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 |
|---|---|---|---|---|
| Attach ocular implant CPT 65140 | not published | not published | $16,474.29 – $16,474.29 | 1 |
| Augmentation cheek bone CPT 21270 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Augmentation of facial bones CPT 21208 | not published | not published | $25,165.86 – $25,165.86 | 1 |
| Augment injectable kit 3.0cc HCPCS C1734 | $9,398.73 | $21,295.50 | $2,683.24 – $3,833.19 | 5 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $5,459.20 | $12,369.36 | $7,792.70 – $11,132.43 | 5 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $6,422.58 | $14,552.19 | $9,167.88 – $31,174.75 | 6 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Autologous blood process CPT 86890 | $437.99 | $992.37 | $273.32 – $893.14 | 6 |
| Automated diff wbc count CPT 85004 | $20.13 | $45.60 | $6.47 – $41.04 | 16 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $13,870.60 | $31,427.80 | $163.64 – $7,071.26 | 6 |
| Av fistula revision CPT 36833 | not published | not published | $24,223.69 – $24,223.69 | 1 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $24,223.69 – $24,223.69 | 1 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $24,223.69 – $24,223.69 | 1 |
| Av fusion direct any site CPT 36821 | not published | not published | $14,039.89 – $14,039.89 | 1 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $24,223.69 – $24,223.69 | 1 |
| Avul nail plate addl CPT 11732 | $156.86 | $355.41 | $223.91 – $319.87 | 5 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $341.00 | $772.62 | $486.76 – $851.07 | 6 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $24,564.86 – $24,564.86 | 1 |
| Azacitidine injection HCPCS J9025 | $2,090.01 | $4,735.50 | $0.83 – $2,583.00 | 5 |
| Azathioprine 50 mg tablet HCPCS J7500 | $24.19 | $54.80 | $1.34 – $8.06 | 5 |
| Azathioprine parenteral HCPCS J7501 | $357.78 | $810.65 | $478.49 – $1,049.50 | 6 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $420.17 | $952.00 | $3.57 – $362.48 | 5 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $212.85 | $482.25 | $75.98 – $108.54 | 5 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $1,978.57 | $4,483.00 | $352.04 – $2,162.79 | 6 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | $137.77 | $312.15 | $91.88 – $280.94 | 5 |
| Bacterial meningitis antigen CPT 86403 | $92.60 | $209.79 | $11.54 – $126.62 | 16 |
| Bacterial vaginosis pcr CPT 87801 | $279.17 | $632.52 | $70.20 – $569.27 | 16 |
| #bac vag cand-c. albicans naa CPT 87481 | $131.39 | $297.70 | $35.09 – $267.93 | 16 |
| Balloon dilate urtrl strix CPT 50706 | $2,713.09 | $6,147.27 | $3,872.79 – $5,532.55 | 5 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $1,568.39 | $3,553.63 | $2,238.79 – $13,325.72 | 6 |
| Bartonella dna pcr-sendout CPT 87471 | $236.74 | $536.40 | $35.09 – $482.76 | 16 |
| B cells total count CPT 86355 | $131.76 | $298.52 | $37.73 – $268.67 | 16 |
| Bcg vaccine percut CPT 90585 | $114.58 | $259.60 | $109.03 – $155.75 | 5 |
| Bckdhb gene CPT 81205 | $74.03 | $167.73 | $94.99 – $222.28 | 16 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $2,298.55 | $5,208.00 | $7.57 – $4,687.20 | 6 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $4,324.42 | $9,798.20 | $88.32 – $2,645.55 | 6 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $15,515.50 | $35,154.80 | $10.73 – $11,984.27 | 6 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $7,766.38 | $17,596.95 | $27.23 – $11,997.90 | 6 |
| Benign lesion paring 2-4 CPT 11056 | $182.93 | $414.48 | $261.13 – $851.07 | 6 |
| Benign lesion paring 4+ CPT 11057 | $231.50 | $524.52 | $330.45 – $851.07 | 6 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $187.62 | $425.10 | $32.58 – $252.68 | 5 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $172.68 | $391.25 | $25.45 – $217.36 | 16 |
| Beta-2 microglobulin CPT 82232 | $112.11 | $254.00 | $16.18 – $228.60 | 16 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $128.26 | $290.60 | $12.81 – $261.54 | 5 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $11,348.63 | $25,713.55 | $126.08 – $4,861.80 | 6 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $8,875.95 | $20,111.00 | $53.21 – $3,802.50 | 6 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $7,693.21 | $17,431.15 | $41.94 – $3,295.80 | 6 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $629.05 | $1,425.28 | $897.93 – $4,016.32 | 6 |
| Bilateral n block inj occipital 64405 CPT 64405 | not published | not published | $1,281.42 – $1,281.42 | 1 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $458.09 | $1,037.92 | $653.89 – $1,281.42 | 6 |
| Biliary endo perq dx w/speci CPT 47552 | $3,631.88 | $8,229.06 | $5,184.31 – $16,693.12 | 6 |
| Biliary endoscopy thru skin CPT 47553 | not published | not published | $16,693.12 – $16,693.12 | 1 |
| Biliary endoscopy thru skin CPT 47554 | $4,826.26 | $10,935.25 | $6,889.21 – $24,564.86 | 6 |
| Biliary endoscopy thru skin CPT 47555 | $3,631.88 | $8,229.06 | $5,184.31 – $16,693.12 | 6 |
| Biliary endoscopy thru skin CPT 47556 | $5,198.69 | $11,779.11 | $7,420.84 – $24,564.86 | 6 |
| Bilicheck CPT 88720 | $27.24 | $61.70 | $5.02 – $55.53 | 16 |
| Bilirubin direct CPT 82248 | $102.66 | $232.59 | $5.02 – $209.34 | 16 |
| Bilirubin total CPT 82247 | $37.37 | $84.67 | $5.02 – $72.40 | 16 |
| Biopsy abdominal mass CPT 49180 | $1,234.10 | $2,796.19 | $1,761.60 – $7,067.38 | 6 |
| Biopsy arm/elbow soft tissue CPT 24066 | not published | not published | $12,174.86 – $12,174.86 | 1 |
| Biopsy, bone open deep CPT 20245 | not published | not published | $12,174.86 – $12,174.86 | 1 |
| Biopsy bone trocar/needle superficial CPT 20220 | $1,121.91 | $2,541.99 | $1,601.46 – $7,067.38 | 6 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | $589.89 | $1,336.55 | $842.03 – $3,315.45 | 6 |
| Biopsy conjunctiva CPT 68100 | not published | not published | $9,964.32 – $9,964.32 | 1 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | not published | not published | $16,202.35 – $16,202.35 | 1 |
| Biopsy external ear 69100 CPT 69100 | not published | not published | $979.50 – $979.50 | 1 |
| Biopsy eyelid & lid margin CPT 67810 | not published | not published | $1,247.58 – $1,247.58 | 1 |
| Biopsy eye muscle CPT 67346 | not published | not published | $16,474.29 – $16,474.29 | 1 |
| Biopsy finger joint lining CPT 26105 | not published | not published | $14,029.00 – $14,029.00 | 1 |
| Biopsy finger joint lining CPT 26110 | not published | not published | $6,760.89 – $6,760.89 | 1 |
| Biopsy forearm soft tissues CPT 25066 | not published | not published | $12,174.86 – $12,174.86 | 1 |
| Biopsy hand joint lining CPT 26100 | not published | not published | $14,029.00 – $14,029.00 | 1 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $3,060.85 | $6,935.21 | $4,369.19 – $12,174.86 | 6 |
| Biopsy knee joint lining CPT 27330 | not published | not published | $14,029.00 – $14,029.00 | 1 |
| Biopsy lower leg soft tissue CPT 27613 | $937.05 | $2,123.14 | $1,337.58 – $7,067.38 | 6 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | not published | not published | $14,029.00 – $14,029.00 | 1 |
| Biopsy muscle percutaneous needle CPT 20206 | $1,395.27 | $3,161.38 | $1,991.67 – $7,067.38 | 6 |
| Biopsy needle liver percutaneous CPT 47000 | $1,395.27 | $3,161.38 | $1,991.67 – $7,067.38 | 6 |
| Biopsy needle lymph node superficial CPT 38505 | $1,178.01 | $2,669.10 | $1,681.54 – $7,067.38 | 6 |
| Biopsy of cornea CPT 65410 | not published | not published | $9,964.32 – $9,964.32 | 1 |
| Biopsy of epididymis CPT 54800 | not published | not published | $7,067.38 – $7,067.38 | 1 |
| Biopsy of foot joint lining CPT 28050 | not published | not published | $14,029.00 – $14,029.00 | 1 |
| Biopsy of foot joint lining CPT 28052 | not published | not published | $14,029.00 – $14,029.00 | 1 |
| Biopsy of heart lining CPT 93505 | $1,860.00 | $4,214.34 | $2,655.04 – $14,039.89 | 6 |
| Biopsy of hip joint CPT 27052 | not published | not published | $6,760.89 – $6,760.89 | 1 |
| Biopsy of inestine 44100 CPT 44100 | not published | not published | $3,890.63 – $3,890.63 | 1 |
| Biopsy of lip 40490 CPT 40490 | not published | not published | $979.50 – $979.50 | 1 |
| Biopsy of nail unit 11755 CPT 11755 | not published | not published | $3,058.60 – $3,058.60 | 1 |
| Biopsy of nerve CPT 64795 | not published | not published | $8,471.71 – $8,471.71 | 1 |
| Biopsy of ovary(s) 58900 CPT 58900 | not published | not published | $13,325.72 – $13,325.72 | 1 |
| Biopsy of penis CPT 54105 | not published | not published | $12,174.86 – $12,174.86 | 1 |
| Biopsy of penis 54100 CPT 54100 | $1,470.48 | $3,331.79 | $2,099.03 – $7,067.38 | 6 |
| Biopsy of prostate CPT 55700 | $2,281.77 | $5,170.00 | $3,257.10 – $8,742.05 | 6 |
| Biopsy of prostate CPT 55705 | not published | not published | $15,105.73 – $15,105.73 | 1 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | not published | not published | $12,109.91 – $12,109.91 | 1 |
| Biopsy of sacroiliac joint CPT 27050 | not published | not published | $6,760.89 – $6,760.89 | 1 |
| Biopsy of salivary gland 42400 CPT 42400 | $703.93 | $1,594.95 | $1,004.82 – $3,058.60 | 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.