 | $1,487 | 3.2× |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$208.26–$250.38 | $267–$321 | varies |
| Color/duplex Doppler, complete (93975) | $1,698.06 | $2,177 | 6.4× |
| Color/duplex Doppler, limited (93976) | $671.58 | $861 | 5.8× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $2,612.22 | $3,349 | 10.7× |
| Cpt initial (94667) | $333.84 | $428 | 2.3× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$2,012.40–$8,957.52 | $2,580–$11,484 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $586.56 | $752 | 2.6× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,305.72 | $1,674 | 4.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,769.04 | $2,268 | 6.7× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $1,435.20 | $1,840 | 12.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,640.34 | $2,103 | 6.2× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,371.24 | $1,758 | 11.8× |
| Duplex Scan Hemodialysis Access (93990) | $208.26 | $267 | 1.8× |
| Duplex up extrem art bilat (93930) | $542.10 | $695 | 2.0× |
| Duplex up extrem art unilat/ltd (93931) | $718.38 | $921 | 6.2× |
| Echo Congenital Complete (93303) range across 2 matching MRF lines |
$471.12–$1,841.58 | $604–$2,361 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$325.26–$1,095.90 | $417–$1,405 | varies |
| Electrical Stimulation Ea 15 Min (97032) | $199.68 | $256 | 13.6× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$63.96–$840.84 | $82–$1,078 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$444.60–$925.08 | $570–$1,186 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$663–$1,737.06 | $850–$2,227 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$843.96–$3,245.58 | $1,082–$4,161 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$177.84–$663.78 | $228–$851 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$1,560.78–$5,453.76 | $2,001–$6,992 | varies |
| Evaluate pt use of inhaler (94664) | $373.62 | $479 | 1.5× |
| Evaluate Speech Production (92522) | $586.56 | $752 | 5.2× |
| Evaluate Swallowing Function (92610) | $551.46 | $707 | 6.5× |
| Evaluation of speech fluency (92521) | $586.56 | $752 | 4.4× |
| Extracranial Bilat Study (93880) | $1,418.04 | $1,818 | 5.4× |
| Group Therapeutic Procedures (97150) | $301.08 | $386 | 16.7× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $79.56 | $102 | 1.0× |
| Immunization administration (90471) range across 6 matching MRF lines |
$17.94–$96.72 | $23–$124 | varies |
| Inital newborn e/m (99460) | $855.66 | $1,097 | 5.8× |
| Iontophoresis 15 min (97033) | $199.68 | $256 | 10.5× |
| Irrig Drug Delivery Device (96523) | $320.58 | $411 | 4.9× |
| IV infusion hydration each additional hour (96361) | $289.38 | $371 | 5.6× |
| IV infusion hydration initial 31 min-1 hour (96360) | $888.42 | $1,139 | 3.8× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $598.26 | $767 | 7.5× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $535.08 | $686 | 10.3× |
| IV push initial (96374) | $685.62 | $879 | 2.9× |
| Mechanical chest wall oscillation per session (94669) | $396.24 | $508 | 1.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $64.74 | $83 | 2.0× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $77.22 | $99 | 2.1× |
| Motion Fluoroscopy/Swallow (92611) | $1,240.20 | $1,590 | 13.6× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) | $689.52 | $884 | 1.4× |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$400.92–$843.96 | $514–$1,082 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$539.76–$741 | $692–$950 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $779.22 | $999 | 1.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$351.78–$539.76 | $451–$692 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $779.22 | $999 | 1.7× |
| Neuromuscular Reeducation (97112) | $199.68 | $256 | 6.1× |
| Newborn resuscitation (99465) | $1,363.44 | $1,748 | 1.9× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $270.66 | $347 | 1.8× |
| Oral Function Therapy (92526) | $390.78 | $501 | 4.6× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $199.68 | $256 | 4.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $220.74 | $283 | 4.8× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $225.42 | $289 | 9.4× |
| Ot Contrast Bath Ea 15 Min (97034) | $199.68 | $256 | 14.2× |
| Ot eval high complexity (97167) | $598.26 | $767 | 6.0× |
| Ot Eval Low Complex (97165) | $494.52 | $634 | 4.9× |
| Ot Eval Moderate Complexity (97166) | $543.66 | $697 | 5.4× |
| Ot manual therapy 15 min (97140) | $199.68 | $256 | 7.2× |
| Ot Re-Eval Est Plan Care (97168) | $446.94 | $573 | 6.5× |
| Patch/Application Test Specify Number Tests (95044) | $85.02 | $109 | 0.1× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$226.20–$414.18 | $290–$531 | varies |
| Physical Performance Test (97750) | $209.04 | $268 | 6.2× |
| Plethysmography (94726) range across 2 matching MRF lines |
$109.20–$544.44 | $140–$698 | varies |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $199.68 | $256 | 5.3× |
| Pt Eval High Complex (97163) | $598.26 | $767 | 6.1× |
| Pt eval low complex 20 min (97161) | $494.52 | $634 | 5.1× |
| Pt Eval Mod Complex (97162) | $543.66 | $697 | 5.6× |
| Pt gait training 15 min (97116) | $199.68 | $256 | 6.9× |
| Pt mechanical traction (97012) | $199.68 | $256 | 13.9× |
| Pt Re-Eval Est Plan Care (97164) | $446.94 | $573 | 6.6× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $64.74 | $83 | 1.6× |
| Pulmonary service/procedure (94799) | $583.44 | $748 | 4.1× |
| Pulmonary Stress Testing (94618) | $336.18 | $431 | 2.3× |
| Pure Tone Audiometry Air (92552) | $558.48 | $716 | 3.8× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $2,213.64 | $2,838 | 6.0× |
| Refill/Maint Pump/Resvr Syst (96522) | $402.48 | $516 | 1.7× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $311.22 | $399 | 2.1× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $840.84 | $1,078 | 12.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$351.78–$496.08 | $451–$636 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $496.86 | $637 | 4.1× |
| Self Care Mngment Training (97535) | $209.04 | $268 | 6.5× |
| Slp caregiver training 1st 30 min (97550) | $184.86 | $237 | 3.5× |
| Speech sound lang comprehen (92523) | $586.56 | $752 | 2.6× |
| Spirometry (94010) | $741 | $950 | 3.1× |
| Standardized Cognitive Performance Testing (96125) | $507 | $650 | 4.9× |
| Subcutaneous Infusion Each Additional Hour (96370) | $109.20 | $140 | 2.1× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $531.96 | $682 | 2.3× |
| Subq Infusion Additional Pump Infusion Site (96371) | $173.94 | $223 | 2.2× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$397.02–$1,276.86 | $509–$1,637 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $149.76 | $192 | 6.7× |
| Ther Ivntj Ea Addl 15 Min (97130) | $149.76 | $192 | 7.1× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $191.10 | $245 | 6.4× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $166.92 | $214 | 1.6× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $109.20 | $140 | 2.1× |
| Ther/Proph/Diag Inj Ia (96373) | $531.96 | $682 | 2.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$115.44–$275.34 | $148–$353 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $968.76 | $1,242 | 4.1× |
| Therapeutic Activities (97530) | $199.68 | $256 | 5.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $114.66 | $147 | 2.8× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$677.82–$3,350.10 | $869–$4,295 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $518.70 | $665 | 6.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $385.32 | $494 | 7.4× |
| Upr/L Xtremity Art 2 Levels (93922) | $950.04 | $1,218 | 6.4× |
| Vent Mgmt Inpat Init Day (94002) | $5,325.84 | $6,828 | 7.8× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $4,885.14 | $6,263 | 7.1× |
| Wheelchair Mgmt Ea 15 Min (97542) | $184.08 | $236 | 5.9× |
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.