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 |
|---|---|---|---|---|
| Cystine urine quantitative CPT 82131 | $117.46 | $266.12 | $22.98 – $239.51 | 16 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $15,105.73 – $15,105.73 | 1 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $647.61 | $1,467.34 | $924.43 – $1,736.41 | 6 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $2,947.23 – $2,947.23 | 1 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $40,331.64 – $40,331.64 | 1 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $15,105.73 – $15,105.73 | 1 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $15,105.73 – $15,105.73 | 1 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $15,105.73 – $15,105.73 | 1 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $15,105.73 – $15,105.73 | 1 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $15,105.73 – $15,105.73 | 1 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $15,105.73 – $15,105.73 | 1 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $22,161.37 – $22,161.37 | 1 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $8,742.05 – $8,742.05 | 1 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $8,742.05 – $8,742.05 | 1 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $8,742.05 – $8,742.05 | 1 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $15,105.73 – $15,105.73 | 1 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $8,742.05 – $8,742.05 | 1 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $2,947.23 – $2,947.23 | 1 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $8,742.05 – $8,742.05 | 1 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $15,105.73 – $15,105.73 | 1 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $15,105.73 – $15,105.73 | 1 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $22,161.37 – $22,161.37 | 1 |
| Cystoscopy and treatment CPT 52310 | $1,252.12 | $2,837.02 | $1,787.33 – $8,742.05 | 6 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $8,742.05 – $8,742.05 | 1 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $15,105.73 – $15,105.73 | 1 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $15,105.73 – $15,105.73 | 1 |
| Cystoscopy (Bladder Scope) CPT 52000 | $853.60 | $1,934.06 | $1,218.46 – $2,947.23 | 6 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $8,742.05 – $8,742.05 | 1 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $2,947.23 – $2,947.23 | 1 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $15,105.73 – $15,105.73 | 1 |
| Cystoscopy inject material CPT 52327 | not published | not published | $22,161.37 – $22,161.37 | 1 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $15,105.73 – $15,105.73 | 1 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $8,742.05 – $8,742.05 | 1 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $8,742.05 – $8,742.05 | 1 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $22,161.37 – $22,161.37 | 1 |
| Cystoscopy & ureter catheter CPT 52005 | $1,378.61 | $3,123.62 | $1,967.89 – $8,742.05 | 6 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $1,432.81 | $3,246.42 | $2,045.25 – $8,742.05 | 6 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $15,105.73 – $15,105.73 | 1 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $15,105.73 – $15,105.73 | 1 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $15,105.73 – $15,105.73 | 1 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $15,105.73 – $15,105.73 | 1 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $22,161.37 – $22,161.37 | 1 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $22,161.37 – $22,161.37 | 1 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $22,161.37 – $22,161.37 | 1 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $22,161.37 – $22,161.37 | 1 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $22,161.37 – $22,161.37 | 1 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $15,105.73 – $15,105.73 | 1 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $15,105.73 – $15,105.73 | 1 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $15,105.73 – $15,105.73 | 1 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $8,742.05 – $8,742.05 | 1 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $8,742.05 – $8,742.05 | 1 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $15,105.73 – $15,105.73 | 1 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $15,105.73 – $15,105.73 | 1 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $15,105.73 – $15,105.73 | 1 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $1,150.82 | $2,607.50 | $1.26 – $99.18 | 5 |
| Cytarabine liposome inj HCPCS J9098 | $6,553.85 | $14,849.60 | $525.94 – $13,364.64 | 8 |
| Cytogenetics 25-99 CPT 88274 | $375.36 | $850.47 | $42.38 – $765.43 | 16 |
| Cytogenetics 3-5 CPT 88272 | $114.35 | $259.09 | $40.70 – $233.19 | 16 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $71.92 | $162.95 | $14.39 – $146.66 | 16 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $152.23 | $344.90 | $16.85 – $62.09 | 16 |
| Cytomegalovirus dfa CPT 87271 | $74.97 | $169.86 | $13.42 – $152.88 | 16 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | $10,546.65 | $23,896.45 | $2,258.30 – $8,007.92 | 6 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $234.09 | $530.39 | $90.23 – $236.31 | 6 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $51.45 | $116.57 | $26.61 – $104.92 | 16 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $175.04 | $396.60 | $100.16 – $356.94 | 6 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $93.84 | $212.60 | $115.12 – $191.34 | 6 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $65.25 | $147.84 | $20.60 – $133.06 | 5 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $142.53 | $322.92 | $54.28 – $741.12 | 6 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $237.50 | $538.12 | $216.20 – $484.31 | 6 |
| Cytopath smear other source CPT 88160 | $216.27 | $490.00 | $117.64 – $441.00 | 6 |
| Cytopath smear oth prep screen & interp CPT 88161 | $108.76 | $246.42 | $106.72 – $221.78 | 6 |
| Cytopath tbs c/v manual CPT 88164 | $45.69 | $103.51 | $18.19 – $93.16 | 16 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $228.71 | $518.20 | $326.47 – $741.12 | 6 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $231.23 | $523.90 | $7.20 – $50.85 | 5 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $1,465.96 | $3,321.55 | $795.03 – $2,989.40 | 6 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $1,362.42 | $3,086.95 | $0.04 – $1,823.94 | 5 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $25,112.70 | $56,900.00 | $98.62 – $51,210.00 | 6 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $9,526.50 | $21,585.00 | $5.89 – $972.00 | 6 |
| Darbepoetin alfa, esrd use HCPCS J0882 | $4,763.25 | $10,792.50 | $5.89 – $3,885.30 | 6 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | $36,756.06 | $83,281.35 | $455.87 – $49,401.00 | 6 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $4,623.43 | $10,475.70 | $53.33 – $1,904.67 | 6 |
| D&c after delivery 59160 CPT 59160 | $1,619.82 | $3,670.16 | $2,312.21 – $13,325.72 | 6 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $3,286.72 | $7,447.00 | $4,691.61 – $13,325.72 | 6 |
| Dch pulmonary stress test CPT 94621 | $668.15 | $1,513.88 | $953.75 – $1,362.50 | 6 |
| Dch validity tests CPT 81002 | $38.41 | $87.01 | $3.48 – $36.81 | 16 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $2,797.95 | $6,339.55 | $3,993.92 – $8,471.71 | 6 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $13,408.63 – $13,408.63 | 1 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $8,471.71 – $8,471.71 | 1 |
| D&c of cervical stump CPT 57558 | not published | not published | $13,325.72 – $13,325.72 | 1 |
| Deamidated gliadin antibody iga CPT 86258 | $28.69 | $65.00 | $40.95 – $58.50 | 5 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $337.41 | $764.48 | $481.63 – $2,738.02 | 6 |
| Debridement (>20 cm) charge pt CPT 97598 | $348.19 | $788.91 | $497.02 – $710.02 | 5 |
| Debridement bone <= 20 sq cm CPT 11044 | $1,528.04 | $3,462.20 | $2,181.19 – $7,067.38 | 6 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $845.12 | $1,914.85 | $1,206.36 – $1,723.37 | 5 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $1,528.04 | $3,462.20 | $2,181.19 – $3,115.98 | 5 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $853.66 | $1,934.19 | $1,218.54 – $1,758.28 | 6 |
| Debride nail1-5 11720 CPT 11720 | $111.74 | $253.16 | $159.50 – $270.90 | 6 |
| Debride nail6 or more 11721 CPT 11721 | $111.74 | $253.16 | $159.50 – $270.90 | 6 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $3,058.60 – $3,058.60 | 1 |
| Debride skin bone at fx site CPT 11012 | $1,587.29 | $3,596.45 | $2,265.77 – $12,174.86 | 6 |
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.