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 |
|---|---|---|---|---|
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $1,953.76 | $4,426.80 | $2.84 – $4.05 | 5 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $1,310.81 | $2,970.00 | $33.11 – $47.30 | 5 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $94.47 | $214.04 | $17.90 – $192.64 | 16 |
| Hymenotomy CPT 56442 | $4,358.89 | $9,876.29 | $6,222.07 – $13,325.72 | 6 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| #hypersens-actinomyces ab CPT 86602 | $46.22 | $104.72 | $10.18 – $94.25 | 16 |
| Hysterosalpingography s&i CPT 74740 | $575.72 | $1,304.45 | $821.81 – $1,174.01 | 6 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $21,845.27 – $21,845.27 | 1 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $13,325.72 – $13,325.72 | 1 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $13,325.72 – $13,325.72 | 1 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $21,845.27 – $21,845.27 | 1 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $13,325.72 – $13,325.72 | 1 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $21,845.27 – $21,845.27 | 1 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $21,845.27 – $21,845.27 | 1 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $21,845.27 – $21,845.27 | 1 |
| I-123 iobenguane diag HCPCS A9582 | $4,893.63 | $11,087.90 | $6,985.38 – $9,979.11 | 5 |
| I-123 ioflupane diag HCPCS A9584 | $7,396.75 | $16,759.45 | $6,335.10 – $9,050.13 | 5 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $344.26 | $780.00 | $122.85 – $175.50 | 5 |
| I131 iodide cap, rx HCPCS A9517 | $44.44 | $100.68 | $42.68 – $111.84 | 6 |
| Iaadi respiratory synctial virus CPT 87280 | $83.57 | $189.34 | $13.42 – $56.43 | 16 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $106.54 | $241.38 | $35.09 – $217.25 | 16 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $1,567.14 | $3,550.80 | $49.81 – $3,195.72 | 6 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $587.40 | $1,330.90 | $461.56 – $1,232.95 | 6 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $50,126.54 | $113,576.00 | $28,621.16 – $40,887.36 | 5 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $88,598.66 | $200,745.58 | $37,341.67 – $53,345.24 | 5 |
| Icd crtp serena MRI HCPCS C2621 | $25,987.48 | $58,882.06 | $15,875.80 – $22,679.72 | 5 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $8,841.07 | $20,031.97 | $8,049.70 – $11,499.57 | 5 |
| Icut allergy test-delayed CPT 95028 | $45.03 | $102.02 | $64.28 – $160.05 | 6 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $1,951.91 | $4,422.60 | $2,786.24 – $13,408.63 | 6 |
| Idarubicin hcl injection HCPCS J9211 | $1,142.94 | $2,589.65 | $68.52 – $2,330.69 | 5 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $7,067.38 – $7,067.38 | 1 |
| Idet 1 or more levels CPT 22527 | not published | not published | $2,001.41 – $2,401.70 | 2 |
| Idet single level CPT 22526 | not published | not published | $2,437.89 – $2,925.47 | 2 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $14,029.00 – $14,029.00 | 1 |
| Idh1 common variants CPT 81120 | $355.12 | $804.62 | $193.25 – $724.16 | 16 |
| Idh2 common variants CPT 81121 | $355.12 | $804.62 | $295.79 – $724.16 | 16 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $12,109.91 – $12,109.91 | 1 |
| I&d lacrimal gland CPT 68400 | not published | not published | $4,112.75 – $4,112.75 | 1 |
| I&d lacrimal sac CPT 68420 | not published | not published | $9,964.32 – $9,964.32 | 1 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $12,174.86 – $12,174.86 | 1 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $12,174.86 – $12,174.86 | 1 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $12,174.86 – $12,174.86 | 1 |
| Ifnl3 gene CPT 81283 | $328.06 | $743.30 | $73.37 – $668.97 | 16 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $700.07 | $1,586.20 | $51.22 – $1,427.58 | 5 |
| Igh gene rearrange amp meth CPT 81261 | $517.18 | $1,171.81 | $197.99 – $1,054.63 | 16 |
| Igh@ var region somatic mutation analy CPT 81263 | $807.52 | $1,829.66 | $294.52 – $925.11 | 16 |
| Igk rearrangeabn clonal pop CPT 81264 | $384.14 | $870.37 | $172.73 – $783.34 | 16 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $251.88 | $570.70 | $168.48 – $426.32 | 5 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $211.58 | $479.39 | $302.02 – $1,527.53 | 6 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $322.41 | $730.50 | $192.80 – $741.12 | 6 |
| Ikbkap gene CPT 81260 | $100.94 | $228.69 | $39.31 – $205.83 | 16 |
| Iliac/fem angio cath insert HCPCS G0278 | $1,547.78 | $3,506.93 | $2,209.37 – $3,156.24 | 5 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | $28,036.64 | $63,525.00 | $10,005.03 – $14,292.90 | 5 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $224.29 | $508.18 | $126.55 – $581.30 | 9 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $167.30 | $379.06 | $34.71 – $352.39 | 9 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $28,010.07 – $28,010.07 | 1 |
| Immune complex assay CPT 86332 | $151.63 | $343.56 | $24.37 – $309.21 | 16 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $39,831.48 | $90,249.60 | $73.44 – $32,483.03 | 6 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $148.31 | $336.02 | $20.81 – $302.42 | 16 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $145.95 | $330.67 | $20.81 – $297.61 | 16 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $48.55 | $110.00 | $11.98 – $99.00 | 16 |
| Immunodiffusion nes CPT 86329 | $37.91 | $85.89 | $14.05 – $77.31 | 16 |
| Immunofixation electrophoresis serum CPT 86334 | $115.19 | $260.99 | $22.34 – $234.90 | 16 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $110.03 | $249.30 | $113.24 – $224.37 | 5 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $147.68 | $334.61 | $150.68 – $1,527.53 | 6 |
| Immunoglobulin assay CPT 86023 | $76.66 | $173.69 | $12.46 – $156.33 | 16 |
| Immunology procedure CPT 86849 | $224.84 | $509.43 | $50.48 – $458.49 | 5 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $3,837.82 | $8,695.66 | $4,583.86 – $6,548.37 | 5 |
| Implant cochlear device CPT 69930 | not published | not published | $157,117.42 – $157,117.42 | 1 |
| Implant cochlear osia osi300 HCPCS L8690 | $14,426.89 | $32,688.24 | $6,223.95 – $8,891.35 | 5 |
| Implant eye drug system CPT 67027 | not published | not published | $75,503.20 – $75,503.20 | 1 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $1,779.49 – $1,779.49 | 1 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $101,401.89 – $101,401.89 | 1 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $56,332.56 – $56,332.56 | 1 |
| Implant neuroelectrodes CPT 64555 | $3,610.88 | $8,181.47 | $5,154.33 – $31,123.95 | 6 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $31,123.95 – $31,123.95 | 1 |
| Implant neurostim arrays CPT 61886 | not published | not published | $138,366.52 – $138,366.52 | 1 |
| Implant single ventricular device 33975 CPT 33975 | $1,368.18 | $3,100.00 | $1,426.00 – $2,790.00 | 9 |
| Implant spinal canal cath CPT 62351 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Implant spine infusion pump CPT 62361 | not published | not published | $79,830.96 – $79,830.96 | 1 |
| Implant spine infusion pump CPT 62362 | not published | not published | $79,830.96 – $79,830.96 | 1 |
| Implant ureth bulk agent HCPCS L8606 | $3,367.88 | $7,630.89 | $1,669.15 – $2,384.50 | 5 |
| Impl neurostim electr perc CPT 63650 | $4,584.64 | $10,387.80 | $6,544.32 – $31,123.95 | 6 |
| Implnt spinl canal catheter 62350 CPT 62350 | $2,932.83 | $6,645.16 | $4,186.46 – $29,119.98 | 6 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $61,495.60 – $61,495.60 | 1 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $18,831.17 – $18,831.17 | 1 |
| Imp neurosti pls gn any type HCPCS L8679 | $32,904.95 | $74,555.55 | $46,970.00 – $67,100.00 | 5 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $13,408.63 – $13,408.63 | 1 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $13,408.63 – $13,408.63 | 1 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $13,408.63 – $13,408.63 | 1 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $13,408.63 – $13,408.63 | 1 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Impres&prep oral surg splint CPT 21085 | $813.85 | $1,844.00 | $979.50 – $1,659.60 | 6 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $13,408.63 – $13,408.63 | 1 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $13,408.63 – $13,408.63 | 1 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $13,408.63 – $13,408.63 | 1 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $6,542.30 – $6,542.30 | 1 |
| In-111 autol wbc diag per dose HCPCS A9570 | $536.33 | $1,215.20 | $765.58 – $1,093.68 | 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.