PeaceHealth Ketchikan Medical Center — price list

← Hospital overviewVerified from PeaceHealth Ketchikan Medical Center’s published price file

Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

399 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
3d radiographic procedure Outpatient	76376 CPT	$583	$379	—	—
Administration of chemotherapy into vein using push technique Outpatient	96409 CPT	$349	$227	—	—
Administration of chemotherapy into vein; 1 hour or less Outpatient	96413 CPT	$865	$562	—	—
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle Outpatient	96402 CPT	$264	$172	—	—
Administration of prolonged chemotherapy into vein Outpatient	96416 CPT	$1,045	$679	—	—
Administration of vaccine Outpatient	90471 CPT	$263	$171	—	—
Adrenocorticotropic hormone (acth) level Outpatient	82024 CPT	$288	$187	—	—
Alcohols levels; 1 or 2 Outpatient	80321 CPT	$59.00	$38.35	—	—
Alkaloids levels Outpatient	80323 CPT	$272	$177	—	—
Allg spec ige recomb each Outpatient	86008 CPT	$51.00	$33.15	—	—
Ambulatory surgical boot eac Outpatient	L3260 HCPCS	$81.00	$52.65	—	—
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen Outpatientapprox. match	87635 CPT	$103	$66.95	—	—
Amylase (enzyme) level Outpatient	82150 CPT	$89.00	$57.85	—	—
Analgesics non-opioid 3-5 Outpatient	80330 CPT	$59.00	$38.35	—	—
Analysis for antibody (igm) to cytomegalovirus (cmv) Outpatient	86645 CPT	$61.00	$39.65	—	—
Analysis for antibody (igm) to toxoplasma (parasite) Outpatient	86778 CPT	$144	$93.60	—	—
Analysis for antibody to candida (yeast) Outpatient	86628 CPT	$82.00	$53.30	—	—
Analysis for antibody to epstein-barr virus (mononucleosis virus); early antigen Outpatient	86663 CPT	$111	$72.15	—	—
Analysis for antibody to herpes simplex virus; type 2 Outpatient	86696 CPT	$122	$79.30	—	—
Analysis for antibody to john cunningham virus Outpatient	86711 CPT	$86.00	$55.90	—	—
Anca screen each antibody Outpatient	86036 CPT	$30.00	$19.50	—	—
Antibody detection nos if Outpatient	87299 CPT	$50.00	$32.50	—	—
Antistreptolysin o titer Outpatient	86060 CPT	$146	$94.90	—	—
Apc gene full sequence Outpatient	81201 CPT	$2,730	$1,775	—	—
Apc gene known fam variants Outpatient	81202 CPT	$980	$637	—	—
App mdlty 1+ultrasound each 15 Outpatient	97035 CPT	$116	$75.40	—	—
Application of short leg splint from calf to foot Outpatient	29515 CPT	$244	$159	—	—
Apply forearm splint Outpatient	29126 CPT	$525	$341	—	—
Apply forearm splint Outpatient	29125 CPT	$251	$163	—	—
Arsenic level Outpatient	82175 CPT	$194	$126	—	—