PROVIDENCE ALASKA MEDICAL CENTER
Acute Care Hospitals
Procedure Prices at PROVIDENCE ALASKA MEDICAL CENTER
HC ROUTINE VENIPUNCTURE - REFERRAL PROCESSING
CPT 36415
$38.4
HC CBC WITH DIFF AUTO
CPT 85025
$48
HC COMPREHEN METABOLIC PANEL
CPT 80053
$70
Therapeutic Exercises
CPT 97110
$155.2
Therapeutic Activities
CPT 97530
$155.2
Mechanical Traction
CPT 97012
$156
HC PR 90837 PSYCHOTHERAPY W/PATIENT 60 MINUTES
CPT 90837
$300
HC ESTAB PT VISIT - LEVEL 3
CPT 99213
$374.4
EKG Tracing
CPT 93005
$527.2
Chest X-Ray (1 view)
CPT 71045
$531.2
Chest X-Ray (2 views)
CPT 71046
$586.4
Thoracic Spine X-Ray
CPT 72072
$648
Abdominal Ultrasound — Limited
CPT 76705
$677.6
OB Ultrasound
CPT 76805
$861.6
Retroperitoneal Ultrasound
CPT 76770
$908.8
Abdominal Ultrasound
CPT 76700
$1,003.2
ER Visit — Low-Moderate Complexity
CPT 99283
$1,320
Echocardiogram
CPT 93307
$1,943.2
CT Chest
CPT 71250
$2,273.6
ER Visit — Moderate Complexity
CPT 99284
$2,353.6
MRI Joint of Lower Extremity
CPT 73721
$3,101.6
HC INJ FORAMEN EPIDURAL L/S
CPT 64483
$3,560
MRI Brain w/o Contrast
CPT 70551
$3,652
Echocardiogram w/ Doppler
CPT 93306
$4,038.4
ER Visit — High Complexity
CPT 99285
$4,309.6
MRI Brain w/ Contrast
CPT 70553
$4,412
CT Abdomen & Pelvis
CPT 74177
$4,745.6
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Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.