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Petersburg Medical Center
Petersburg, AK · CMS ID: 021304
This hospital has pricing data for 35 procedures ranging from $15 to $6,669.
Procedures (35)
Cash Price
(No Insurance)
$171
Gross Charge
$214
Insurance Negotiated Rates
PREMERA FIRST-ALL PLANS$214
Cash Price
(No Insurance)
$3,210
Gross Charge
$4,013
Medicare Rate
$390
Insurance Negotiated Rates
AETNA - ALL PLANS$2,108
Cash Price
(No Insurance)
$531
Gross Charge
$664
Medicare Rate
$450
Insurance Negotiated Rates
Aetna$2,532
Cash Price
(No Insurance)
$228
Gross Charge
$285
Insurance Negotiated Rates
PREMERA FIRST-ALL PLANS$285
Cash Price
(No Insurance)
$216
Gross Charge
$270
Insurance Negotiated Rates
PREMERA FIRST-ALL PLANS$270
Cash Price
(No Insurance)
$225
Gross Charge
$281
Insurance Negotiated Rates
PREMERA FIRST-ALL PLANS$281
Chest X-Ray 1 View
71045Cash Price
(No Insurance)
$229
Gross Charge
$286
Medicare Rate
$24
Insurance Negotiated Rates
Premera First-All Plans$286
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$506
Gross Charge
$633
Medicare Rate
$31
Insurance Negotiated Rates
Premera First-All Plans$633
Cash Price
(No Insurance)
$3,232
Gross Charge
$4,040
Medicare Rate
$356
Insurance Negotiated Rates
Aetna$2,004
Cash Price
(No Insurance)
$4,211
Gross Charge
$5,264
Medicare Rate
$471
Insurance Negotiated Rates
Aetna$2,709
Cash Price
(No Insurance)
$206
Gross Charge
$258
Insurance Negotiated Rates
Premera First-All Plans$258
Cash Price
(No Insurance)
$1,161
Gross Charge
$1,451
Medicare Rate
$107
Insurance Negotiated Rates
PREMERA FIRST-ALL PLANS$1,451
Cash Price
(No Insurance)
$1,150
Gross Charge
$1,438
Medicare Rate
$98
Insurance Negotiated Rates
PREMERA FIRST-ALL PLANS$1,438
Cash Price
(No Insurance)
$5,526
Gross Charge
$6,907
Medicare Rate
$280
Insurance Negotiated Rates
Premera First-All Plans$6,907
Cash Price
(No Insurance)
$4,764
Gross Charge
$5,955
Medicare Rate
$172
Insurance Negotiated Rates
Premera First-All Plans$5,955
CT Chest Low Dose
71271Cash Price
(No Insurance)
$1,290
Gross Charge
$1,612
Medicare Rate
$128
Insurance Negotiated Rates
Premera First-All Plans$1,612
Cash Price
(No Insurance)
$3,486
Gross Charge
$4,358
Medicare Rate
$156
Insurance Negotiated Rates
Premera First-All Plans$4,358
Cash Price
(No Insurance)
$83
Gross Charge
$104
Insurance Negotiated Rates
PREMERA FIRST-ALL PLANS$104
Cash Price
(No Insurance)
$110
Gross Charge
$138
Medicare Rate
$39
Insurance Negotiated Rates
PREMERA FIRST-ALL PLANS$138
Cash Price
(No Insurance)
$3,210
Gross Charge
$4,013
Medicare Rate
$301
Insurance Negotiated Rates
AETNA - ALL PLANS$1,592
Cash Price
(No Insurance)
$630
Gross Charge
$787
Medicare Rate
$116
Insurance Negotiated Rates
PREMERA FIRST-ALL PLANS$787
ER Visit Level 3
99283Cash Price
(No Insurance)
$258
Gross Charge
$323
Medicare Rate
$69
Insurance Negotiated Rates
Aetna$199
ER Visit Level 4
99284Cash Price
(No Insurance)
$438
Gross Charge
$548
Medicare Rate
$117
Insurance Negotiated Rates
Aetna$377
ER Visit Level 5
99285Cash Price
(No Insurance)
$637
Gross Charge
$796
Medicare Rate
$170
Insurance Negotiated Rates
Aetna$557
Cash Price
(No Insurance)
$101
Gross Charge
$126
Medicare Rate
$91
Insurance Negotiated Rates
PREMERA FIRST-ALL PLANS$126
Cash Price
(No Insurance)
$126
Gross Charge
$158
Medicare Rate
$130
Insurance Negotiated Rates
PREMERA FIRST-ALL PLANS$158
Cash Price
(No Insurance)
$482
Gross Charge
$603
Medicare Rate
$48
Insurance Negotiated Rates
Premera First-All Plans$214
Hemoglobin A1C
83036Cash Price
(No Insurance)
$171
Gross Charge
$214
Insurance Negotiated Rates
Premera First-All Plans$198
Cash Price
(No Insurance)
$15
Gross Charge
$19
Insurance Negotiated Rates
PREMERA FIRST-ALL PLANS$19
Knee X-Ray
73560Cash Price
(No Insurance)
$405
Gross Charge
$506
Medicare Rate
$32
Insurance Negotiated Rates
Premera First-All Plans$506
Mammogram Diagnostic
77066Cash Price
(No Insurance)
$518
Gross Charge
$648
Medicare Rate
$146
Insurance Negotiated Rates
Premera First-All Plans$648
Mammogram Screening
77067Cash Price
(No Insurance)
$630
Gross Charge
$787
Medicare Rate
$118
Insurance Negotiated Rates
Premera First-All Plans$540
Shoulder X-Ray
73030Cash Price
(No Insurance)
$534
Gross Charge
$667
Medicare Rate
$33
Insurance Negotiated Rates
Premera First-All Plans$667
Cash Price
(No Insurance)
$552
Gross Charge
$690
Medicare Rate
$109
Insurance Negotiated Rates
Premera First-All Plans$690
Vaginal Delivery
59400Cash Price
(No Insurance)
$6,669
Gross Charge
$8,336
Medicare Rate
$2,163
Insurance Negotiated Rates
Aetna$10,483