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 |
|---|---|---|---|---|
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $6,760.89 – $6,760.89 | 1 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Prq trluml revsc ch occ ant CPT 92943 | $11,993.37 | $27,174.39 | $17,119.87 – $50,029.96 | 6 |
| Pr removal drug delivery implant CPT 11982 | $220.65 | $499.94 | $314.97 – $1,779.49 | 6 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | not published | not published | $547.23 – $547.23 | 1 |
| Pr removal intrauterine device CPT 58301 | $285.28 | $646.37 | $407.22 – $1,376.01 | 6 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $703.36 | $1,593.66 | $1,004.01 – $1,758.28 | 6 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $518.47 | $1,174.72 | $740.08 – $1,057.25 | 6 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $534.02 | $1,209.96 | $762.28 – $1,088.97 | 6 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $518.47 | $1,174.72 | $740.08 – $1,057.25 | 6 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $534.02 | $1,209.96 | $762.28 – $1,088.97 | 6 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $8,133.98 – $8,133.98 | 1 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $14,029.00 – $14,029.00 | 1 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $1,921.73 – $1,921.73 | 1 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,277.83 | $2,895.27 | $1,824.03 – $7,012.24 | 6 |
| PSA (Prostate) Test CPT 84153 | $128.49 | $291.11 | $18.39 – $262.00 | 16 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $46.25 | $104.78 | $17.90 – $143.75 | 13 |
| Pulmonary vent imaging CPT 78579 | $871.80 | $1,975.30 | $1,057.48 – $1,831.85 | 6 |
| Pulse ox continuous overnight monitoring CPT 94762 | $132.92 | $301.16 | $189.74 – $685.41 | 6 |
| Pulse ox multiple CPT 94761 | $123.52 | $279.86 | $176.32 – $251.88 | 5 |
| Pulse ox single CPT 94760 | $67.13 | $152.10 | $95.83 – $136.89 | 5 |
| Punc of shunt for asp or inj CPT 61070 | $401.17 | $908.95 | $572.64 – $3,036.77 | 6 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $197.21 | $446.82 | $281.50 – $547.23 | 6 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $452.44 | $1,025.11 | $645.82 – $1,758.28 | 6 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $13,408.63 – $13,408.63 | 1 |
| Puncture spinal lumbar diagnostic CPT 62270 | $951.50 | $2,155.89 | $1,358.22 – $3,036.77 | 6 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $768.81 | $1,741.95 | $1,097.43 – $1,567.76 | 5 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $3,036.77 – $3,036.77 | 1 |
| Pvb thoracic single inj site CPT 64461 | $925.00 | $2,095.85 | $1,320.39 – $3,036.77 | 6 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $6.91 | $15.65 | $1.99 – $2.84 | 5 |
| Pyruvate CPT 84210 | $88.25 | $199.95 | $14.48 – $179.96 | 16 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,757.32 | $3,981.69 | $1,974.45 – $3,583.53 | 6 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,167.25 | $2,644.72 | $1,522.80 – $2,380.25 | 6 |
| Quest t3 uptake CPT 84479 | $44.96 | $101.85 | $6.47 – $91.67 | 16 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $11,716.98 | $26,548.15 | $555.49 – $23,893.34 | 6 |
| Radial keratotomy CPT 65771 | not published | not published | $792.24 – $950.69 | 2 |
| Radiation handling CPT 77790 | $363.78 | $824.23 | $519.27 – $741.81 | 5 |
| Radiation physics consult CPT 77336 | $987.84 | $2,238.22 | $478.57 – $2,014.40 | 6 |
| Radiation therapy dose plan CPT 77300 | $691.28 | $1,566.29 | $478.57 – $1,409.67 | 6 |
| Radiation treatment aid(s) CPT 77332 | $559.70 | $1,268.15 | $478.57 – $1,141.34 | 6 |
| Radiation treatment aid(s) CPT 77333 | $792.22 | $1,794.99 | $478.57 – $1,615.50 | 6 |
| Radiation treatment aid(s) CPT 77334 | $1,281.95 | $2,904.61 | $1,287.09 – $2,614.15 | 6 |
| Radiation treatment delivery CPT 77402 | $581.87 | $1,318.38 | $439.14 – $1,186.55 | 6 |
| Radiation treatment delivery CPT 77412 | $924.15 | $2,093.92 | $943.39 – $1,884.53 | 6 |
| Radical resection of elbow CPT 24149 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $12,174.86 – $12,174.86 | 1 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $12,174.86 – $12,174.86 | 1 |
| Radiology port images(s) CPT 77417 | $241.01 | $546.07 | $344.03 – $491.47 | 5 |
| Radiotherapy dose plan imrt CPT 77301 | $5,581.22 | $12,645.84 | $4,810.32 – $11,381.26 | 6 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,722.18 | $3,902.09 | $2,458.32 – $6,255.42 | 6 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $2,356.68 | $5,339.71 | $3,364.02 – $6,255.42 | 6 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $2,356.68 | $5,339.71 | $3,364.02 – $6,255.42 | 6 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,812.83 | $4,107.47 | $1,974.45 – $5,189.63 | 6 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,012.17 | $2,293.34 | $1,444.81 – $2,064.01 | 6 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $12,174.86 – $12,174.86 | 1 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $12,174.86 – $12,174.86 | 1 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $12,174.86 – $12,174.86 | 1 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $12,174.86 – $12,174.86 | 1 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $12,174.86 – $12,174.86 | 1 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $12,174.86 – $12,174.86 | 1 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $12,174.86 – $12,174.86 | 1 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $12,174.86 – $12,174.86 | 1 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $25,125.77 | $56,929.60 | $115.36 – $40,989.33 | 6 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $1,707.56 | $3,868.95 | $556.30 – $3,482.06 | 6 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $211,591.87 | $479,421.85 | $442.41 – $287,647.20 | 6 |
| Rbc count only automated CPT 85041 | $19.71 | $44.65 | $3.02 – $40.19 | 16 |
| Rbc deglycerolized each unit HCPCS P9039 | $900.65 | $2,040.68 | $1,285.63 – $1,947.55 | 6 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $1,921.73 – $1,921.73 | 1 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $13,408.63 – $13,408.63 | 1 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Realignment of tendons CPT 26437 | not published | not published | $14,029.00 – $14,029.00 | 1 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $103,203.53 – $103,203.53 | 1 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $13,408.63 – $13,408.63 | 1 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $25,165.86 – $25,165.86 | 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.