Providence Kodiak Island Medical Center — ER visit prices
← Hospital overviewVerified from Providence Kodiak Island Medical Center’s published price file
Includes cash prices, list prices. 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.
11 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC ED FAC E&M VISIT LEVEL 1 CDM Inpatient & outpatient | 99281 HCPCS | $851 | $664 | — | — | |
| HC ED FAC E&M VISIT LEVEL 2 CDM Inpatient & outpatient | 99282 HCPCS | $1,186 | $925 | — | — | |
| HC ED FAC E&M VISIT LEVEL 3 CDM Inpatient & outpatient | 99283 HCPCS | $2,227 | $1,737 | — | — | |
| HC ED FAC E&M VISIT LEVEL 4 CDM Inpatient & outpatient | 99284 HCPCS | $4,161 | $3,246 | — | — | |
| HC ED FAC E&M VISIT LEVEL 5 CDM Inpatient & outpatient | 99285 HCPCS | $6,992 | $5,454 | — | — | |
| HC ED SEXUAL ASSAULT EXAM CDM Inpatient & outpatient | 99284 HCPCS | $1,082 | $844 | — | — | |
| HC PR ED 99281 VISIT MINOR PROBLEM MAY NOT REQ PHYS/QHP CDM Inpatient & outpatient | 99281 HCPCS | $228 | $178 | — | — | |
| HC PR ED 99282 VISIT STRAIGHTFORWARD MDM CDM Inpatient & outpatient | 99282 HCPCS | $570 | $445 | — | — | |
| HC PR ED 99283 VISIT LOW MDM CDM Inpatient & outpatient | 99283 HCPCS | $850 | $663 | — | — | |
| HC PR ED 99284 VISIT MODERATE MDM CDM Inpatient & outpatient | 99284 HCPCS | $1,513 | $1,180 | — | — | |
| HC PR ED 99285 VISIT HIGH MDM CDM Inpatient & outpatient | 99285 HCPCS | $2,001 | $1,561 | — | — |