St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $213.80 | $484.42 | $29.28 – $435.98 | 16 |
| 17-hydroxypregnenolone CPT 84143 | $256.66 | $581.53 | $22.81 – $523.38 | 16 |
| 17-ketosteroids CPT 83586 | $86.39 | $195.73 | $12.80 – $176.16 | 16 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $1,430.03 | $3,240.12 | $2,041.28 – $3,491.15 | 6 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $1,608.83 | $3,645.25 | $2,296.51 – $3,491.15 | 6 |
| 3d ech img cgen car anomal CPT 93319 | $524.06 | $1,187.39 | $748.06 – $1,068.66 | 5 |
| 3d recon without postprocess indpndt CPT 76376 | $821.46 | $1,861.23 | $1,172.58 – $1,675.11 | 5 |
| 5' nucleotidase - sendout CPT 83915 | $82.66 | $187.27 | $11.15 – $168.55 | 16 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $73.77 | $167.13 | $42.12 – $150.42 | 5 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | $220.00 | $498.46 | $136.06 – $448.62 | 7 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | $234.92 | $532.26 | $142.30 – $479.04 | 7 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $229.32 | $519.57 | $147.71 – $467.62 | 7 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $220.00 | $498.46 | $122.34 – $448.62 | 7 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | $234.92 | $532.26 | $130.24 – $479.04 | 7 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $229.32 | $519.57 | $128.63 – $183.76 | 7 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $249.83 | $566.04 | $128.63 – $183.76 | 7 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $317.56 | $719.52 | $166.03 – $273.73 | 7 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $3,654.06 | $8,279.30 | $85.40 – $3,725.69 | 6 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $45.82 | $103.81 | $12.01 – $93.11 | 16 |
| Abd aorta w/runoff s&i CPT 75630 | $4,115.19 | $9,324.12 | $5,874.20 – $14,039.89 | 6 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,921.17 | $6,618.73 | $705.13 – $5,956.86 | 6 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,717.37 | $6,156.96 | $705.13 – $5,541.27 | 6 |
| Abdominal CT scan (without contrast) CPT 74150 | $2,219.18 | $5,028.18 | $417.90 – $4,525.37 | 6 |
| Abdominal MRI (with and without contrast) CPT 74183 | $3,793.10 | $8,594.35 | $1,440.56 – $7,734.92 | 6 |
| Abdominal MRI (with contrast) CPT 74182 | $2,781.61 | $6,302.52 | $1,440.56 – $5,672.27 | 6 |
| Abdominal MRI (without contrast) CPT 74181 | $1,972.42 | $4,469.06 | $913.06 – $4,022.16 | 6 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,054.87 | $2,390.09 | $1,505.76 – $3,890.63 | 6 |
| Abdominal Ultrasound (complete) CPT 76700 | $899.80 | $2,038.75 | $498.80 – $1,834.88 | 6 |
| Abdominal Ultrasound (limited) CPT 76705 | $580.52 | $1,315.32 | $498.80 – $1,183.79 | 6 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $28,010.07 – $28,010.07 | 1 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $548.53 | $1,242.85 | $783.00 – $3,890.63 | 6 |
| Abl1 gene CPT 81170 | $470.64 | $1,066.35 | $300.00 – $959.72 | 16 |
| Ablate arrhythmia add on CPT 93655 | $7,271.10 | $16,474.75 | $10,379.10 – $14,827.28 | 5 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Ablate bone tumor(s) perq CPT 20982 | $6,369.42 | $14,431.73 | $9,091.99 – $31,174.75 | 6 |
| Ablate heart dysrhythm focus CPT 93650 | $5,399.81 | $12,234.81 | $7,707.94 – $31,731.45 | 6 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $6,542.30 – $6,542.30 | 1 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $6,542.30 – $6,542.30 | 1 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $24,564.86 – $24,564.86 | 1 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $24,564.86 – $24,564.86 | 1 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $8,553.51 | $19,380.42 | $121.49 – $685.41 | 6 |
| Ablation cryo abd perit om CPT 49999 | $952.88 | $2,159.00 | $1,360.17 – $3,890.63 | 6 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $24,564.86 – $24,564.86 | 1 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $975.64 – $975.64 | 1 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $5,398.19 | $12,231.14 | $7,705.62 – $24,564.86 | 6 |
| Ablation cryo retro lymph node CPT 38999 | $417.28 | $945.46 | $595.64 – $1,921.73 | 6 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $975.64 – $975.64 | 1 |
| Ablation of upper extremity nerves rf CPT 64999 | $901.55 | $2,042.70 | $444.78 – $1,281.42 | 6 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $40,331.64 – $40,331.64 | 1 |
| Abortion (mpr) CPT 59866 | not published | not published | $1,376.01 – $1,376.01 | 1 |
| Abrasion lesion single CPT 15786 | not published | not published | $851.07 – $851.07 | 1 |
| Abscess drain retroperitoneal surg code CPT 49406 | $2,400.32 | $5,438.59 | $3,426.32 – $7,067.38 | 6 |
| Access thoracic lymph duct CPT 38794 | $1,696.80 | $3,844.58 | $2,422.09 – $3,460.13 | 5 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $103.28 | $234.00 | $0.11 – $210.60 | 5 |
| Acetaminophen level CPT 80143 | $123.71 | $280.29 | $18.64 – $252.27 | 16 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $99.37 | $225.15 | $29.04 – $202.64 | 5 |
| Acetone qualitative CPT 82009 | $41.49 | $93.99 | $4.52 – $84.60 | 16 |
| Acetylcholine receptor modulating antibody CPT 86043 | $13.30 | $30.13 | $18.99 – $27.12 | 5 |
| Acetylcholinesterase assay CPT 82013 | $157.24 | $356.25 | $12.29 – $320.63 | 16 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $821.09 | $1,860.40 | $1.14 – $1,055.25 | 5 |
| Acetylcysteine non-comp unit HCPCS J7608 | $10.33 | $23.40 | $13.46 – $19.53 | 5 |
| Acne surgery 10040 CPT 10040 | $116.90 | $264.87 | $166.87 – $851.07 | 6 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $304.74 | $690.46 | $112.30 – $569.61 | 6 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $29.37 | $66.53 | $9.70 – $59.88 | 17 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $14,029.00 – $14,029.00 | 1 |
| Actinotherapy uv light CPT 96900 | $100.94 | $228.69 | $144.08 – $205.83 | 6 |
| Acute hepatitis panel CPT 80074 | $333.07 | $754.66 | $47.63 – $679.20 | 16 |
| Acyclovir 400 mg tablet HCPCS J8499 | $1,541.52 | $3,492.75 | $77.97 – $127.58 | 8 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $1,230.48 | $2,788.00 | $0.06 – $56.21 | 5 |
| #acylcarnitineprfl CPT 82017 | $35.46 | $80.33 | $16.87 – $72.30 | 16 |
| Adapter b 8 channel 10cm HCPCS C1883 | $29,762.64 | $67,435.75 | $1,084.48 – $1,549.26 | 5 |
| Adding walker to prev cast CPT 29440 | not published | not published | $686.97 – $686.97 | 1 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $2,089.74 | $4,734.90 | $0.85 – $2.43 | 5 |
| Adh-sendout CPT 84588 | $260.39 | $589.98 | $33.94 – $530.99 | 16 |
| Adj gastric band via subq port CPT 43999 | $1,014.96 | $2,299.67 | $1,448.80 – $3,890.63 | 6 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $8,133.98 – $8,133.98 | 1 |
| Adjustment gastric band HCPCS S2083 | $1,014.96 | $2,299.67 | $1,448.80 – $2,069.71 | 5 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $279.53 | $633.35 | $0.51 – $0.72 | 5 |
| Admin ecg contrast agent CPT 93352 | $148.55 | $336.56 | $212.04 – $302.91 | 5 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $251.11 | $568.95 | $317.99 – $512.06 | 6 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $257.55 | $583.54 | $317.99 – $525.19 | 6 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $643.87 | $1,458.85 | $919.08 – $1,567.64 | 6 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $334.81 | $758.60 | $477.92 – $973.56 | 6 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $360.00 | $815.68 | $317.99 – $734.12 | 6 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $360.00 | $815.68 | $317.99 – $734.12 | 6 |
| Administration immunization 1 vaccine CPT 90471 | $59.15 | $134.02 | $84.44 – $317.99 | 6 |
| Administration immunization each additional vaccine CPT 90472 | $58.56 | $132.68 | $83.59 – $119.42 | 5 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $56.07 | $127.03 | $80.03 – $317.99 | 6 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $33.78 | $76.52 | $48.21 – $68.87 | 5 |
| Administration vaccine hepatitis b HCPCS G0010 | $59.75 | $135.36 | $14.77 – $199.69 | 6 |
| Administration vaccine influenza virus HCPCS G0008 | $58.56 | $132.68 | $83.59 – $199.69 | 6 |
| Administration vaccine pneumococcal HCPCS G0009 | $58.56 | $132.68 | $83.59 – $199.69 | 6 |
| _afb id by dna probe rflx ast CPT 87149 | $150.00 | $339.85 | $20.05 – $305.87 | 16 |
| #afb mycobacteria suscep. #1 CPT 87190 | $37.21 | $84.29 | $7.31 – $75.87 | 16 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $344.56 | $780.68 | $115.36 – $702.62 | 16 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | $73.13 | $165.68 | $93.20 – $2,999.78 | 9 |
| After cataract laser surgery CPT 66821 | not published | not published | $2,501.52 – $2,501.52 | 1 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $54,201.07 | $122,808.00 | $351.24 – $5,805.00 | 6 |
| Air injection into abdomen 49400 CPT 49400 | $354.76 | $803.81 | $506.41 – $723.43 | 5 |
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.