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 |
|---|---|---|---|---|
| Infect ag drug suscept pheno predict CPT 87900 | $206.87 | $468.72 | $130.35 – $421.85 | 16 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $476.66 | $1,079.99 | $257.45 – $972.00 | 16 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $414.92 | $940.10 | $128.73 – $846.09 | 16 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $579.27 | $1,312.50 | $257.45 – $1,181.25 | 16 |
| Infect ag ia optc obs influenza CPT 87804 | $98.99 | $224.27 | $16.55 – $171.09 | 16 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | $71.47 | $161.92 | $11.98 – $69.70 | 16 |
| Infect ag if hep delta agent CPT 87380 | $329.38 | $746.29 | $18.36 – $671.67 | 16 |
| Infect ag if influenza a CPT 87276 | $31.33 | $70.98 | $16.07 – $37.60 | 16 |
| Infect ag if influenza b CPT 87275 | $27.68 | $62.70 | $12.25 – $56.43 | 16 |
| Infect ag if legionella pneumophila CPT 87278 | $74.58 | $168.97 | $15.60 – $152.08 | 16 |
| Infect ag if nos ea CPT 87299 | $85.79 | $194.36 | $16.10 – $37.67 | 16 |
| Infect ag if pneumocystis carinii CPT 87281 | $79.81 | $180.81 | $11.98 – $162.73 | 16 |
| Infect ag if varicella zoster CPT 87290 | $68.99 | $156.30 | $13.42 – $140.67 | 16 |
| Infect ag na hpv high-risk types CPT 87624 | $205.61 | $465.85 | $35.09 – $419.27 | 16 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $74.94 | $169.79 | $106.97 – $152.82 | 5 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $988.64 | $2,240.04 | $416.78 – $2,016.04 | 16 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $566.14 | $1,282.73 | $488.66 – $1,154.46 | 16 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $79.79 | $180.77 | $26.07 – $162.70 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $70.39 | $159.48 | $11.98 – $143.54 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $51.91 | $117.60 | $13.42 – $105.84 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $121.18 | $274.56 | $13.82 – $247.11 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $74.03 | $167.72 | $11.98 – $150.95 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $202.16 | $458.05 | $14.38 – $412.25 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $74.03 | $167.72 | $10.33 – $150.95 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $108.76 | $246.42 | $10.33 – $221.78 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $98.06 | $222.18 | $24.08 – $199.97 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $91.11 | $206.42 | $11.98 – $185.78 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $86.39 | $195.73 | $11.98 – $176.16 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $62.46 | $141.51 | $11.98 – $127.36 | 16 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $174.02 | $394.27 | $35.09 – $354.85 | 16 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $178.73 | $404.96 | $35.09 – $364.47 | 16 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $175.50 | $397.64 | $37.27 – $357.88 | 16 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $571.40 | $1,294.65 | $416.78 – $1,165.19 | 16 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $243.37 | $551.42 | $35.09 – $384.72 | 16 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $178.73 | $404.96 | $35.09 – $364.47 | 16 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $216.08 | $489.57 | $41.68 – $440.62 | 16 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $178.73 | $404.96 | $35.09 – $364.47 | 16 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $66.21 | $150.00 | $47.25 – $120.07 | 16 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $86.95 | $197.00 | $35.09 – $177.30 | 16 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $95.76 | $216.96 | $35.09 – $195.27 | 16 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $216.08 | $489.57 | $308.43 – $440.62 | 5 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $700.55 | $1,587.29 | $416.78 – $1,428.57 | 16 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $357.29 | $809.52 | $128.29 – $728.57 | 16 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $245.20 | $555.55 | $262.99 – $615.40 | 16 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $323.49 | $732.95 | $42.84 – $659.66 | 16 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $445.56 | $1,009.54 | $42.84 – $908.59 | 16 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $270.52 | $612.93 | $42.84 – $551.64 | 16 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $343.87 | $779.13 | $85.10 – $701.22 | 16 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $197.73 | $448.01 | $142.63 – $403.21 | 16 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $7,612.11 | $17,247.40 | $63.41 – $5,435.10 | 6 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $3,907.52 | $8,853.60 | $43.78 – $2,790.00 | 6 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $7,566.74 | $17,144.60 | $21.33 – $5,402.70 | 6 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | $1,765.40 | $4,000.00 | $2,520.00 – $3,600.00 | 5 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $155.82 | $353.04 | $34.79 – $902.54 | 10 |
| Initiation & management bipap/cpap initial day CPT 94660 | $683.25 | $1,548.09 | $902.54 – $1,393.29 | 6 |
| Init pm e/m new pat 65+ yrs CPT 99387 | $317.56 | $719.52 | $191.61 – $273.73 | 7 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | $9,659.57 | $21,886.50 | $13,788.50 – $19,697.85 | 5 |
| Inj alymsys 10 mg HCPCS Q5126 | $9,419.98 | $21,343.65 | $2,824.92 – $4,035.60 | 5 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $12,666.69 | $28,700.00 | $18,081.00 – $25,830.00 | 5 |
| Inj., aristada initio, 1 mg HCPCS J1943 | $6,705.05 | $15,192.20 | $0.04 – $13.02 | 6 |
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | $30,979.98 | $70,194.00 | $44,222.22 – $63,174.60 | 5 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $15,174.87 | $34,383.00 | $336.44 – $30,944.70 | 6 |
| Inj, bortezomib freseniuskab HCPCS J9048 | $4,634.29 | $10,500.30 | $6,615.19 – $9,450.27 | 5 |
| Inj ceftolozane tazobactam HCPCS J0695 | $290.28 | $657.70 | $14.96 – $591.93 | 6 |
| Inj, cyclophos (baxter) 5mg HCPCS J9076 | $5,277.64 | $11,958.00 | $3,766.77 – $5,381.10 | 5 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | $2,880.24 | $6,526.00 | $1,900.21 – $2,714.58 | 5 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | $5,277.64 | $11,958.00 | $1,883.70 – $2,691.00 | 5 |
| Inj disk cerv-thor ea lev CPT 62291 | $711.20 | $1,611.42 | $1,015.20 – $1,450.28 | 5 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | $1,915.46 | $4,340.00 | $2,734.20 – $3,906.00 | 5 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $1,281.42 – $1,281.42 | 1 |
| Inj dx for sinogram CPT 20501 | $801.27 | $1,815.50 | $1,143.77 – $1,633.95 | 5 |
| Inject for sacroiliac joint HCPCS G0259 | $617.48 | $1,399.06 | $881.41 – $1,259.16 | 5 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | not published | not published | $3,036.77 – $3,036.77 | 1 |
| Injection, cangrelor HCPCS C9460 | $2,456.11 | $5,565.00 | $36.66 – $5,008.50 | 6 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | not published | not published | $1,281.42 – $1,281.42 | 1 |
| Injection, daratumumab 10 mg HCPCS J9145 | $23,824.96 | $53,982.25 | $104.82 – $48,580.56 | 6 |
| Injection, doxercalciferol HCPCS J1270 | $116.79 | $264.60 | $0.66 – $59.54 | 5 |
| Injection during cath supravalvular aortography CPT 93567 | $262.79 | $595.41 | $375.11 – $535.87 | 5 |
| Injection epidural blood patch or clot CPT 62273 | $843.37 | $1,910.89 | $1,203.87 – $3,036.77 | 6 |
| Injection eye drug CPT 67028 | not published | not published | $1,567.64 – $1,567.64 | 1 |
| Injection for bladder x-ray CPT 51600 | $458.85 | $1,039.65 | $654.98 – $935.69 | 5 |
| Injection for spleen x-ray CPT 38200 | $529.57 | $1,199.89 | $755.94 – $1,079.91 | 5 |
| Injection for ureter x-ray CPT 50690 | $294.34 | $666.89 | $420.15 – $600.21 | 5 |
| Injection, fulvestrant HCPCS J9395 | $6,027.94 | $13,658.00 | $16.71 – $6,146.10 | 6 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $9,060.44 | $20,529.00 | $12,933.27 – $18,476.10 | 5 |
| Injection into brain canal CPT 61026 | not published | not published | $3,036.77 – $3,036.77 | 1 |
| Injection into brain canal CPT 61055 | $520.04 | $1,178.28 | $742.32 – $1,281.42 | 6 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $3,916.69 – $3,916.69 | 1 |
| Injection into spinal artery CPT 62294 | not published | not published | $4,016.32 – $4,016.32 | 1 |
| Injection into vocal cord CPT 31513 | not published | not published | $1,777.46 – $1,777.46 | 1 |
| Injection, necitumumab, 1 mg HCPCS J9295 | $8,938.71 | $20,253.20 | $11.14 – $9,113.94 | 5 |
| Injection of sinus tract CPT 20500 | $801.27 | $1,815.50 | $1,143.77 – $6,542.30 | 6 |
| Injection, peramivir HCPCS J2547 | $728.27 | $1,650.10 | $3.36 – $1,485.09 | 6 |
| Injection px peyronie ds CPT 54200 | not published | not published | $1,012.68 – $1,012.68 | 1 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | not published | not published | $1,831.85 – $1,831.85 | 1 |
| Injection, renflexis HCPCS Q5104 | $5,924.31 | $13,423.20 | $59.82 – $4,230.00 | 6 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $1,168.79 | $2,648.21 | $1,668.38 – $3,036.77 | 6 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $1,063.72 | $2,410.15 | $1,518.40 – $3,036.77 | 6 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $601.12 | $1,362.00 | $858.06 – $3,036.77 | 6 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | not published | not published | $4,016.32 – $4,016.32 | 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.