Maniilaq Health Center

Kotzebue, AK · CMS ID: 021310

This hospital has pricing data for 33 procedures.

Procedures (33)

Cataract Surgery

66984

Cash Price

(No Insurance)

—

Gross Charge

$6,389

No payer-negotiated rates available

Chest X-Ray 1 View

71045

Cash Price

(No Insurance)

—

Gross Charge

$273

No payer-negotiated rates available

Chest X-Ray 2 Views

71046

Cash Price

(No Insurance)

—

Gross Charge

$419

No payer-negotiated rates available

Colonoscopy Diagnostic

45378

Cash Price

(No Insurance)

—

Gross Charge

$4,141

No payer-negotiated rates available

Colonoscopy with Biopsy

45380

Cash Price

(No Insurance)

—

Gross Charge

$4,141

No payer-negotiated rates available

Colonoscopy with Polyp Removal

45385

Cash Price

(No Insurance)

—

Gross Charge

$4,141

No payer-negotiated rates available

Complete Blood Count (CBC)

85025

Cash Price

(No Insurance)

—

Gross Charge

$82

No payer-negotiated rates available

Comprehensive Metabolic Panel

80053

Cash Price

(No Insurance)

—

Gross Charge

$181

No payer-negotiated rates available

CT Abdomen/Pelvis with Contrast

74177

Cash Price

(No Insurance)

—

Gross Charge

$2,730

No payer-negotiated rates available

CT Abdomen/Pelvis without Contrast

74176

Cash Price

(No Insurance)

—

Gross Charge

$1,780

No payer-negotiated rates available

CT Chest with Contrast

71260

Cash Price

(No Insurance)

—

Gross Charge

$1,698

No payer-negotiated rates available

ER Visit Level 3

99283

Cash Price

(No Insurance)

—

Gross Charge

$424

No payer-negotiated rates available

ER Visit Level 4

99284

Cash Price

(No Insurance)

—

Gross Charge

$806

No payer-negotiated rates available

ER Visit Level 5

99285

Cash Price

(No Insurance)

—

Gross Charge

$1,189

No payer-negotiated rates available

Fetal Non-Stress Test

59025

Cash Price

(No Insurance)

—

Gross Charge

$391

No payer-negotiated rates available

Fine needle aspiration of orbital contents

10021

Cash Price

(No Insurance)

—

Gross Charge

$1,166

No payer-negotiated rates available

Hemoglobin A1C

83036

Cash Price

(No Insurance)

—

Gross Charge

$47

No payer-negotiated rates available

I & D of Abcess, Simple

10060

Cash Price

(No Insurance)

—

Gross Charge

$521

No payer-negotiated rates available

Knee X-Ray

73560

Cash Price

(No Insurance)

—

Gross Charge

$167

No payer-negotiated rates available

Lipid Panel

80061

Cash Price

(No Insurance)

—

Gross Charge

$170

No payer-negotiated rates available

Mammogram Diagnostic

77066

Cash Price

(No Insurance)

—

Gross Charge

$235

No payer-negotiated rates available

Mammogram Screening

77067

Cash Price

(No Insurance)

—

Gross Charge

$216

No payer-negotiated rates available

Office Visit Level 3

99213

Cash Price

(No Insurance)

—

Gross Charge

$236

No payer-negotiated rates available

Office Visit Level 4

99214

Cash Price

(No Insurance)

—

Gross Charge

$350

No payer-negotiated rates available

Shoulder X-Ray

73030

Cash Price

(No Insurance)

—

Gross Charge

$173

No payer-negotiated rates available

TSH (Thyroid)

84443

Cash Price

(No Insurance)

—

Gross Charge

$186

No payer-negotiated rates available

Ultrasound Abdomen

76700

Cash Price

(No Insurance)

—

Gross Charge

$442

No payer-negotiated rates available

Ultrasound Pelvis

76856

Cash Price

(No Insurance)

—

Gross Charge

$304

No payer-negotiated rates available

Ultrasound Transvaginal

76830

Cash Price

(No Insurance)

—

Gross Charge

$297

No payer-negotiated rates available

Upper Endoscopy Diagnostic

43235

Cash Price

(No Insurance)

—

Gross Charge

$3,132

No payer-negotiated rates available

Upper Endoscopy with Biopsy

43239

Cash Price

(No Insurance)

—

Gross Charge

$2,376

No payer-negotiated rates available

Urinalysis

81001

Cash Price

(No Insurance)

—

Gross Charge

$67

No payer-negotiated rates available

Vaginal Delivery

59400

Cash Price

(No Insurance)

—

Gross Charge

$847

No payer-negotiated rates available