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 |
|---|---|---|---|---|
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $209.57 | $727.05 | $72.73 – $109.09 | 4 |
| Dpyd gene common variants CPT 81232 | $469.18 | $1,627.73 | $174.81 – $1,220.80 | 17 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $258.29 | $896.07 | $645.18 – $1,765.78 | 3 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $1,765.78 – $1,765.78 | 1 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $4,080.13 – $4,080.13 | 1 |
| Drainage external ear simple 69000 CPT 69000 | not published | not published | $1,765.78 – $1,765.78 | 1 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $7,028.76 – $7,028.76 | 1 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $7,028.76 – $7,028.76 | 1 |
| Drainage mouth roof lesion CPT 42000 | $191.87 | $665.65 | $479.27 – $565.48 | 3 |
| Drainage of abdomen CPT 48000 | not published | not published | $17,718.17 – $17,718.17 | 1 |
| Drainage of arm bursa 23931 CPT 23931 | not published | not published | $4,080.13 – $4,080.13 | 1 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $7,028.76 – $7,028.76 | 1 |
| Drainage of bone lesion CPT 26992 | not published | not published | $9,363.70 – $9,363.70 | 1 |
| Drainage of bone lesion CPT 27303 | not published | not published | $6,229.13 – $6,229.13 | 1 |
| Drainage of eye CPT 65800 | not published | not published | $5,875.62 – $5,875.62 | 1 |
| Drainage of eye CPT 65810 | not published | not published | $5,875.62 – $5,875.62 | 1 |
| Drainage of eye CPT 65815 | not published | not published | $5,875.62 – $5,875.62 | 1 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $3,903.19 – $3,903.19 | 1 |
| Drainage of kidney lesion CPT 50390 | not published | not published | $1,765.78 – $1,765.78 | 1 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $565.48 – $565.48 | 1 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $3,776.99 – $3,776.99 | 1 |
| Drainage of mouth lesion CPT 41007 | $573.24 | $1,988.72 | $1,431.88 – $3,776.99 | 3 |
| Drainage of mouth lesion CPT 41008 | $1,246.16 | $4,323.30 | $3,112.78 – $7,741.04 | 3 |
| Drainage of mouth lesion CPT 41009 | $299.08 | $1,037.60 | $747.08 – $1,242.96 | 3 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $1,242.96 – $1,242.96 | 1 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $14,528.71 – $14,528.71 | 1 |
| Drainage of mouth lesion CPT 41017 | $1,038.46 | $3,602.75 | $2,593.98 – $7,741.04 | 3 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $3,776.99 – $3,776.99 | 1 |
| Drainage of nose lesion int 30000 CPT 30000 | $394.77 | $1,369.56 | $565.48 – $1,027.17 | 3 |
| Drainage of nose lesion sept 30020 CPT 30020 | $253.41 | $879.15 | $632.99 – $1,242.96 | 3 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $3,903.19 – $3,903.19 | 1 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $8,099.19 – $8,099.19 | 1 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $8,720.81 – $8,720.81 | 1 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $8,720.81 – $8,720.81 | 1 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $8,720.81 – $8,720.81 | 1 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $2,946.49 – $2,946.49 | 1 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $6,991.27 – $6,991.27 | 1 |
| Drainage of salivary gland CPT 42305 | not published | not published | $7,741.04 – $7,741.04 | 1 |
| Drainage of salivary gland CPT 42320 | not published | not published | $1,242.96 – $1,242.96 | 1 |
| Drainage of spinal cyst CPT 63172 | not published | not published | $13,360.67 – $13,360.67 | 1 |
| Drainage of spinal cyst CPT 63173 | not published | not published | $16,234.92 – $16,234.92 | 1 |
| Drainage of throat abscess CPT 42725 | not published | not published | $14,528.71 – $14,528.71 | 1 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $8,720.81 – $8,720.81 | 1 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $5,046.94 – $5,046.94 | 1 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $1,701.49 – $1,701.49 | 1 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $5,046.94 – $5,046.94 | 1 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $2,542.35 – $2,542.35 | 1 |
| Drain blood from under nail 11740 CPT 11740 | $154.08 | $534.52 | $315.92 – $400.89 | 3 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $1,656.05 | $5,745.35 | $4,080.13 – $4,309.02 | 3 |
| Drain cath image guided visceral pq CPT 49405 | $1,578.04 | $5,474.70 | $3,941.79 – $4,106.03 | 3 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $401.63 | $1,393.35 | $1,003.22 – $1,753.18 | 3 |
| Drain chest lesion CPT 21502 | not published | not published | $8,099.19 – $8,099.19 | 1 |
| Drain finger abscess;simple 26010 CPT 26010 | $208.07 | $721.85 | $491.34 – $541.39 | 3 |
| Drain lower leg bursa CPT 27604 | not published | not published | $8,099.19 – $8,099.19 | 1 |
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | $7,028.76 – $7,028.76 | 1 |
| Drain neck/chest lesion 21501 CPT 21501 | $1,115.92 | $3,871.47 | $2,787.46 – $7,028.76 | 3 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $10,900.48 – $10,900.48 | 1 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $7,693.18 – $7,693.18 | 1 |
| Drain ovary abscess open CPT 58820 | not published | not published | $7,693.18 – $7,693.18 | 1 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $10,466.82 – $10,466.82 | 1 |
| Drain penis lesion CPT 54015 | not published | not published | $4,080.13 – $4,080.13 | 1 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $3,903.19 – $3,903.19 | 1 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $7,028.76 – $7,028.76 | 1 |
| Drain shoulder lesion CPT 23030 | not published | not published | $7,028.76 – $7,028.76 | 1 |
| Drain thigh/knee lesion 27301 CPT 27301 | not published | not published | $7,028.76 – $7,028.76 | 1 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $3,776.99 – $3,776.99 | 1 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $7,043.47 – $7,043.47 | 1 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $331.55 | $1,150.22 | $491.34 – $862.67 | 3 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $315.76 | $1,095.45 | $491.34 – $821.59 | 3 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $378.91 | $1,314.54 | $946.47 – $1,015.09 | 3 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $283.25 | $982.66 | $157.92 – $1,580.71 | 4 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $8,693.14 – $8,693.14 | 1 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $833.19 | $2,890.59 | $1,214.05 – $2,167.95 | 7 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $7,347.98 – $7,347.98 | 1 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $8,099.19 – $8,099.19 | 1 |
| Drng of eyelid abscess 67700 CPT 67700 | not published | not published | $720.25 – $720.25 | 1 |
| Drng of finger abscess comp 26011 CPT 26011 | $641.12 | $2,224.24 | $1,601.46 – $4,080.13 | 3 |
| Drng of hydrocele 55000 CPT 55000 | $258.88 | $898.11 | $646.64 – $1,765.78 | 3 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $1,242.96 – $1,242.96 | 1 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $7,693.18 – $7,693.18 | 1 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $8,099.19 – $8,099.19 | 1 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $8,099.19 – $8,099.19 | 1 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $2,946.49 – $2,946.49 | 1 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $7,741.04 – $7,741.04 | 1 |
| Drng of scrotum abscess 55100 CPT 55100 | $757.41 | $2,627.67 | $1,891.93 – $4,080.13 | 3 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $10,438.27 – $10,438.27 | 1 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $9,503.89 – $9,503.89 | 1 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $6,966.68 – $6,966.68 | 1 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $15,110.94 – $15,110.94 | 1 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $3,776.99 – $3,776.99 | 1 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $1,242.96 – $1,242.96 | 1 |
| Dronabinol 2.5mg oral HCPCS Q0167 | $86.51 | $300.10 | $24.09 – $25.09 | 2 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $25.33 | $87.85 | $43.93 – $65.89 | 4 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $592.02 | $2,053.88 | $624.74 – $937.11 | 3 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $3,509.03 | $12,173.93 | $29.91 – $547.83 | 4 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $13.46 | $46.67 | $3.97 – $29.91 | 3 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $568.47 | $1,972.18 | $10.32 – $547.83 | 4 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $9,666.02 | $33,534.52 | $68.56 – $11,841.36 | 4 |
| Drug admin & hemodynmic meas CPT 93463 | $2,256.03 | $7,826.89 | $5,635.37 – $5,870.17 | 2 |
| Drug assay caffeine CPT 80155 | $55.61 | $192.91 | $38.57 – $144.69 | 17 |
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.