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 |
|---|---|---|---|---|
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $14,029.00 – $14,029.00 | 1 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Optx lunate dislocation CPT 25695 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Optx medial ankle fx CPT 27766 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $61,495.60 – $61,495.60 | 1 |
| Optx post ankle fx CPT 27769 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $61,495.60 – $61,495.60 | 1 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $103,203.53 – $103,203.53 | 1 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Optx sho dislc fx CPT 23670 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $61,495.60 – $61,495.60 | 1 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $13,408.63 – $13,408.63 | 1 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Orchiectomy partial CPT 54522 | not published | not published | $15,105.73 – $15,105.73 | 1 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $16,693.12 – $16,693.12 | 1 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $16,693.12 – $16,693.12 | 1 |
| Organic acids total quant ea spec CPT 83918 | $277.17 | $627.99 | $23.60 – $565.20 | 16 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | $13,850.83 | $31,383.00 | $19,771.29 – $28,244.70 | 5 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $2,114.11 | $4,790.10 | $46.16 – $4,185.50 | 6 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $6,542.30 – $6,542.30 | 1 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $50.76 | $115.00 | $9.34 – $103.50 | 5 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $31.18 | $70.63 | $44.50 – $1,386.28 | 9 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | $664.01 | $1,504.50 | $947.84 – $6,156.07 | 9 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $382.86 | $867.46 | $546.50 – $3,549.50 | 9 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $140.26 | $317.79 | $200.21 – $1,300.32 | 9 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $166.36 | $376.92 | $237.46 – $1,542.14 | 9 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $269.13 | $609.78 | $234.88 – $1,730.05 | 9 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $323.62 | $733.25 | $461.95 – $4,761.26 | 9 |
| Oscillation chest wall mechanical per session CPT 94669 | $155.72 | $352.82 | $222.28 – $902.54 | 6 |
| Osmolality blood CPT 83930 | $71.94 | $162.98 | $6.61 – $146.69 | 16 |
| Osmolality urine CPT 83935 | $55.93 | $126.72 | $6.82 – $114.05 | 16 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $14,029.00 – $14,029.00 | 1 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $14,029.00 – $14,029.00 | 1 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $61,495.60 – $61,495.60 | 1 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Osteoplasty humerus CPT 24420 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Other immunoelectrophoresis CPT 86325 | $149.77 | $339.34 | $23.13 – $305.41 | 16 |
| Oth resp proc, group HCPCS G0239 | $84.56 | $191.58 | $120.70 – $172.43 | 6 |
| Oth resp proc, indiv HCPCS G0238 | $72.27 | $163.74 | $103.16 – $147.37 | 6 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $35.79 | $81.09 | $15.67 – $129.37 | 13 |
| Otoplasty 69300 CPT 69300 | not published | not published | $13,408.63 – $13,408.63 | 1 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $21,845.27 – $21,845.27 | 1 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $1,574.43 | $3,567.30 | $1.88 – $126.99 | 5 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $8,371.98 | $18,969.10 | $0.14 – $4,564.76 | 5 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $149.09 | $337.80 | $2.12 – $5.85 | 5 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | $75,189.81 | $170,364.00 | $107,329.32 – $153,327.60 | 5 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $179.24 | $406.10 | $0.19 – $36.90 | 5 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $9,542.65 | $21,621.60 | $23.20 – $8,845.20 | 6 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $8,189.35 | $18,555.30 | $0.04 – $60.24 | 6 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $137,002.65 | $310,418.65 | $1,600.91 – $263,774.48 | 6 |
| Palonosetron hcl HCPCS J2469 | $841.21 | $1,906.00 | $1.77 – $1,715.40 | 5 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $3,110.58 | $7,047.90 | $19.08 – $2,275.83 | 5 |
| Pancreas removal/transplant CPT 48160 | not published | not published | $3,887.56 – $4,665.08 | 2 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $16,131.76 | $36,551.10 | $228.76 – $5,759.10 | 6 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $225.45 | $510.80 | $160.91 – $229.86 | 5 |
| Papaverin hcl injection HCPCS J2440 | $103.28 | $234.00 | $5.12 – $210.60 | 5 |
| Parathormone (pth) intact CPT 83970 | $330.10 | $747.93 | $41.28 – $412.97 | 16 |
| Parathyroid planar imaging CPT 78070 | $1,274.70 | $2,888.18 | $1,522.80 – $2,599.37 | 6 |
| Parathyroid planar img w/tomo spect CPT 78071 | $3,111.31 | $7,049.54 | $1,522.80 – $6,344.59 | 6 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $21,845.27 – $21,845.27 | 1 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $28,010.07 – $28,010.07 | 1 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $161.89 | $366.80 | $231.09 – $851.07 | 6 |
| Parotid duct diversion CPT 42507 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Parotid duct diversion CPT 42509 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Parotid duct diversion CPT 42510 | not published | not published | $13,408.63 – $13,408.63 | 1 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | $1,571.07 | $3,559.70 | $2,242.62 – $13,325.72 | 6 |
| Partial exc bone humerus CPT 24140 | not published | not published | $14,029.00 – $14,029.00 | 1 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $14,029.00 – $14,029.00 | 1 |
| Partial excision of lip CPT 40500 | not published | not published | $13,408.63 – $13,408.63 | 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.