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 |
|---|---|---|---|---|
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $8,133.98 – $8,133.98 | 1 |
| Device ablt adv novasure HCPCS C1886 | $10,520.91 | $23,838.11 | $4,606.22 – $6,580.32 | 5 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $6,353.54 | $14,395.76 | $5,366.47 – $7,666.38 | 5 |
| Device intraute mirena HCPCS J7298 | $2,420.65 | $5,484.66 | $2,313.57 – $3,646.80 | 8 |
| Device sut capio slim opn HCPCS C2631 | $1,728.93 | $3,917.38 | $2,214.39 – $3,163.41 | 5 |
| Device tiss remov myosure reach HCPCS C1782 | $858.83 | $1,945.91 | $1,225.93 – $1,751.32 | 5 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $226.15 | $512.39 | $270.71 – $461.16 | 6 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $344.43 | $780.40 | $0.14 – $4.59 | 5 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $1,023.76 | $2,319.60 | $0.22 – $35.82 | 5 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $2,013.30 | $4,561.70 | $201.33 – $933.08 | 6 |
| Dextran 40 infusion HCPCS J7100 | $180.30 | $408.50 | $71.08 – $367.65 | 5 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $28.83 | $65.30 | $2.16 – $58.77 | 5 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $288.21 | $653.00 | $3.26 – $29.39 | 5 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $210.14 | $476.13 | $22.23 – $428.52 | 16 |
| Diabetes (HbA1c) Test CPT 83036 | $69.77 | $158.07 | $9.71 – $142.27 | 16 |
| Diab manage trn ind/group HCPCS G0109 | $68.23 | $154.58 | $15.47 – $139.13 | 16 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $7,534.01 – $7,534.01 | 1 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $24,564.86 – $24,564.86 | 1 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $547.23 – $547.23 | 1 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $5,103.75 – $5,103.75 | 1 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $235.03 | $532.52 | $335.49 – $547.23 | 6 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $172.68 | $391.25 | $246.49 – $842.45 | 6 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $411.34 | $931.99 | $467.57 – $842.45 | 6 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $508.76 | $1,152.74 | $139.81 – $1,037.47 | 9 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $4,794.53 | $10,863.37 | $6,843.93 – $9,777.04 | 5 |
| Dialysis one evaluation CPT 90945 | $2,888.46 | $6,544.63 | $907.09 – $1,798.53 | 6 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $197.95 | $448.50 | $0.15 – $38.79 | 5 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $287.96 | $652.45 | $10.90 – $117.50 | 5 |
| Dicyclomine injection HCPCS J0500 | $231.07 | $523.55 | $40.66 – $235.62 | 5 |
| Diffusing capacity CPT 94729 | $311.73 | $706.31 | $444.98 – $635.68 | 5 |
| Digital analysis of eeg CPT 95957 | $273.91 | $620.61 | $390.99 – $558.55 | 5 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $180.91 | $409.90 | $14.35 – $39.74 | 5 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $7,142.80 | $16,184.05 | $7,376.58 – $20,271.42 | 6 |
| Digoxin total therapeutic drug level CPT 80162 | $87.12 | $197.39 | $13.28 – $177.66 | 16 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $222.64 | $504.45 | $93.03 – $227.03 | 5 |
| Dilate biliary duct/ampulla CPT 47542 | $1,841.15 | $4,171.65 | $2,628.14 – $3,754.49 | 5 |
| Dilate esophagus CPT 43453 | $946.20 | $2,143.87 | $1,350.64 – $8,208.11 | 6 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $3,890.63 – $3,890.63 | 1 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $409.44 – $491.33 | 2 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $204.71 – $245.66 | 2 |
| Dilate ic vasospasm init CPT 61640 | $4,215.59 | $9,551.62 | $582.95 – $8,596.46 | 8 |
| Dilate tear duct opening CPT 68801 | not published | not published | $1,779.49 – $1,779.49 | 1 |
| Dilate urethra stricture CPT 53600 | not published | not published | $1,012.68 – $1,012.68 | 1 |
| Dilate urethra stricture CPT 53601 | not published | not published | $547.23 – $547.23 | 1 |
| Dilate urethra stricture CPT 53605 | not published | not published | $15,105.73 – $15,105.73 | 1 |
| Dilate urethra stricture CPT 53621 | not published | not published | $1,012.68 – $1,012.68 | 1 |
| Dilation/female urethra/initial 53660 CPT 53660 | $127.11 | $288.00 | $181.44 – $685.41 | 6 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $5,103.75 – $5,103.75 | 1 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $13,325.72 – $13,325.72 | 1 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $5,103.75 – $5,103.75 | 1 |
| Dilation of salivary duct CPT 42660 | not published | not published | $2,152.99 – $2,152.99 | 1 |
| Dilation of urethra CPT 53661 | not published | not published | $547.23 – $547.23 | 1 |
| Dilation of urethra CPT 53665 | not published | not published | $8,742.05 – $8,742.05 | 1 |
| Dilation of vagina CPT 57400 | not published | not published | $13,325.72 – $13,325.72 | 1 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $6,542.30 – $6,542.30 | 1 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $1,125.77 | $2,550.75 | $1,606.98 – $2,947.23 | 6 |
| Dilator fascial 10fx20cm HCPCS C2627 | $263.48 | $596.98 | $58.59 – $83.70 | 5 |
| Dilat xst trc ndurlgc px CPT 50436 | $2,878.26 | $6,521.50 | $4,108.55 – $15,105.73 | 6 |
| Dilat xst trc new access rcs CPT 50437 | $2,878.26 | $6,521.50 | $4,108.55 – $15,105.73 | 6 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $115.86 | $262.50 | $5.99 – $8.55 | 5 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $1,703.26 | $3,859.20 | $1,071.98 – $3,473.28 | 6 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $60.96 | $138.10 | $1.20 – $124.29 | 5 |
| Dipyridamole injection HCPCS J1245 | $355.25 | $804.90 | $1.72 – $667.49 | 5 |
| Disability dlco CPT 94727 | $314.73 | $713.10 | $449.26 – $685.41 | 6 |
| Disaccharidases CPT 82657 | $114.99 | $260.54 | $22.17 – $234.49 | 16 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $8,133.98 – $8,133.98 | 1 |
| Discography cerv/thor spine CPT 72285 | $3,080.86 | $6,980.56 | $4,397.76 – $8,471.71 | 6 |
| Dissolve clot heart vessel CPT 92975 | $847.31 | $1,919.82 | $883.12 – $1,727.84 | 9 |
| Dist revas ligation hemo CPT 36838 | $4,495.88 | $10,186.69 | $6,417.62 – $24,223.69 | 6 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Dna antibody native/double stranded CPT 86225 | $199.13 | $451.17 | $13.74 – $82.98 | 16 |
| Dna gardnerella CPT 87510 | $245.37 | $555.94 | $20.05 – $94.05 | 16 |
| Dna trichomonas CPT 87660 | $46.09 | $104.43 | $20.05 – $93.99 | 16 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $172.24 | $390.25 | $11.04 – $158.94 | 5 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $6,918.13 | $15,675.00 | $1.61 – $470.39 | 5 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $238.55 | $540.50 | $1.12 – $114.12 | 5 |
| Doppler echo complete CPT 93320 | $627.77 | $1,422.38 | $896.10 – $1,280.15 | 5 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $2,340.28 | $5,302.57 | $3,340.62 – $4,772.32 | 5 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $505.92 | $1,146.29 | $594.06 – $1,031.67 | 6 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $415.58 | $941.60 | $457.75 – $736.91 | 6 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | $106.97 | $242.35 | $0.84 – $218.12 | 8 |
| Dornhoffer fixed part w/window HCPCS L8614 | $53,196.79 | $120,532.53 | $710.75 – $1,015.35 | 5 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $30,601.31 | $69,336.00 | $43,681.68 – $62,402.40 | 5 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $1,141.77 | $2,587.00 | $5.37 – $193.50 | 5 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $10,035.31 | $22,737.85 | $272.45 – $8,185.68 | 6 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $320.89 | $727.05 | $91.64 – $130.91 | 5 |
| Dpyd gene common variants CPT 81232 | $718.40 | $1,627.73 | $174.81 – $1,464.96 | 16 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $395.48 | $896.07 | $564.53 – $3,058.60 | 6 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $3,058.60 – $3,058.60 | 1 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $7,067.38 – $7,067.38 | 1 |
| Drainage external ear simple 69000 CPT 69000 | not published | not published | $3,058.60 – $3,058.60 | 1 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $12,174.86 – $12,174.86 | 1 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $12,174.86 – $12,174.86 | 1 |
| Drainage mouth roof lesion CPT 42000 | $293.79 | $665.65 | $419.36 – $979.50 | 6 |
| Drainage of arm bursa 23931 CPT 23931 | not published | not published | $7,067.38 – $7,067.38 | 1 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $12,174.86 – $12,174.86 | 1 |
| Drainage of eye CPT 65800 | not published | not published | $10,177.44 – $10,177.44 | 1 |
| Drainage of eye CPT 65810 | not published | not published | $10,177.44 – $10,177.44 | 1 |
| Drainage of eye CPT 65815 | not published | not published | $10,177.44 – $10,177.44 | 1 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $6,760.89 – $6,760.89 | 1 |
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.