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 |
|---|---|---|---|---|
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $6,493.56 | $14,713.00 | $611.38 – $1,000.44 | 8 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $404.74 | $917.05 | $194.20 – $277.43 | 5 |
| Support clav 29.6-40.5in med HCPCS L3650 | $21.50 | $48.70 | $23.57 – $312.66 | 9 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $12,109.91 – $12,109.91 | 1 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $15,105.73 – $15,105.73 | 1 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $22,161.37 – $22,161.37 | 1 |
| Surgical opening of stomach CPT 43510 | not published | not published | $3,890.63 – $3,890.63 | 1 |
| Surgical opening of throat CPT 42955 | not published | not published | $6,542.30 – $6,542.30 | 1 |
| Surgical pathology level 1 gross examination only CPT 88300 | $99.11 | $224.55 | $31.84 – $202.10 | 6 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $160.10 | $362.73 | $62.72 – $326.46 | 6 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $216.00 | $489.40 | $76.76 – $440.46 | 6 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $254.12 | $575.76 | $78.64 – $518.19 | 6 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $424.37 | $961.52 | $473.60 – $1,527.53 | 6 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $528.55 | $1,197.58 | $660.80 – $3,659.69 | 6 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $12,109.91 – $12,109.91 | 1 |
| Susceptibility agar dilution per agent CPT 87181 | $56.77 | $128.61 | $4.75 – $115.75 | 16 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $15.89 | $36.00 | $4.75 – $32.40 | 16 |
| Susceptibility mic per plate CPT 87186 | $85.13 | $192.87 | $8.65 – $173.59 | 16 |
| Suscept studies macrobroth dilution ea CPT 87188 | $49.04 | $111.11 | $6.64 – $100.00 | 16 |
| Suspension of testis CPT 54620 | not published | not published | $15,105.73 – $15,105.73 | 1 |
| Svc venogram s&i CPT 75827 | $3,573.96 | $8,097.82 | $2,669.48 – $7,288.04 | 6 |
| Sympathectomy cervical CPT 64802 | not published | not published | $8,471.71 – $8,471.71 | 1 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $8,471.71 – $8,471.71 | 1 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $14,029.00 – $14,029.00 | 1 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $42.60 | $96.51 | $4.40 – $86.86 | 16 |
| System cardiomems hosp electronics HCPCS C2624 | $65,791.09 | $149,068.50 | $93,913.16 – $134,161.65 | 5 |
| System pacing micra av HCPCS C1786 | $38,284.15 | $86,743.67 | $6,484.49 – $9,263.55 | 5 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $25,484.65 | $57,742.75 | $7,043.49 – $10,062.13 | 5 |
| System sealant biosentry tract HCPCS C2613 | $1,093.48 | $2,477.59 | $1,560.89 – $2,229.84 | 5 |
| T3 (triiodothyronine) free CPT 84481 | $106.14 | $240.49 | $16.94 – $216.45 | 16 |
| T3 (triiodothyronine) total CPT 84480 | $94.44 | $213.97 | $14.18 – $192.58 | 16 |
| T4 (thyroxine) free CPT 84439 | $70.93 | $160.71 | $9.02 – $144.64 | 16 |
| T4 (thyroxine) total CPT 84436 | $45.46 | $102.98 | $6.87 – $92.69 | 16 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $155.25 | $351.75 | $0.47 – $13.37 | 5 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $427.60 | $968.85 | $348.68 – $1,032.29 | 6 |
| Tacrolimus therapeutic drug level CPT 80197 | $112.30 | $254.44 | $13.73 – $229.00 | 16 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | $15,102.93 | $34,220.00 | $99.98 – $307.80 | 6 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $54,318.73 | $123,074.60 | $645.75 – $922.50 | 5 |
| Target gsa panel hmtlmph neop CPT 81450 | $894.37 | $2,026.43 | $759.53 – $1,823.79 | 16 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $3,328.25 | $7,541.10 | $2,919.60 – $6,831.86 | 16 |
| Target gsa panel organ neop CPT 81445 | $1,233.52 | $2,794.89 | $597.91 – $1,399.11 | 16 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $41,310.18 | $93,600.00 | $5,896.80 – $8,424.00 | 5 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $2,738.02 – $2,738.02 | 1 |
| Tavr perq femoral CPT 33361 | $15,391.22 | $34,873.19 | $16,041.67 – $31,385.88 | 9 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $2,876.53 | $6,517.60 | $0.80 – $1,848.47 | 6 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | $235.89 | $534.46 | $336.71 – $481.02 | 5 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $256.89 | $582.04 | $61.98 – $523.84 | 16 |
| Tc-99m bicisate HCPCS A9557 | $1,488.16 | $3,371.85 | $2,124.27 – $3,034.67 | 5 |
| Tc-99m disofenin HCPCS A9510 | $50.67 | $114.80 | $27.13 – $38.75 | 5 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $2,329.68 | $5,278.55 | $3,325.49 – $4,750.70 | 5 |
| Tc-99m exametazime diag HCPCS A9521 | $1,387.67 | $3,144.15 | $1,980.82 – $2,829.74 | 5 |
| Tc-99m labeled rbc HCPCS A9560 | $352.16 | $797.90 | $502.68 – $718.11 | 5 |
| Tc-99m maa HCPCS A9540 | $100.04 | $226.65 | $142.79 – $203.99 | 5 |
| Tc-99m mebrofenin HCPCS A9537 | $55.31 | $125.30 | $15.82 – $22.59 | 5 |
| Tc-99m medronate HCPCS A9503 | $38.29 | $86.75 | $27.35 – $39.06 | 5 |
| Tc-99m mertiatide HCPCS A9562 | $641.95 | $1,454.50 | $916.34 – $1,309.05 | 5 |
| Tc-99m oxidronate HCPCS A9561 | $66.56 | $150.80 | $95.01 – $135.72 | 5 |
| Tc-99m pentetate dtpa HCPCS A9539 | $57.38 | $130.00 | $81.90 – $117.00 | 5 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $151.01 | $342.15 | $215.56 – $307.94 | 5 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $47.01 | $106.50 | $33.55 – $47.93 | 5 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $89.40 | $202.55 | $127.61 – $182.30 | 5 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $279.36 | $632.95 | $398.76 – $569.66 | 5 |
| Tc-99m sulfur colloid HCPCS A9541 | $15.17 | $34.35 | $0.13 – $0.18 | 5 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $279.36 | $632.95 | $398.76 – $569.66 | 5 |
| Tc-99m tilmanocept diag HCPCS A9520 | $325.04 | $736.45 | $463.97 – $662.81 | 5 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $2,738.02 – $2,738.02 | 1 |
| Tcd emboli detect w/inj CPT 93893 | $671.52 | $1,521.50 | $503.73 – $1,369.35 | 6 |
| Tcd emboli detect without inj CPT 93892 | $671.52 | $1,521.50 | $503.73 – $1,369.35 | 6 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $1,921.73 – $1,921.73 | 1 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $158.64 | $359.44 | $46.98 – $323.50 | 16 |
| T cells absolute cd 4 count CPT 86361 | $204.83 | $464.09 | $26.78 – $417.69 | 16 |
| T cells total count CPT 86359 | $160.97 | $364.71 | $37.73 – $328.24 | 16 |
| Team conf w/pat by hc prof CPT 99366 | $76.34 | $172.97 | $108.98 – $155.68 | 5 |
| Tee w or without fol w/cont,cong HCPCS C8926 | $1,681.18 | $3,809.18 | $2,399.79 – $3,491.15 | 6 |
| Telehealth original site facility fee HCPCS Q3014 | $34.91 | $79.08 | $37.45 – $135.78 | 9 |
| Telethx isodose plan cplx CPT 77307 | $1,709.27 | $3,872.82 | $1,287.09 – $3,485.54 | 6 |
| Telethx isodose plan simple CPT 77306 | $1,267.71 | $2,872.34 | $1,287.09 – $2,585.11 | 6 |
| Temozolomide HCPCS J8700 | $784.17 | $1,776.75 | $0.37 – $233.69 | 5 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | $2,748.12 | $6,226.65 | $20.80 – $3,396.33 | 6 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $2,902.97 | $6,577.50 | $59.36 – $2,367.90 | 6 |
| Tendon lengthening CPT 26476 | not published | not published | $14,029.00 – $14,029.00 | 1 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $14,029.00 – $14,029.00 | 1 |
| Tendon shortening CPT 26477 | not published | not published | $14,029.00 – $14,029.00 | 1 |
| Tendon transfer with graft CPT 26492 | not published | not published | $14,029.00 – $14,029.00 | 1 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $17,122.85 | $38,796.70 | $243.52 – $20,950.25 | 6 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $14,029.00 – $14,029.00 | 1 |
| Tenolysis triceps CPT 24332 | not published | not published | $14,029.00 – $14,029.00 | 1 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $31,174.75 – $31,174.75 | 1 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $6,760.89 – $6,760.89 | 1 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $14,029.00 – $14,029.00 | 1 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $1,602.15 | $3,630.12 | $2,286.98 – $6,760.89 | 6 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $169.81 | $384.75 | $3.96 – $346.28 | 5 |
| Test for chlorohydrocarbons CPT 82441 | $121.18 | $274.56 | $6.01 – $247.11 | 16 |
| Testicular imaging w/vasc flow CPT 78761 | $918.89 | $2,081.99 | $1,311.66 – $1,873.80 | 6 |
| Test stress cardiovascular tracing only CPT 93017 | $816.83 | $1,850.75 | $1,165.98 – $1,665.68 | 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.