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 |
|---|---|---|---|---|
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | $15,711.49 – $15,711.49 | 1 |
| Laryngoscopy w/fb & op scope CPT 31531 | not published | not published | $15,711.49 – $15,711.49 | 1 |
| Laryngoscopy w/fb removal CPT 31530 | $1,911.33 | $4,330.65 | $2,728.31 – $7,534.01 | 6 |
| Laryngoscopy with biopsy CPT 31576 | not published | not published | $7,534.01 – $7,534.01 | 1 |
| Laryngoscopy with biopsy 31510 CPT 31510 | not published | not published | $15,711.49 – $15,711.49 | 1 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | $1,682.25 | $3,811.61 | $1,777.46 – $3,430.45 | 6 |
| Larynscop remve cart + scop CPT 31561 | not published | not published | $29,159.71 – $29,159.71 | 1 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $15,711.49 – $15,711.49 | 1 |
| Laser surgery eye strands CPT 67031 | not published | not published | $2,501.52 – $2,501.52 | 1 |
| Laser surgery of cervix 57513 CPT 57513 | not published | not published | $13,325.72 – $13,325.72 | 1 |
| Laser surgery of prostate CPT 52647 | not published | not published | $22,161.37 – $22,161.37 | 1 |
| Laser surgery of prostate CPT 52648 | not published | not published | $22,161.37 – $22,161.37 | 1 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $8,133.98 – $8,133.98 | 1 |
| Laser treatment of retina CPT 67039 | not published | not published | $18,831.17 – $18,831.17 | 1 |
| Laser treatment of retina CPT 67040 | not published | not published | $18,831.17 – $18,831.17 | 1 |
| Lateral canthopexy CPT 21282 | not published | not published | $13,408.63 – $13,408.63 | 1 |
| Lat retinacular release open CPT 27425 | not published | not published | $14,029.00 – $14,029.00 | 1 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $979.50 – $979.50 | 1 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $42,828.44 – $42,828.44 | 1 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | $12,174.86 – $12,174.86 | 1 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $8,458.86 | $19,165.95 | $3,913.05 – $5,590.08 | 5 |
| Lead capillary CPT 83655 | $63.55 | $143.97 | $12.11 – $129.58 | 16 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $2,271.36 | $5,146.41 | $950.32 – $1,357.59 | 5 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $15,507.90 | $35,137.58 | $8,049.70 – $11,499.57 | 5 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $14,039.89 – $14,039.89 | 1 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,073.57 | $2,432.47 | $1,012.37 – $2,189.23 | 6 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $14,029.00 – $14,029.00 | 1 |
| Lengthening of palate CPT 42227 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $14,029.00 – $14,029.00 | 1 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $61,495.60 – $61,495.60 | 1 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $466.81 | $1,057.68 | $206.91 – $295.58 | 5 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $372.82 | $844.72 | $206.91 – $295.58 | 5 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $691.49 | $1,566.75 | $6.82 – $30.24 | 5 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $19,114.79 | $43,310.00 | $333.37 – $6,196.50 | 6 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $3,748.37 | $8,493.00 | $2,387.34 – $7,643.70 | 6 |
| Lev 1 hosp type b ed visit HCPCS G0380 | $254.68 | $577.04 | $288.29 – $519.34 | 6 |
| Lev 2 hosp type b ed visit HCPCS G0381 | $416.74 | $944.24 | $525.17 – $849.82 | 6 |
| Lev 3 hosp type b ed visit HCPCS G0382 | $856.63 | $1,940.94 | $917.67 – $1,746.85 | 6 |
| Lev 4 hosp type b ed visit HCPCS G0383 | $1,319.68 | $2,990.10 | $1,318.32 – $2,691.09 | 6 |
| Lev 5 hosp type b ed visit HCPCS G0384 | $2,309.97 | $5,233.89 | $1,626.64 – $4,710.51 | 6 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $857.15 | $1,942.10 | $0.11 – $213.44 | 5 |
| Levetiracetam therapeutic drug level CPT 80177 | $155.02 | $351.24 | $13.25 – $316.12 | 16 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $255.81 | $579.60 | $1.86 – $347.76 | 5 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $144.37 | $327.10 | $68.71 – $98.15 | 5 |
| Liberta rc ipg HCPCS C1820 | $68,923.99 | $156,167.00 | $4,266.35 – $6,094.78 | 5 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $157.46 | $356.75 | $2.24 – $3.20 | 5 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $49.19 | $111.45 | $70.22 – $100.31 | 5 |
| Lidocaine therapeutic drug level CPT 80176 | $113.64 | $257.47 | $14.69 – $231.73 | 16 |
| Lift heel adj small gl60404sm HCPCS L3332 | $25.44 | $57.64 | $36.32 – $389.01 | 9 |
| Ligate leg veins open CPT 37761 | not published | not published | $14,039.89 – $14,039.89 | 1 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $14,039.89 – $14,039.89 | 1 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $14,039.89 – $14,039.89 | 1 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $14,039.89 – $14,039.89 | 1 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $13,325.72 – $13,325.72 | 1 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $2,856.98 | $6,473.30 | $4,078.18 – $7,067.38 | 6 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $14,039.89 – $14,039.89 | 1 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $14,039.89 – $14,039.89 | 1 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $14,039.89 – $14,039.89 | 1 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $14,039.89 – $14,039.89 | 1 |
| Ligation major artery neck CPT 37615 | not published | not published | $14,039.89 – $14,039.89 | 1 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $14,039.89 – $14,039.89 | 1 |
| Ligation of femoral vein CPT 37650 | not published | not published | $14,039.89 – $14,039.89 | 1 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $24,223.69 – $24,223.69 | 1 |
| Ligation of neck artery CPT 37606 | not published | not published | $14,039.89 – $14,039.89 | 1 |
| Ligation of salivary duct CPT 42665 | not published | not published | $13,408.63 – $13,408.63 | 1 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $14,039.89 – $14,039.89 | 1 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $14,039.89 – $14,039.89 | 1 |
| Lig/band angioaccess av fistula CPT 37607 | $3,180.27 | $7,205.80 | $4,539.66 – $14,039.89 | 6 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $14,039.89 – $14,039.89 | 1 |
| Liletta, 52 mg HCPCS J7297 | $2,326.79 | $5,272.00 | $1,774.71 – $4,744.80 | 8 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $78,076.85 | $176,905.40 | $5.24 – $730.08 | 5 |
| Lipase CPT 83690 | $84.16 | $190.67 | $6.89 – $171.61 | 16 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $13,408.63 – $13,408.63 | 1 |
| Lipoprotein blood high res frac & quant CPT 83701 | $80.80 | $183.06 | $33.86 – $164.76 | 16 |
| Lipoprotein blood quant CPT 83704 | $70.53 | $159.79 | $34.19 – $143.82 | 16 |
| Lipoprotein direct measurement hdl CPT 83718 | $54.03 | $122.40 | $8.19 – $110.16 | 16 |
| Lipoprotein direct measurement ldl CPT 83721 | $108.70 | $246.28 | $10.50 – $221.66 | 16 |
| Lip surgery procedure CPT 40799 | not published | not published | $979.50 – $979.50 | 1 |
| Listeria monocytogenes CPT 86723 | $132.58 | $300.39 | $13.19 – $270.36 | 16 |
| Lithium therapeutic drug level CPT 80178 | $53.77 | $121.83 | $6.61 – $109.65 | 16 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $2,829.90 | $6,411.93 | $4,039.52 – $5,770.74 | 5 |
| Liver Function Test CPT 80076 | $50.69 | $114.85 | $8.17 – $103.37 | 16 |
| Liver imaging CPT 78201 | $1,129.68 | $2,559.61 | $1,612.56 – $2,377.71 | 6 |
| Liver imag w/vasclr flow CPT 78202 | $1,089.58 | $2,468.75 | $1,555.32 – $2,377.71 | 6 |
| Liver/spleen imag static only CPT 78215 | $1,088.86 | $2,467.11 | $1,522.80 – $2,220.40 | 6 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $1,170.77 | $2,652.70 | $1,522.80 – $2,387.43 | 6 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $14,029.00 – $14,029.00 | 1 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $190.25 | $431.05 | $2.15 – $194.67 | 5 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | $92,397.70 | $209,353.40 | $92,361.78 – $131,945.40 | 5 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $1,194.95 | $2,707.50 | $1.52 – $94.68 | 5 |
| Low back disk surgery CPT 63030 | not published | not published | $31,174.75 – $31,174.75 | 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.