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 |
|---|---|---|---|---|
| Follow-up surgery of eye CPT 66250 | not published | not published | $9,964.32 – $9,964.32 | 1 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $4,235.53 | $9,596.80 | $13.15 – $5,481.72 | 6 |
| Fondaparinux sodium HCPCS J1652 | $313.83 | $711.05 | $2.04 – $497.07 | 5 |
| Fo nontorsion joint cf HCPCS L3935 | $114.40 | $259.20 | $163.30 – $1,060.57 | 9 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $15,331.58 – $15,331.58 | 1 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $324.18 | $734.52 | $462.75 – $1,012.68 | 6 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $633.71 | $1,435.85 | $0.24 – $1,292.27 | 5 |
| Foscarnet sodium injection HCPCS J1455 | $4,722.65 | $10,700.50 | $14.00 – $6,112.17 | 6 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $1,310.92 | $2,970.25 | $5.64 – $35.01 | 5 |
| Fracture assessment via dxa CPT 77086 | $247.68 | $561.18 | $270.71 – $505.07 | 6 |
| _fragile x methylation-sendout CPT 81244 | $240.54 | $545.00 | $44.89 – $420.02 | 16 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $15,105.73 – $15,105.73 | 1 |
| Frenectomy 41115 CPT 41115 | not published | not published | $6,542.30 – $6,542.30 | 1 |
| Frenotomy 40806 CPT 40806 | $374.01 | $847.41 | $533.87 – $2,152.99 | 6 |
| Frenulotomy of penis CPT 54164 | not published | not published | $8,742.05 – $8,742.05 | 1 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $120.08 | $272.06 | $171.40 – $359.13 | 6 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $120.08 | $272.06 | $171.40 – $402.82 | 6 |
| Fresh frozen plasma thawing ea un CPT 86927 | $155.09 | $351.40 | $54.28 – $741.12 | 6 |
| Frozen blood prep CPT 86930 | $170.23 | $385.70 | $243.00 – $1,527.53 | 6 |
| Fructosamine glycated protein CPT 82985 | $63.92 | $144.82 | $16.76 – $130.34 | 16 |
| Ftl cgen abnor four anal CPT 81511 | $180.84 | $409.73 | $153.50 – $368.76 | 16 |
| Ftl cgen abnor two proteins CPT 81508 | $78.29 | $177.37 | $54.30 – $159.64 | 16 |
| Full sole/heel wedge btween HCPCS L3420 | $36.50 | $82.70 | $52.11 – $288.58 | 9 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $8,133.98 – $8,133.98 | 1 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $8,133.98 – $8,133.98 | 1 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | $8,133.98 – $8,133.98 | 1 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $317.25 | $718.80 | $32.89 – $46.98 | 5 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $14,029.00 – $14,029.00 | 1 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $61,495.60 – $61,495.60 | 1 |
| Fusion of big toe joint CPT 28750 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Fusion of big toe joint CPT 28755 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Fusion of finger joint CPT 26860 | not published | not published | $14,029.00 – $14,029.00 | 1 |
| Fusion of finger tendons CPT 26471 | not published | not published | $14,029.00 – $14,029.00 | 1 |
| Fusion of finger tendons CPT 26474 | not published | not published | $6,760.89 – $6,760.89 | 1 |
| Fusion of foot bones CPT 28730 | not published | not published | $61,495.60 – $61,495.60 | 1 |
| Fusion of foot bones CPT 28735 | not published | not published | $61,495.60 – $61,495.60 | 1 |
| Fusion of foot bones CPT 28740 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Fusion of hand joint CPT 26843 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Fusion of knuckle CPT 26850 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $14,029.00 – $14,029.00 | 1 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $14,029.00 – $14,029.00 | 1 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $8,742.05 – $8,742.05 | 1 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $15,105.73 – $15,105.73 | 1 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $14,029.00 – $14,029.00 | 1 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $14,029.00 – $14,029.00 | 1 |
| Fusion of thumb CPT 26841 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $61,495.60 – $61,495.60 | 1 |
| Fusion of toes CPT 28280 | not published | not published | $14,029.00 – $14,029.00 | 1 |
| G6pc gene CPT 81250 | $81.10 | $183.75 | $58.49 – $165.38 | 16 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $1,094.11 | $2,479.00 | $624.71 – $892.44 | 5 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $377.36 | $855.00 | $29.50 – $769.50 | 5 |
| Galectin-3 CPT 82777 | $82.03 | $185.85 | $44.25 – $167.27 | 16 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $24,564.86 – $24,564.86 | 1 |
| Gamma globulin 1 cc inj HCPCS J1460 | $2,021.27 | $4,579.75 | $76.10 – $329.76 | 6 |
| Gammaglobulin iga CPT 82784 | $100.34 | $227.33 | $9.30 – $204.60 | 16 |
| Gammaglobulin ige CPT 82785 | $84.46 | $191.36 | $16.46 – $172.23 | 16 |
| Gamma glutamyltransferase CPT 82977 | $34.68 | $78.56 | $7.20 – $70.71 | 16 |
| Gamunex-c/gammaked HCPCS J1561 | $39,327.29 | $89,107.20 | $78.98 – $842.40 | 6 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $1,940.66 | $4,397.10 | $2.43 – $3.47 | 5 |
| Gardner vag dna amp probe CPT 87511 | $131.39 | $297.70 | $35.09 – $267.93 | 16 |
| Gastric emptying imag study CPT 78265 | $2,007.92 | $4,549.51 | $1,522.80 – $4,094.56 | 6 |
| Gastric emptying imag study CPT 78266 | $2,403.12 | $5,444.94 | $1,974.45 – $4,900.45 | 6 |
| Gastroesophageal reflux study CPT 78262 | $1,182.95 | $2,680.31 | $1,522.80 – $2,412.28 | 6 |
| Gastroesophageal reflux test CPT 91034 | $1,082.30 | $2,452.25 | $1,544.92 – $2,278.41 | 6 |
| Gastro/jejuno tube, std HCPCS B4087 | $714.72 | $1,619.38 | $40.78 – $172.50 | 8 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $3,890.63 – $3,890.63 | 1 |
| Gated heart multiple CPT 78473 | $2,024.78 | $4,587.71 | $1,522.80 – $4,128.94 | 6 |
| Gba gene CPT 81251 | $102.88 | $233.10 | $47.25 – $209.79 | 16 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $926.84 | $2,100.00 | $6.59 – $189.00 | 5 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $53,482.09 | $121,178.95 | $443.69 – $36,353.70 | 6 |
| General health panel CPT 80050 | $108.14 | $245.02 | $50.35 – $220.52 | 8 |
| Generator barostim neo2 2014 HCPCS C1767 | $109,003.29 | $246,978.11 | $40,382.66 – $57,689.52 | 5 |
| Generator emblem MRI sicd subq HCPCS C1722 | $68,297.41 | $154,747.30 | $24,596.31 – $35,137.58 | 5 |
| Genioplasty augmentation CPT 21120 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $13,408.63 – $13,408.63 | 1 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $13,408.63 – $13,408.63 | 1 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Gen, neuro, clo loop, rechg HCPCS C1826 | $68,923.99 | $156,167.00 | $98,385.21 – $140,550.30 | 5 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $2,431.70 | $5,509.70 | $2.98 – $62.28 | 5 |
| Gentamicin peak therapeutic drug level CPT 80170 | $108.04 | $244.78 | $16.38 – $220.31 | 16 |
| Ghs abscess perianal iandd CPT 46050 | $1,260.16 | $2,855.25 | $1,798.81 – $3,916.69 | 6 |
| Ghs abscess postoperative iandd complex CPT 10180 | $1,587.13 | $3,596.09 | $2,265.54 – $12,174.86 | 6 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $57.38 | $130.00 | $9.81 – $111.44 | 16 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $62.19 | $140.89 | $17.11 – $126.81 | 16 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $588.00 | $1,332.26 | $102.26 – $472.06 | 16 |
| Ghs antibodies (torch) igm CPT 86694 | $148.04 | $335.41 | $14.39 – $301.87 | 16 |
| Ghs aspiration bladder - needle CPT 51100 | $569.03 | $1,289.28 | $812.25 – $1,160.36 | 6 |
| Ghs bladder cath - complex-foley CPT 51703 | $419.75 | $951.06 | $599.17 – $855.96 | 6 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $413.70 | $937.34 | $590.53 – $3,036.77 | 6 |
| Ghs central line insert < age 5, failed CPT 36555 | $2,141.27 | $4,851.65 | $3,056.54 – $14,039.89 | 6 |
| Ghs change cysto/gastrost CPT 43762 | $557.37 | $1,262.86 | $795.61 – $1,136.58 | 6 |
| Ghs chemo >8 hrs CPT 96416 | $811.27 | $1,838.15 | $1,158.04 – $1,654.34 | 6 |
| Ghs chemo IV push, ea addtl CPT 96411 | $251.11 | $568.95 | $317.99 – $512.06 | 6 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $250.97 | $568.64 | $35.09 – $350.54 | 16 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $521.74 | $1,182.15 | $744.76 – $1,063.94 | 6 |
| Ghs closed reduction ankle dislocation CPT 27840 | not published | not published | $975.64 – $975.64 | 1 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | 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.