St. Clare Hospital
11315 Bridgeport Way SW, Lakewood, WA · Vmfh · · NPI 1689672693
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $36.62 | $127.03 | $91.47 – $183.58 | 4 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $22.06 | $76.52 | $55.10 – $128.52 | 3 |
| Administration vaccine hepatitis b HCPCS G0010 | $39.02 | $135.36 | $16.88 – $180.32 | 4 |
| Administration vaccine influenza virus HCPCS G0008 | $38.25 | $132.68 | $95.53 – $128.52 | 4 |
| Administration vaccine pneumococcal HCPCS G0009 | $38.25 | $132.68 | $95.53 – $128.52 | 4 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $11,605.74 – $11,605.74 | 1 |
| _afb id by dna probe rflx ast CPT 87149 | $97.96 | $339.85 | $20.05 – $254.89 | 18 |
| #afb mycobacteria suscep. #1 CPT 87190 | $24.30 | $84.29 | $7.31 – $63.22 | 18 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $225.03 | $780.68 | $115.36 – $700.95 | 18 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | $47.76 | $165.68 | $73.97 – $2,205.49 | 8 |
| After cataract laser surgery CPT 66821 | not published | not published | $1,444.17 – $1,444.17 | 1 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $35,398.28 | $122,808.00 | $572.13 – $4,837.50 | 5 |
| Air injection into abdomen 49400 CPT 49400 | $231.70 | $803.81 | $578.75 – $602.86 | 2 |
| Albumin body fluid quantitative each specimen CPT 82042 | $23.17 | $80.36 | $7.78 – $60.27 | 18 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $4,112.45 | $14,267.40 | $2.40 – $144.43 | 5 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $342.71 | $1,188.95 | $144.43 – $891.72 | 5 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $36.06 | $125.07 | $5.78 – $93.81 | 18 |
| Albumin serum plasma or whole blood CPT 82040 | $21.72 | $75.33 | $4.95 – $56.50 | 18 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | $44.70 | $155.05 | $80.76 – $184.72 | 4 |
| Alcohol/subs interv >30 min HCPCS G0397 | $89.38 | $310.08 | $223.26 – $412.85 | 4 |
| Aldesleukin injection HCPCS J9015 | $9,694.35 | $33,632.80 | $1,548.03 – $10,882.60 | 5 |
| Alginate dressing <=16 sq in HCPCS A6196 | $11.18 | $38.76 | $27.91 – $33.90 | 3 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | $17.29 | $59.98 | $43.19 – $75.72 | 3 |
| Alkaline phosphatase CPT 84075 | $20.75 | $71.97 | $5.18 – $44.61 | 18 |
| Allergen alpha lactalbumin ige CPT 86008 | $27.60 | $95.72 | $17.93 – $71.79 | 17 |
| Allergen egg white ige CPT 86003 | $23.67 | $82.09 | $5.22 – $61.57 | 18 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $19.54 | $67.79 | $7.97 – $50.85 | 18 |
| Allg patch or app # of tests 95044 CPT 95044 | $388.86 | $1,349.06 | $95.19 – $2,542.35 | 4 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $35,502.52 – $35,502.52 | 1 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | $4,912.64 | $17,043.50 | $4,429.47 – $6,644.20 | 3 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $7,510.03 | $26,054.69 | $2,129.55 – $3,194.33 | 3 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $5,063.02 | $17,565.24 | $7,906.60 – $11,859.90 | 4 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $2,393.10 | $8,302.41 | $2,876.28 – $4,314.42 | 4 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $21,223.97 | $73,632.74 | $748.50 – $1,112.69 | 3 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $3,959.17 | $13,735.60 | $403.30 – $2,741.80 | 4 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $4,951.51 | $17,178.37 | $7,985.82 – $11,978.73 | 3 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $5,524.41 | $19,165.95 | $1,597.17 – $2,395.75 | 3 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $6,567.92 | $22,786.19 | $1,103.35 – $4,596.28 | 3 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $6,174.12 | $21,420.00 | $14.34 – $16,065.00 | 5 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $206.18 | $715.29 | $64.41 – $536.47 | 18 |
| Alpha-fetoprotein amniotic CPT 82106 | $68.19 | $236.55 | $17.00 – $177.42 | 18 |
| Alpha-fetoprotein tumor marker CPT 82105 | $76.62 | $265.80 | $16.77 – $199.35 | 18 |
| Alprostadil for injection HCPCS J0270 | $144.01 | $499.60 | $17.10 – $374.70 | 4 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $11,838.49 | $41,071.50 | $60.30 – $262.66 | 5 |
| Alt/sgpt CPT 84460 | $34.12 | $118.37 | $5.30 – $49.88 | 18 |
| Aluminum - quest CPT 82108 | $104.31 | $361.87 | $25.48 – $271.41 | 18 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $7,741.04 – $7,741.04 | 1 |
| Amifostine HCPCS J0207 | $1,424.82 | $4,943.15 | $545.50 – $3,707.37 | 7 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $165.97 | $575.80 | $95.98 – $143.97 | 4 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $42.03 | $145.80 | $4.38 – $6.57 | 4 |
| Aminolevulinic acid delta CPT 82135 | $125.42 | $435.09 | $16.45 – $326.32 | 18 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $1,905.48 | $6,610.70 | $3.73 – $5.59 | 4 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $192.75 | $668.70 | $57.98 – $86.97 | 4 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $5,660.19 | $19,637.00 | $9,818.50 – $14,727.75 | 4 |
| Ammonia CPT 82140 | $63.42 | $219.99 | $14.57 – $165.00 | 18 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $320.18 | $1,110.78 | $799.77 – $1,914.07 | 3 |
| Amniocentesis therapeutic CPT 59001 | $500.73 | $1,737.16 | $794.39 – $1,302.87 | 3 |
| Amniotic fluid scan CPT 82143 | $54.39 | $188.69 | $9.35 – $141.52 | 18 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | not published | not published | $8,099.19 – $8,099.19 | 1 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $125,416.93 | $435,111.60 | $56.48 – $84.72 | 4 |
| Amphotericin b lipid complex HCPCS J0287 | $3,156.50 | $10,950.90 | $33.13 – $1,725.45 | 5 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $3,162.53 | $10,971.80 | $61.54 – $1,215.00 | 5 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $491.20 | $1,704.10 | $22.33 – $33.49 | 4 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $529.01 | $1,835.30 | $56.78 – $85.17 | 4 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $157.96 | $548.00 | $394.56 – $411.00 | 2 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $8,099.19 – $8,099.19 | 1 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $6,931.51 – $6,931.51 | 1 |
| Amputate hand at wrist CPT 25922 | not published | not published | $3,903.19 – $3,903.19 | 1 |
| Amputate hand at wrist CPT 25920 | not published | not published | $6,840.64 – $6,840.64 | 1 |
| Amputate leg at thigh CPT 27591 | not published | not published | $9,396.76 – $9,396.76 | 1 |
| Amputate leg at thigh CPT 27592 | not published | not published | $6,575.73 – $6,575.73 | 1 |
| Amputate lower leg at knee CPT 27598 | not published | not published | $6,927.93 – $6,927.93 | 1 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $8,099.19 – $8,099.19 | 1 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $7,675.13 – $7,675.13 | 1 |
| Amputate upper arm & implant CPT 24931 | not published | not published | $7,647.04 – $7,647.04 | 1 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $8,099.19 – $8,099.19 | 1 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $8,099.19 – $8,099.19 | 1 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $17,997.75 – $17,997.75 | 1 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $4,695.89 – $4,695.89 | 1 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $8,099.19 – $8,099.19 | 1 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $8,099.19 – $8,099.19 | 1 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $8,099.19 – $8,099.19 | 1 |
| Amputation follow-up surgery CPT 24930 | not published | not published | $7,551.03 – $7,551.03 | 1 |
| Amputation follow-up surgery CPT 25924 | not published | not published | $6,675.86 – $6,675.86 | 1 |
| Amputation leg thr tib/fib 27880 CPT 27880 | not published | not published | $8,808.59 – $8,808.59 | 1 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | not published | not published | $6,393.76 – $6,393.76 | 1 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $17,997.75 – $17,997.75 | 1 |
| Amputation of foot at ankle CPT 27888 | not published | not published | $6,703.17 – $6,703.17 | 1 |
| Amputation of forearm CPT 25900 | not published | not published | $6,894.09 – $6,894.09 | 1 |
| Amputation of forearm CPT 25905 | not published | not published | $6,851.46 – $6,851.46 | 1 |
| Amputation of forearm CPT 25915 | not published | not published | $9,646.03 – $9,646.03 | 1 |
| Amputation of hand CPT 25927 | not published | not published | $8,064.36 – $8,064.36 | 1 |
| Amputation of leg at hip CPT 27290 | not published | not published | $15,745.09 – $15,745.09 | 1 |
| Amputation of leg at hip CPT 27295 | not published | not published | $12,105.99 – $12,105.99 | 1 |
| Amputation of lower leg CPT 27882 | not published | not published | $5,772.76 – $5,772.76 | 1 |
| Amputation of lower leg CPT 27881 | not published | not published | $8,375.09 – $8,375.09 | 1 |
| Amputation of midtarsal 28800 CPT 28800 | not published | not published | $5,359.49 – $5,359.49 | 1 |
| Amputation of upper arm CPT 24900 | not published | not published | $7,040.59 – $7,040.59 | 1 |
| Amputation of upper arm CPT 24920 | not published | not published | $7,151.06 – $7,151.06 | 1 |
| Amputation thru metatarsal CPT 28805 | not published | not published | $8,099.19 – $8,099.19 | 1 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.