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Providence Kodiak Island Medical Ctr

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

Not ratedCMS overall rating
35procedure prices published
Critical Access Hospitalshospital type

About this hospital

Hospital typeCritical Access Hospitals
OwnershipVoluntary Non-Profit - Church
Emergency servicesYes
CMS overall ratingNot rated
Facility ID (CCN)021306

Published prices

From this hospital's own machine-readable price file, last updated 2026-04-01. Cash price is the hospital's discounted cash price for self-pay patients. Typical insurance price is the median of the per-plan negotiated rates in the file. List price is the gross charge before any discount.

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ProcedureCash priceTypical insuranceList priceNegotiated range
MRI Brain Without Contrast$4,274-$5,479-
MRI Brain With and Without Contrast$5,939-$7,614-
MRI Lumbar Spine Without Contrast$3,650-$4,680-
MRI Cervical Spine Without Contrast$3,750-$4,808-
MRI Knee Without Contrast$3,652-$4,682-
MRI Shoulder Without Contrast$3,948-$5,061-
CT Abdomen and Pelvis With Contrast$3,092-$3,964-
CT Abdomen and Pelvis Without Contrast$2,021-$2,591-
CT Chest With Contrast$3,275-$4,199-
CT Head Without Contrast$2,079-$2,666-
Screening Mammogram$559-$717-
Echocardiogram (Complete)$3,350-$4,295-
Abdominal Ultrasound (Complete)$1,728-$2,216-
Pelvic Ultrasound$1,047-$1,342-
Chest X-Ray (2 Views)$716-$918-
Knee X-Ray (3 Views)$573-$735-
Comprehensive Metabolic Panel$391-$501-
Basic Metabolic Panel$381-$489-
Lipid Panel (Cholesterol)$12.48-$16.00-
Complete Blood Count (CBC)$214-$275-
Hemoglobin A1c$153-$196-
TSH (Thyroid) Test$173-$222-
Vitamin D Test$46.02-$59.00-
Colonoscopy (Diagnostic)$2,143-$2,748-
Colonoscopy With Biopsy$3,344-$4,287-
Colonoscopy With Polyp Removal$4,267-$5,470-
Upper Endoscopy (EGD) With Biopsy$2,342-$3,002-
Upper Endoscopy (EGD, Diagnostic)$2,129-$2,730-
Gallbladder Removal (Laparoscopic)$11,117-$14,253-
Knee Arthroscopy With Meniscus Repair$6,914-$8,864-
Inguinal Hernia Repair$6,907-$8,855-
Physical Therapy Evaluation$495-$634-
Emergency Room Visit, Level 3$1,737-$2,227-
Emergency Room Visit, Level 4$844-$1,082-
Emergency Room Visit, Level 5$5,454-$6,992-

Source file: hospital's machine-readable file. Rates vary by plan; the range covers the lowest and highest negotiated rates in the file.

Full price list

Every standard-coded charge in this hospital's price file: 2,988 items with a CPT, HCPCS or MS-DRG code. Search by code (for example 70551) or by name. Codes link to a comparison across hospitals where one exists.

CodeDescriptionCash priceTypical insuranceList priceNegotiated range
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