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PricedCare

Providence Kodiak Island Medical Ctr

1915 East Rezanof Drive, Kodiak, AK 99615 · (907) 486-3281

Critical Access HospitalsVoluntary non-profit - Church

Price file

Prices published

File dated 2026-04-01

224 price rows for 44 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048

$381
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177

$3,092
cash
CT scan of the head, no contrast

CPT 70450

$2,079
cash
CT scan of the pelvis, with contrast

CPT 72193

$2,431
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 9 lines

$37
cash
Colonoscopy (diagnostic)

CPT 45378 · lowest of 2 lines

$2,143
cash
Colonoscopy with biopsy

CPT 45380

$3,344
cash
Colonoscopy with polyp removal

CPT 45385

$4,267
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 4 lines

$12
cash
Comprehensive metabolic panel (blood test)

CPT 80053

$391
cash
Diagnostic mammogram (both breasts)

CPT 77066

$678
cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 4 lines

$782
cash
Gallbladder removal (laparoscopic)

CPT 47562

$11,117
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 8 lines

$37
cash
Inguinal hernia repair (age 5 and up)

CPT 49505 · lowest of 2 lines

$6,192
cash
Knee arthroscopy with meniscus repair

CPT 29881

$6,914
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 6 lines

$12
cash
Liver function panel

CPT 80076 · lowest of 2 lines

$14
cash
MRI of the brain, with and without contrast

CPT 70553

$5,939
cash
MRI of the knee or other lower joint, no contrast

CPT 73721

$3,652
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148

$3,650
cash
MRI of the neck (cervical spine), no contrast

CPT 72141

$3,750
cash
Nerve block injection, lower back, with imaging guidance

CPT 64483

$2,262
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 3 lines

$746
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 3 lines

$1,010
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 3 lines

$1,082
cash
PSA test (prostate)

CPT 84153 · lowest of 5 lines

$121
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 9 lines

$7
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 2 lines

$200
cash
Pregnancy ultrasound (after first trimester)

CPT 76805

$1,103
cash
Prostate biopsy

CPT 55700 · lowest of 4 lines

$1,256
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 7 lines

$18
cash
Removal of a breast lump (biopsy by excision)

CPT 19120

$5,702
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines

$559
cash
Shoulder arthroscopy with decompression

CPT 29826

$5,487
cash
Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 2 lines

$780
cash
Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 2 lines

$1,257
cash
TSH test (thyroid)

CPT 84443 · lowest of 5 lines

$16
cash
Transvaginal ultrasound

CPT 76830

$715
cash
Ultrasound of the abdomen (complete)

CPT 76700

$1,728
cash
Upper endoscopy (EGD)

CPT 43235 · lowest of 2 lines

$2,129
cash
Upper endoscopy with biopsy

CPT 43239 · lowest of 2 lines

$2,342
cash
Urinalysis with microscope

CPT 81001 · lowest of 3 lines

$157
cash
X-ray of the lower spine (4 or more views)

CPT 72110

$783
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.