Hospital Profile
Critical Access Hospitals Voluntary non-profit - Church
Providence Kodiak Island Medical Ctr
1915 E REZANOF DR, Kodiak, AK 99615
CMS Overall Rating No CMS Rating
Factual Overview
Providence Kodiak Island Medical Ctr is a Critical Access Hospitals (Voluntary non-profit - Church) operating in Kodiak, AK. Mapped commercial insurance prices across 85 procedures average N/A the Medicare baseline. CMS has not published a quality star rating for this facility.
Facility Overview
Setting: rural Bed Count: 24 Beds Teaching Status: Non-Teaching Annual Discharges: 607
Patient Experience
Recommendation Rate: 73% High Patient Rating: 74% ER Wait Time (Med): 109 min Readmission Rate: same
Pricing & Transparency
Procedures Mapped: 85 codes Avg Markup vs Medicare: N/A Price File In Index: Yes MRF Version: 3.0.0
| Procedure & Code | Cash Price | Actions |
|---|---|---|
| Breast lump removal CPT Code: 19120 | $5,702 | — |
| Bunion correction surgery CPT Code: 28296 | $5,805 | — |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $6,914 | — |
| Blood transfusion CPT Code: 36430 | $729 | — |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | Contact Desk | — |
| Upper endoscopy with biopsy CPT Code: 43239 | $2,728 | — |
| Colonoscopy (diagnostic) CPT Code: 45378 | $2,531 | — |
| Colonoscopy with biopsy CPT Code: 45380 | $3,344 | — |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $11,117 | — |
| Inguinal hernia repair CPT Code: 49505 | $6,549 | — |
| CT scan, head (no contrast) CPT Code: 70450 | $2,079 | — |
| CT scan, head (with contrast) CPT Code: 70460 | $2,554 | — |
| CT scan, head (with and without contrast) CPT Code: 70470 | $2,614 | — |
| CT scan, sinuses CPT Code: 70486 | $2,057 | — |
| MRI, brain (no contrast) CPT Code: 70551 | $4,274 | — |
| MRI, brain (with and without contrast) CPT Code: 70553 | $5,939 | — |
| X-ray, chest (single view) CPT Code: 71045 | $648 | — |
| X-ray, chest (two views) CPT Code: 71046 | $716 | — |
| CT scan, chest (no contrast) CPT Code: 71250 | $2,978 | — |
| X-ray, neck (cervical spine) CPT Code: 72040 | $612 | — |
| X-ray, lower back CPT Code: 72110 | $783 | — |
| CT scan, neck (cervical spine) CPT Code: 72125 | $2,225 | — |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $2,506 | — |
| MRI, lower back (no contrast) CPT Code: 72148 | $3,650 | — |
| X-ray, pelvis CPT Code: 72170 | $438 | — |
| CT scan, pelvis CPT Code: 72192 | $2,073 | — |
| X-ray, shoulder CPT Code: 73030 | $736 | — |
| X-ray, hand CPT Code: 73130 | $789 | — |
| X-ray, hip CPT Code: 73502 | $840 | — |
| X-ray, ankle CPT Code: 73610 | $610 | — |
| X-ray, foot CPT Code: 73630 | $610 | — |
| MRI, knee or other leg joint CPT Code: 73721 | $3,652 | — |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $2,021 | — |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $3,092 | — |
| Ultrasound, thyroid and neck CPT Code: 76536 | $1,294 | — |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $1,728 | — |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $692 | — |
| Ultrasound, pelvis CPT Code: 76856 | $1,047 | — |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $678 | — |
| Screening mammogram (both breasts) CPT Code: 77067 | $559 | — |
| Blood test, basic metabolic panel CPT Code: 80048 | $381 | — |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $391 | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $28 | — |
| Blood test, liver function panel CPT Code: 80076 | $152 | — |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $168 | — |
| Blood test, amylase CPT Code: 82150 | $35 | — |
| Blood test, vitamin D CPT Code: 82306 | $58 | — |
| Blood test, calcium CPT Code: 82310 | $140 | — |
| Blood test, creatinine (kidney) CPT Code: 82565 | $89 | — |
| Blood test, vitamin B12 CPT Code: 82607 | $122 | — |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $190 | — |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $15 | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $153 | — |
| Blood test, lipase CPT Code: 83690 | $172 | — |
| Blood test, magnesium CPT Code: 83735 | $110 | — |
| Blood test, potassium CPT Code: 84132 | $168 | — |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $188 | — |
| Blood test, sodium CPT Code: 84295 | $51 | — |
| Blood test, thyroid (TSH) CPT Code: 84443 | $21 | — |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $50 | — |
| Blood test, hemoglobin CPT Code: 85018 | $59 | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $14 | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $34 | — |
| Blood test, clotting time (PTT) CPT Code: 85730 | $42 | — |
| Hepatitis C antibody test CPT Code: 86803 | $30 | — |
| Blood antibody screen CPT Code: 86850 | $20 | — |
| Culture, blood CPT Code: 87040 | $235 | — |
| Culture, bacterial CPT Code: 87070 | $58 | — |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | Contact Desk | — |
| Speech therapy (language evaluation) CPT Code: 92507 | $519 | — |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $452 | — |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $2,014 | — |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $1,640 | — |
| Breathing treatment (nebulizer) CPT Code: 94640 | $356 | — |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $200 | — |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $200 | — |
| Physical therapy (gait training) CPT Code: 97116 | $200 | — |
| Physical therapy (manual therapy) CPT Code: 97140 | $200 | — |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $200 | — |
| Occupational therapy (self-care training) CPT Code: 97535 | $209 | — |
| Physical therapy (functional capacity test) CPT Code: 97750 | $209 | — |
| Orthotic fitting and training CPT Code: 97760 | $221 | — |
| New patient office visit (30-44 min) CPT Code: 99203 | $1,077 | — |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $610 | — |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $903 | — |