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 |
|---|---|---|---|---|
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | not published | not published | $4,016.32 – $4,016.32 | 1 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | not published | not published | $4,016.32 – $4,016.32 | 1 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,654.20 | $3,748.05 | $2,361.28 – $3,373.25 | 6 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,705.36 | $3,863.97 | $2,434.31 – $3,477.58 | 6 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $262.23 | $594.15 | $374.32 – $1,281.42 | 6 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $334.68 | $758.30 | $477.73 – $1,281.42 | 6 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $368.15 | $834.13 | $525.51 – $1,281.42 | 6 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $234.57 | $531.48 | $199.69 – $478.34 | 6 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $129.88 | $294.28 | $185.40 – $264.86 | 5 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $274.45 | $621.83 | $391.76 – $973.56 | 6 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $147.78 | $334.83 | $210.95 – $317.99 | 6 |
| Injection treatment of eye CPT 66020 | not published | not published | $10,177.44 – $10,177.44 | 1 |
| Injection treatment of eye CPT 66030 | not published | not published | $10,177.44 – $10,177.44 | 1 |
| Injection treatment of nerve CPT 64605 | not published | not published | $8,471.71 – $8,471.71 | 1 |
| Injection treatment of nerve CPT 64610 | not published | not published | $8,471.71 – $8,471.71 | 1 |
| Injection treatment of nerve CPT 64681 | $1,032.83 | $2,340.16 | $1,474.31 – $4,016.32 | 6 |
| Injection treatment of nose CPT 30200 | not published | not published | $2,152.99 – $2,152.99 | 1 |
| Inject/treat eye socket CPT 67500 | not published | not published | $1,247.58 – $1,247.58 | 1 |
| Inject/treat eye socket CPT 67505 | not published | not published | $1,247.58 – $1,247.58 | 1 |
| Inject/treat eye socket CPT 67515 | not published | not published | $1,247.58 – $1,247.58 | 1 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $1,244.92 | $2,820.70 | $1,777.05 – $3,036.77 | 6 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,296.08 | $2,936.62 | $1,850.08 – $4,016.32 | 6 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | $28,135.94 | $63,750.00 | $10,042.20 – $14,346.00 | 5 |
| Inj., guselkumab, 1 mg HCPCS J1628 | $38,194.26 | $86,540.00 | $147.26 – $38,943.00 | 6 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | $34.17 | $77.40 | $7.72 – $11.03 | 5 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $391.55 | $887.16 | $558.92 – $798.45 | 5 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | $2,711.93 | $6,144.63 | $3,871.12 – $5,530.17 | 5 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | $675.36 | $1,530.20 | $964.03 – $1,377.18 | 5 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $1,834.23 | $4,155.96 | $2,618.26 – $3,740.37 | 5 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $296.95 | $672.81 | $423.88 – $605.53 | 5 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | $1,770.05 | $4,010.55 | $1,263.34 – $1,804.77 | 5 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | $1,286.39 | $2,914.67 | $1,836.25 – $4,016.32 | 6 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $116.90 | $264.87 | $166.87 – $851.07 | 6 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $851.07 – $851.07 | 1 |
| Inj ivig privigen 500 mg HCPCS J1459 | $39,831.48 | $90,249.60 | $79.26 – $32,483.03 | 6 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | $587.22 | $1,330.50 | $167.65 – $239.49 | 5 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | $3,340.30 | $7,568.40 | $1,001.70 – $1,431.00 | 5 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $261.35 | $592.15 | $59.04 – $532.94 | 6 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $384.95 | $872.20 | $68.71 – $98.15 | 5 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $105.64 | $239.35 | $0.82 – $1.17 | 5 |
| Inj, melphalan (apotex) 1 mg HCPCS J9249 | $52,459.33 | $118,861.60 | $52,417.99 – $74,882.84 | 5 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $12.80 | $29.00 | $1.86 – $2.66 | 5 |
| Inj., meropenem, vaborbactam HCPCS J2186 | $1,189.88 | $2,696.00 | $4.16 – $1,213.20 | 6 |
| Inj, micafungin (par pharm) HCPCS J2247 | $81.35 | $184.30 | $54.22 – $77.45 | 5 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | $61,448.88 | $139,230.00 | $454.69 – $26,325.00 | 6 |
| Inj multihance HCPCS A9577 | $223.57 | $506.55 | $3.64 – $15.34 | 5 |
| Inj. mycophenolate mofetil HCPCS J7519 | $429.13 | $972.30 | $204.19 – $291.69 | 5 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $792.03 | $1,794.57 | $1,130.58 – $2,947.23 | 6 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | $468.10 | $1,060.60 | $668.18 – $954.54 | 5 |
| Inj nivolumab 2 mg hyaluron HCPCS J9289 | $42,881.37 | $97,160.00 | $30,605.40 – $43,722.00 | 5 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | not published | not published | $8,133.98 – $8,133.98 | 1 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | not published | not published | $8,133.98 – $8,133.98 | 1 |
| Inj, olaratumab, 10 mg HCPCS J9285 | $12,385.24 | $28,062.30 | $102.08 – $4,078.17 | 8 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | $62,254.10 | $141,054.45 | $198.70 – $126,949.01 | 6 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | $10,808.62 | $24,490.00 | $353.30 – $22,041.00 | 6 |
| Inj pemetrexed (accord) 10mg HCPCS J9296 | $7,128.04 | $16,150.60 | $2,035.00 – $2,907.14 | 5 |
| Inj peritoneal venous shunt CPT 49427 | $323.78 | $733.60 | $462.17 – $660.24 | 5 |
| Inj proc for lymphang CPT 38790 | $447.77 | $1,014.55 | $639.17 – $913.10 | 5 |
| Inj proc lumbr disk ea lvl CPT 62290 | $711.20 | $1,611.42 | $1,015.20 – $1,450.28 | 5 |
| Inj proc myelogram lumbar CPT 62284 | $420.86 | $953.56 | $600.75 – $858.21 | 5 |
| Inj proc sialogram CPT 42550 | $487.54 | $1,104.64 | $695.93 – $994.18 | 5 |
| Inj progesterone per 50 mg HCPCS J2675 | $19.89 | $45.05 | $1.45 – $20.30 | 5 |
| Inj, releuko 1 mcg HCPCS Q5125 | $1,391.82 | $3,153.55 | $623.70 – $891.00 | 5 |
| Inj retro urethrocysto CPT 51610 | $308.66 | $699.34 | $440.59 – $629.41 | 5 |
| Inj scleros sol mult veins CPT 36471 | not published | not published | $1,758.28 – $1,758.28 | 1 |
| Inj scleros sol sgl vein CPT 36470 | $433.76 | $982.80 | $619.17 – $1,758.28 | 6 |
| Inj secretin synthetic human HCPCS J2850 | $1,206.14 | $2,732.85 | $85.14 – $2,459.57 | 6 |
| Inj secukinumab intrav 1mg HCPCS J3247 | $5,880.97 | $13,325.00 | $8,394.75 – $11,992.50 | 5 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | $143,605.81 | $325,380.00 | $102,494.70 – $146,421.00 | 5 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | not published | not published | $1,758.28 – $1,758.28 | 1 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | $25,890.47 | $58,662.25 | $1,478.30 – $2,111.85 | 5 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | $41,025.51 | $92,955.00 | $656.00 – $83,659.50 | 6 |
| Inj testosterone cypionate HCPCS J1071 | $104.74 | $237.30 | $0.04 – $25.92 | 5 |
| Inj thiotepa nos 1 mg HCPCS J9342 | $33,630.13 | $76,198.65 | $2,909.41 – $4,156.29 | 5 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | $1,765.40 | $4,000.00 | $2,520.00 – $3,600.00 | 5 |
| Inj. tigecycline (accord) HCPCS J3244 | $430.89 | $976.30 | $615.07 – $878.67 | 5 |
| Inj, tofidence, 1 mg HCPCS Q5133 | $6,108.26 | $13,840.00 | $1,743.84 – $2,491.20 | 5 |
| Inj w/fluor eval cv device CPT 36598 | $482.54 | $1,093.33 | $688.80 – $984.00 | 6 |
| Inj zanidatamab-hrii, 2 mg HCPCS J9276 | $62,133.77 | $140,781.80 | $6,987.33 – $9,981.90 | 5 |
| Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln HCPCS J9229 | $54,747.46 | $124,046.00 | $5,059.11 – $111,641.40 | 6 |
| Ins cath ren art 1st bi CPT 36252 | $8,090.92 | $18,332.28 | $11,549.34 – $16,499.06 | 6 |
| Ins cath ren art 1st uni CPT 36251 | not published | not published | $14,039.89 – $14,039.89 | 1 |
| Ins cath ren art 2nd+ bi CPT 36254 | $12,783.65 | $28,965.00 | $14,039.89 – $26,068.50 | 6 |
| Ins cath ren art 2nd+ uni CPT 36253 | not published | not published | $24,223.69 – $24,223.69 | 1 |
| Ins cerv dilator (sep proc) CPT 59200 | $419.52 | $950.53 | $598.84 – $1,376.01 | 6 |
| Insert and remove bone pin CPT 20650 | not published | not published | $14,029.00 – $14,029.00 | 1 |
| Insert ant drainage device CPT 66183 | not published | not published | $18,831.17 – $18,831.17 | 1 |
| Insert brain-fluid device 61215 CPT 61215 | not published | not published | $29,119.98 – $29,119.98 | 1 |
| Insert cannula hemo oth 36815 CPT 36815 | not published | not published | $24,223.69 – $24,223.69 | 1 |
| Insert cannula vein-to-vein hemodialysis CPT 36800 | not published | not published | $24,223.69 – $24,223.69 | 1 |
| Insert cath pleura with image CPT 32557 | $1,765.04 | $3,999.18 | $2,519.49 – $7,012.24 | 6 |
| Insert cath pleura without image CPT 32556 | $1,429.68 | $3,239.34 | $2,040.79 – $8,208.11 | 6 |
| Insert drug delivery implant CPT 11981 | $141.25 | $320.03 | $201.62 – $547.23 | 6 |
| Insert eye socket implant CPT 67550 | not published | not published | $16,474.29 – $16,474.29 | 1 |
| Insert hepatic shunt (tips) CPT 37182 | $4,826.76 | $10,936.39 | $5,030.74 – $9,842.76 | 6 |
| Insert heyman uteri capsule CPT 58346 | not published | not published | $21,845.27 – $21,845.27 | 1 |
| Insert intrauterine device iud CPT 58300 | $139.79 | $316.72 | $137.73 – $285.05 | 8 |
| Insertion catheter artery nfs ther chemotx 36640 CPT 36640 | not published | not published | $14,039.89 – $14,039.89 | 1 |
| Insertion catheter bladder non indwelling CPT 51701 | $220.62 | $499.87 | $314.92 – $547.23 | 6 |
| Insertion catheter bladder temporary simple CPT 51702 | $274.35 | $621.61 | $391.62 – $559.45 | 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.