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 |
|---|---|---|---|---|
| Ghs removal intranasal foreign body CPT 30300 | $164.63 | $571.14 | $157.92 – $428.36 | 4 |
| Ghs removal pharyngeal foreign body CPT 42809 | $149.14 | $517.39 | $157.92 – $1,027.33 | 4 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $3,903.19 – $3,903.19 | 1 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $8,099.19 – $8,099.19 | 1 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $70.63 | $245.02 | $15.89 – $183.77 | 18 |
| Ghs reticulocyte count CPT 85044 | $31.31 | $108.62 | $4.31 – $81.47 | 18 |
| Ghs sedimentation rate CPT 85651 | $20.86 | $72.35 | $4.27 – $54.27 | 18 |
| Ghs semen analysis fert CPT 89320 | $88.13 | $305.75 | $12.31 – $229.32 | 18 |
| Ghs sensitivity (per antimicro) CPT 87184 | $31.01 | $107.58 | $7.48 – $80.69 | 18 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $358.92 | $1,245.20 | $896.55 – $1,015.09 | 3 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $358.92 | $1,245.20 | $896.55 – $1,015.09 | 3 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $365.70 | $1,268.70 | $913.47 – $1,015.09 | 3 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $365.70 | $1,268.70 | $913.47 – $1,015.09 | 3 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $355.54 | $1,233.46 | $491.34 – $925.10 | 3 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $355.54 | $1,233.46 | $491.34 – $925.10 | 3 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $355.54 | $1,233.46 | $491.34 – $925.10 | 3 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $399.56 | $1,386.17 | $491.34 – $1,039.63 | 3 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $399.56 | $1,386.17 | $491.34 – $1,039.63 | 3 |
| Ghs somatosensory testing lower extremit CPT 95926 | $350.49 | $1,215.93 | $762.02 – $958.87 | 4 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $511.65 | $1,775.06 | $958.87 – $1,331.30 | 4 |
| Ghs sphenopalatine ganglion block CPT 64505 | $340.93 | $1,182.77 | $739.79 – $887.08 | 3 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $315.92 – $408.60 | 2 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $116.43 | $403.92 | $115.28 – $302.94 | 4 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $272.69 | $946.03 | $562.06 – $709.53 | 4 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $246.12 | $853.86 | $614.78 – $1,580.71 | 3 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $216.59 | $751.40 | $541.01 – $1,015.09 | 3 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $1,023.42 | $3,550.57 | $2,556.42 – $3,776.99 | 3 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $216.74 | $751.93 | $541.39 – $563.95 | 3 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $563.25 – $563.25 | 1 |
| Ghs urine, porphyrins quant CPT 84120 | $39.68 | $137.64 | $14.71 – $103.23 | 18 |
| Ghs vaginal delivery only CPT 59409 | $4,037.12 | $14,006.06 | $4,535.37 – $7,693.18 | 3 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $794.94 | $2,757.88 | $1,315.36 – $2,068.41 | 3 |
| Ghs windowing of cast CPT 29730 | $155.71 | $540.19 | $388.94 – $408.60 | 4 |
| Gi inhouse confirmation CPT 87045 | $49.05 | $170.15 | $9.44 – $127.62 | 18 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $7,741.04 – $7,741.04 | 1 |
| Gjb2 gene full sequence CPT 81252 | $517.88 | $1,796.69 | $101.12 – $1,347.52 | 17 |
| Glassia injection HCPCS J0257 | $6,256.45 | $21,705.60 | $15.45 – $16,279.20 | 5 |
| Glaucoma surgery CPT 66150 | not published | not published | $10,871.57 – $10,871.57 | 1 |
| Glaucoma surgery CPT 66155 | not published | not published | $10,871.57 – $10,871.57 | 1 |
| Glaucoma surgery CPT 66160 | not published | not published | $5,875.62 – $5,875.62 | 1 |
| Glaucoma surgery CPT 66170 | not published | not published | $5,875.62 – $5,875.62 | 1 |
| Glove finger flexion right lg xl HCPCS L3912 | $55.15 | $191.30 | $95.65 – $459.76 | 8 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $1,005.97 | $3,490.00 | $431.42 – $654.38 | 5 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $5,029.81 | $17,450.00 | $266.00 – $399.00 | 4 |
| Glucagon plasma - sendout CPT 82943 | $103.09 | $357.65 | $14.29 – $268.24 | 18 |
| Glucose 1 hr post dose CPT 82950 | $30.54 | $105.95 | $4.75 – $79.47 | 18 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $71.84 | $249.22 | $6.05 – $186.92 | 18 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $20.12 | $69.78 | $3.28 – $52.34 | 18 |
| Glucose blood quantitative CPT 82947 | $32.15 | $111.52 | $3.93 – $83.64 | 18 |
| Glucose body fluid CPT 82945 | $19.51 | $67.67 | $3.93 – $50.76 | 18 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $58.49 | $202.91 | $146.10 – $156.40 | 3 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $30.54 | $105.95 | $12.87 – $79.47 | 18 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $15.08 | $52.29 | $3.92 – $39.22 | 18 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $285.36 | $990.00 | $53.30 – $79.95 | 4 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $10,351.67 | $35,913.25 | $41.54 – $7,073.25 | 5 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $80.80 | $280.29 | $18.58 – $210.22 | 18 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $75.58 | $262.19 | $18.52 – $196.65 | 18 |
| Goniotomy CPT 65820 | not published | not published | $10,871.57 – $10,871.57 | 1 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $2,819.58 | $9,782.00 | $715.94 – $2,445.75 | 5 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $2,608.75 | $9,050.59 | $148.19 – $4,525.30 | 4 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $16,573.23 | $57,497.85 | $737.11 – $1,105.67 | 3 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $8,099.19 – $8,099.19 | 1 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $22,781.03 | $79,034.70 | $130.39 – $378.00 | 4 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $24,552.94 | $85,182.00 | $92.28 – $138.42 | 3 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $43,972.77 | $152,555.64 | $359.58 – $539.37 | 3 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $11,380.29 | $39,481.86 | $562.20 – $1,597.17 | 3 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $10,354.71 – $10,354.71 | 1 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $14,322.55 | $49,689.50 | $394.64 – $1,368.24 | 3 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $28,894.71 | $100,245.02 | $4,010.66 – $6,015.99 | 3 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $5,043.59 | $17,497.80 | $8,748.90 – $13,123.35 | 3 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $36,248.32 | $125,757.03 | $87.70 – $131.55 | 3 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $2,342.13 | $8,125.58 | $166.11 – $249.16 | 3 |
| Granisetron 1 mg tab HCPCS Q0166 | $154.27 | $535.20 | $192.68 – $200.70 | 2 |
| Granisetron hcl injection HCPCS J1626 | $169.00 | $586.30 | $78.90 – $118.35 | 4 |
| Great toe-hand transfer CPT 26551 | not published | not published | $31,848.21 – $31,848.21 | 1 |
| Great toe with reduction 28495 CPT 28495 | $203.63 | $706.43 | $508.63 – $563.25 | 3 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $4,695.89 – $4,695.89 | 1 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $8,851.20 – $8,851.20 | 1 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $8,851.20 – $8,851.20 | 1 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $19.18 | $66.53 | $16.81 – $64.25 | 17 |
| Growth hormone antibody CPT 86277 | $69.00 | $239.38 | $15.74 – $179.54 | 18 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $18,086.24 – $18,086.24 | 1 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $12,115.72 – $12,115.72 | 1 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $15,225.62 – $15,225.62 | 1 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $17,025.05 – $17,025.05 | 1 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $1,435.53 – $11,363.00 | 3 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $4,738.69 – $4,738.69 | 1 |
| G-tube reposition CPT 43761 | $352.58 | $1,223.19 | $584.64 – $917.40 | 3 |
| Gu dilat ureter/urethra s&i CPT 74485 | $1,038.49 | $3,602.83 | $2,594.04 – $5,046.94 | 4 |
| Guided cath fluid drainage 10030 CPT 10030 | $374.12 | $1,297.94 | $934.52 – $1,765.78 | 3 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $51,151.94 | $177,462.50 | $15.09 – $22.63 | 3 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $1,432.26 | $4,968.95 | $134.87 – $202.31 | 3 |
| Guid loc target vol rad tx CPT 77387 | $429.86 | $1,491.31 | $87.50 – $1,118.49 | 3 |
| Gum graft CPT 41870 | not published | not published | $3,776.99 – $3,776.99 | 1 |
| Gw stiffened micro access kit HCPCS C1894 | $2,864.51 | $9,937.90 | $22.19 – $33.28 | 3 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $9,353.91 – $9,353.91 | 1 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $1,580.71 – $1,580.71 | 1 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $1,015.09 – $1,015.09 | 1 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $1,015.09 – $1,015.09 | 1 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $177.71 | $616.50 | $21.64 – $109.45 | 4 |
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.