Top 40 services provided by PROVIDENCE KODIAK ISLAND MEDICAL CENTER
Services CPT Price Est. Cash Price
Removal of one or more growth from the breast; a surgical procedure on a female or male also called a mastectomy 19120 $3,817.00 $1,526.80
Removal of one or more growth from the breast; a surgical procedure on a female or male also called a mastectomy 19120 $4,162.00 $1,664.80
Repair of the shoulder generally called a shoulder arthroscopy 29826 $6,448.00 $2,579.20
Repair of the shoulder generally called a shoulder arthroscopy 29826 $3,585.00 $1,434.00
Knee cartilage replacement surgery with an endoscope 29881 $4,101.00 $1,640.40
Knee cartilage replacement surgery with an endoscope 29881 $4,143.00 $1,657.20
Knee cartilage replacement surgery with an endoscope 29881 $9,232.00 $3,692.80
Removal of tonsils for children under 12 42820 $1,999.00 $799.60
Upper endoscopy; diagnostic exam to diagnose or treat conditions in the upper part of your digestive tract. 43235 $1,966.00 $786.40
Biopsy (or surgical procedure to remove tissue) for the upper digestive tract 43239 $2,274.00 $909.60
Diagnostic colonoscopy; used to diagnose abnormalities in the large intestines and rectum 45378 $3,122.00 $1,248.80
Diagnostic colonoscopy; used to diagnose abnormalities in the large intestines and rectum 45378 $2,129.00 $851.60
Diagnostic colonoscopy; used to diagnose abnormalities in the large intestines and rectum 45378 $3,919.00 $1,567.60
Colonoscopy, flexible; with biopsy, single or multiple 45380 $2,582.00 $1,032.80
Colonoscopy, flexible; with biopsy, single or multiple 45380 $2,441.00 $976.40
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique 45385 $3,115.00 $1,246.00
Surgical removal of the gallbladder called a laparoscopic cholecystectomy 47562 $8,117.00 $3,246.80
Repair of groin hernia patient age 5 years or older without mesh 49505 $4,520.00 $1,808.00
Injection of substance into the lower back or lumbar spine 62322 $568.00 $227.20
Injection of substance into the lower back or lumbar spine 62322 $1,462.00 $584.80
Release and/or relocation of median nerve of hand 64721 $5,815.00 $2,326.00
Release and/or relocation of median nerve of hand 64721 $6,223.00 $2,489.20
Ear tube surgery (myringotomy) is the insertion of tube into the incision in the eardrum to allow fluid to drain out of the ear. 69436 $1,892.00 $756.80
CT scan of the head or brain without contrast or dye 70450 $2,666.00 $1,066.40
MRI scan of the brain with and without contrast 70553 $5,450.00 $2,180.00
X-ray of the chest, 2 views 71046 $755.00 $302.00
X-ray of the lower spine with 4 or more views 72110 $856.00 $342.40
CT scan of the pelvis with contrast or dye 72193 $2,777.00 $1,110.80
CT scan of the abdomen with contrast or dye 74160 $3,375.00 $1,350.00
Ultrasound of the abdomen 76700 $1,615.00 $646.00
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $1,031.00 $412.40
Mammogram of both breasts 77067 $590.00 $236.00
Basic Metabolic Panel 80048 $466.00 $186.40
Comprehensive Metabolic Panel 80053 $477.00 $190.80
Lipid Panel 80061 $174.00 $69.60
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $112.00 $44.80
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $60.00 $24.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $98.00 $39.20
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $114.00 $45.60
Blood test that measures gases in the blood including the acidity, or pH, and the levels of oxygen (O2) and carbon dioxide (CO2) from an artery. 82805 $442.00 $176.80
Blood test that measures gases in the blood including the acidity, or pH, and the levels of oxygen (O2) and carbon dioxide (CO2) from an artery. 82805 $279.00 $111.60
Blood test that measures gases in the blood including the acidity, or pH, and the levels of oxygen (O2) and carbon dioxide (CO2) from an artery. 82805 $474.00 $189.60
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $206.00 $82.40
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $99.00 $39.60
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $193.00 $77.20
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $245.00 $98.00
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $193.00 $77.20
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $218.00 $87.20
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $204.00 $81.60
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $174.00 $69.60
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $163.00 $65.20
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $685.00 $274.00
Ultrasound of chest to examine the heart 93307 $3,557.00 $1,422.80
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $118.00 $47.20
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $240.00 $96.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $345.00 $138.00
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $176.00 $70.40
Training for walking to 1 or more areas for 15 minutes 97116 $176.00 $70.40
Physical therapy evaluation session for 20 minutes 97161 $435.00 $174.00
Physical therapy evaluation session for 20 minutes 97161 $421.00 $168.40
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $326.00 $130.40
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $1,090.00 $436.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $342.00 $136.80
Emergency department visit facility fees for a visit of moderate severity 99283 $1,210.00 $484.00
Emergency department visit facility fees for a visit of moderate severity 99283 $483.00 $193.20
Emergency department visit facility fees for a visit of high to moderate severity 99284 $861.00 $344.40
Emergency department visit facility fees for a visit of high to moderate severity 99284 $2,262.00 $904.80