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 |
|---|---|---|---|---|
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $317.10 | $1,100.10 | $234.44 – $825.08 | 5 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $228.39 | $792.35 | $127.23 – $594.27 | 5 |
| X-ray bone age studies CPT 77072 | $194.71 | $675.48 | $155.01 – $506.61 | 5 |
| X-ray bone length studies CPT 77073 | $239.34 | $830.33 | $155.01 – $622.75 | 5 |
| X-ray bone survey complete CPT 77075 | $414.74 | $1,438.85 | $234.44 – $1,079.14 | 5 |
| X-ray bone survey infant CPT 77076 | $231.57 | $803.36 | $234.44 – $602.52 | 5 |
| X-ray cervical spine 2-3 views CPT 72040 | $257.05 | $891.78 | $127.23 – $668.84 | 5 |
| X-ray cervical spine 4-5 views CPT 72050 | $362.01 | $1,255.92 | $234.44 – $941.94 | 5 |
| X-ray cervical spine >= 6 views CPT 72052 | $402.71 | $1,397.12 | $234.44 – $1,047.84 | 5 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $441.57 | $1,531.93 | $444.60 – $1,148.95 | 5 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $537.24 | $1,863.85 | $490.69 – $1,397.89 | 5 |
| Xray endovasc thor ao repr CPT 75957 | $1,411.78 | $4,897.91 | $2,057.13 – $3,673.44 | 7 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $532.50 | $1,847.38 | $444.60 – $1,385.54 | 5 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $1,010.60 | $3,506.09 | $234.44 – $2,629.57 | 4 |
| X-ray exam entire spi 6/> vw CPT 72084 | $1,083.31 | $3,758.33 | $234.44 – $2,818.75 | 4 |
| X-ray exam of eye sockets CPT 70200 | $250.27 | $868.24 | $155.01 – $651.18 | 5 |
| X-ray exam of mastoids CPT 70120 | $177.04 | $614.20 | $155.01 – $460.65 | 5 |
| X-ray exam of penis CPT 74445 | $314.82 | $1,092.21 | $234.44 – $952.40 | 5 |
| X-ray exam of perineum CPT 74775 | $312.63 | $1,084.60 | $234.44 – $952.40 | 5 |
| X-ray exam of salivary gland CPT 70380 | $130.76 | $453.63 | $127.23 – $340.23 | 5 |
| X-ray exam of sinuses CPT 70210 | $187.69 | $651.13 | $127.23 – $488.35 | 5 |
| X-ray exam si joints CPT 72200 | $156.41 | $542.63 | $155.01 – $406.98 | 5 |
| X-ray exam thorac spine4/>vw CPT 72074 | $296.22 | $1,027.65 | $155.01 – $770.74 | 5 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $165.75 | $575.03 | $127.23 – $431.28 | 5 |
| X-ray facial bones complete > 3 views CPT 70150 | $235.66 | $817.57 | $155.01 – $613.18 | 5 |
| X-ray fallopian tube CPT 74742 | $347.69 | $1,206.24 | $868.50 – $904.68 | 2 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $199.60 | $692.45 | $234.44 – $519.34 | 4 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $222.11 | $770.55 | $234.44 – $577.92 | 4 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $244.62 | $848.64 | $234.44 – $636.48 | 4 |
| X-ray joint survey 1 view CPT 77077 | $158.37 | $549.42 | $155.01 – $412.07 | 5 |
| X-ray knee ap standing bilateral CPT 73565 | $183.46 | $636.45 | $127.23 – $477.34 | 5 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $284.90 | $988.39 | $155.01 – $741.30 | 5 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $317.03 | $1,099.86 | $234.44 – $824.90 | 5 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $387.72 | $1,345.10 | $234.44 – $1,008.83 | 5 |
| X-ray mandible complete > 4 views CPT 70110 | $269.05 | $933.40 | $155.01 – $700.05 | 5 |
| X-ray mandible ltd <4 views CPT 70100 | $166.81 | $578.70 | $127.23 – $434.03 | 5 |
| X-ray nasal bones complete > 3 views CPT 70160 | $222.10 | $770.52 | $127.23 – $577.89 | 5 |
| X-ray neck soft tissue CPT 70360 | $167.12 | $579.77 | $127.23 – $434.83 | 5 |
| X-ray nose to rectum for foreign body child CPT 76010 | $155.87 | $540.74 | $127.23 – $405.56 | 5 |
| X-ray of mammary ducts CPT 77054 | $458.35 | $1,590.13 | $475.81 – $1,192.60 | 5 |
| X-ray optic foramina CPT 70190 | $110.54 | $383.47 | $127.23 – $287.61 | 5 |
| X-ray pelvis 1-2 views CPT 72170 | $239.14 | $829.63 | $155.01 – $622.23 | 5 |
| X-ray pelvis complete > 3 views CPT 72190 | $270.23 | $937.48 | $155.01 – $703.11 | 5 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $659.95 | $2,289.56 | $934.73 – $1,717.17 | 5 |
| X-ray ribs 3 views bilateral CPT 71110 | $230.17 | $798.51 | $155.01 – $598.89 | 5 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $289.98 | $1,006.00 | $234.44 – $754.50 | 5 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $234.62 | $813.95 | $155.01 – $610.47 | 5 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $209.20 | $725.77 | $127.23 – $544.33 | 5 |
| X-ray sella turcica CPT 70240 | $85.29 | $295.88 | $127.23 – $236.39 | 5 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $225.22 | $781.36 | $127.23 – $586.02 | 5 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $327.22 | $1,135.21 | $475.81 – $1,368.97 | 5 |
| X-ray skull < 4 views CPT 70250 | $236.96 | $822.07 | $155.01 – $616.56 | 5 |
| X-ray skull > 4 views complete CPT 70260 | $333.72 | $1,157.75 | $234.44 – $868.32 | 5 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $322.49 | $1,118.82 | $234.44 – $839.12 | 5 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $604.69 | $2,097.83 | $234.44 – $1,573.38 | 5 |
| X-ray small intestine follow-through study CPT 74248 | $480.83 | $1,668.15 | $1,201.07 – $1,251.12 | 2 |
| X-ray spine single view CPT 72020 | $176.71 | $613.06 | $127.23 – $459.80 | 5 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $178.76 | $620.15 | $127.23 – $465.12 | 5 |
| X-ray sternum > 2 views CPT 71120 | $188.17 | $652.79 | $127.23 – $489.60 | 5 |
| X-ray surgical specimen CPT 76098 | $287.19 | $996.35 | $717.38 – $1,470.68 | 5 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $557.09 | $1,932.70 | $234.44 – $1,449.53 | 5 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $246.10 | $853.78 | $127.23 – $640.34 | 5 |
| X-ray thoracic spine 2 views CPT 72070 | $235.40 | $816.67 | $155.01 – $612.51 | 5 |
| X-ray thoracic spine 3 views CPT 72072 | $268.75 | $932.37 | $155.01 – $699.28 | 5 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $201.23 | $698.11 | $127.23 – $523.59 | 5 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $639.81 | $2,219.69 | $127.23 – $1,664.77 | 4 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $872.46 | $3,026.84 | $234.44 – $2,270.13 | 4 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $524.17 | $1,818.49 | $444.60 – $1,363.87 | 5 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $604.10 | $2,095.80 | $444.60 – $1,571.85 | 5 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $486.84 | $1,688.97 | $444.60 – $1,266.73 | 5 |
| Xylose absorption test blood &/or urine CPT 84620 | $54.80 | $190.10 | $12.91 – $142.58 | 18 |
| Xyntha inj HCPCS J7185 | $2.43 | $8.40 | $1.49 – $6.30 | 17 |
| Yersinia antibody CPT 86793 | $73.54 | $255.13 | $13.19 – $191.35 | 18 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $1,373.75 | $4,765.95 | $65.10 – $97.65 | 4 |
| Zika virus dna/rna amp probe CPT 87662 | $163.51 | $567.25 | $51.31 – $425.44 | 17 |
| Zika virus igm antibody CPT 86794 | $77.31 | $268.20 | $16.85 – $201.15 | 17 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $142.51 | $494.40 | $123.60 – $185.40 | 4 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | $4,567.43 | $15,845.85 | $22.17 – $3,120.90 | 5 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | $25,365.20 | $88,000.00 | $5,000.00 – $7,500.00 | 4 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $2,136.91 | $7,413.60 | $2,965.43 – $4,448.14 | 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.