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 |
|---|---|---|---|---|
| Unlisted procedure spine CPT 22899 | not published | not published | $975.64 – $975.64 | 1 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $975.64 – $975.64 | 1 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $979.50 – $979.50 | 1 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | $10,177.44 – $10,177.44 | 1 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $975.64 – $975.64 | 1 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $3,890.63 – $3,890.63 | 1 |
| Unlisted px casting/strpg CPT 29799 | not published | not published | $686.97 – $686.97 | 1 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $1,247.58 – $1,247.58 | 1 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $3,058.60 – $3,058.60 | 1 |
| Unlisted px external ear CPT 69399 | not published | not published | $979.50 – $979.50 | 1 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $1,247.58 – $1,247.58 | 1 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $975.64 – $975.64 | 1 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $975.64 – $975.64 | 1 |
| Unlisted px hands/fingers CPT 26989 | $264.68 | $599.70 | $377.82 – $975.64 | 6 |
| Unlisted px inner ear CPT 69949 | not published | not published | $979.50 – $979.50 | 1 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $1,247.58 – $1,247.58 | 1 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $975.64 – $975.64 | 1 |
| Unlisted px male genital sys CPT 55899 | $332.16 | $752.59 | $474.14 – $1,012.68 | 6 |
| Unlisted px med radj physics CPT 77399 | $907.31 | $2,055.75 | $478.57 – $1,850.18 | 6 |
| Unlisted px middle ear CPT 69799 | not published | not published | $979.50 – $979.50 | 1 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $979.50 – $979.50 | 1 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $979.50 – $979.50 | 1 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $975.64 – $975.64 | 1 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $10,177.44 – $10,177.44 | 1 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $979.50 – $979.50 | 1 |
| Unlisted px small intestine CPT 44799 | not published | not published | $3,890.63 – $3,890.63 | 1 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $979.50 – $979.50 | 1 |
| Unlisted px tongue flr mouth CPT 41599 | $276.91 | $627.40 | $395.27 – $979.50 | 6 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $979.50 – $979.50 | 1 |
| Unlisted special svc px/rprt CPT 99199 | $49.26 | $111.61 | $34.32 – $56.16 | 6 |
| Unlisted transfusion med px CPT 86999 | $220.00 | $498.47 | $69.88 – $448.63 | 6 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $2,726.47 – $2,726.47 | 1 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $24,564.86 – $24,564.86 | 1 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $24,564.86 – $24,564.86 | 1 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,406.87 | $3,187.65 | $2,008.22 – $2,971.64 | 6 |
| Upgrade pm system CPT 33214 | $6,946.76 | $15,739.85 | $9,916.11 – $48,679.49 | 6 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $4,648.98 | $10,533.58 | $1,440.56 – $9,480.23 | 6 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $3,068.33 | $6,952.16 | $1,440.56 – $6,256.95 | 6 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $3,021.84 | $6,846.83 | $913.06 – $6,162.15 | 6 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $894.86 | $2,027.55 | $1,277.36 – $3,890.63 | 6 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $3,890.63 – $3,890.63 | 1 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $3,890.63 – $3,890.63 | 1 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $24,564.86 – $24,564.86 | 1 |
| Urea nitrogen CPT 84520 | $24.76 | $56.09 | $3.95 – $50.49 | 16 |
| Urea nitrogen 24 hour urine CPT 84540 | $42.67 | $96.66 | $5.56 – $87.00 | 16 |
| Urea nitrogen clearance CPT 84545 | $38.54 | $87.31 | $7.20 – $55.95 | 16 |
| Ureteral embolization/occl CPT 50705 | $2,042.77 | $4,628.47 | $2,915.94 – $4,165.63 | 5 |
| Ureteral reflux study CPT 78740 | $925.39 | $2,096.72 | $1,320.94 – $1,887.05 | 6 |
| Ureter endoscopy CPT 50970 | not published | not published | $15,105.73 – $15,105.73 | 1 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $22,161.37 – $22,161.37 | 1 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $22,161.37 – $22,161.37 | 1 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $15,105.73 – $15,105.73 | 1 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $22,161.37 – $22,161.37 | 1 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $22,161.37 – $22,161.37 | 1 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $22,161.37 – $22,161.37 | 1 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $22,161.37 – $22,161.37 | 1 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $642.01 | $1,454.65 | $916.43 – $1,309.19 | 6 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $15,105.73 – $15,105.73 | 1 |
| Urethrocystography void s&i CPT 74455 | $834.62 | $1,891.05 | $1,012.37 – $1,701.95 | 6 |
| Uric acid blood CPT 84550 | $25.38 | $57.50 | $4.52 – $51.75 | 16 |
| Uric acid urine CPT 84560 | $44.80 | $101.49 | $5.08 – $91.35 | 16 |
| Urinalysis microscopic only CPT 81015 | $27.24 | $61.70 | $3.05 – $55.53 | 16 |
| Urinalysis (with microscopy) CPT 81001 | $44.19 | $100.12 | $3.17 – $55.82 | 16 |
| Urinalysis (without microscopy) CPT 81003 | $39.11 | $88.60 | $2.25 – $79.74 | 16 |
| Urinary bldr retent nuc study CPT 78730 | $504.96 | $1,144.11 | $339.64 – $1,029.70 | 5 |
| Urinary reflex study CPT 51792 | not published | not published | $270.90 – $270.90 | 1 |
| Urine Culture Test CPT 87086 | $87.03 | $197.18 | $8.07 – $177.47 | 16 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $547.23 – $547.23 | 1 |
| Urine pregnancy test CPT 81025 | $74.40 | $168.56 | $8.61 – $151.71 | 16 |
| Urography, antegrade CPT 74425 | $614.72 | $1,392.82 | $877.48 – $1,736.41 | 6 |
| Use 1st target lesion CPT 76982 | $237.41 | $537.91 | $338.89 – $503.73 | 6 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $16,624.70 | $37,668.00 | $24.56 – $16,950.60 | 6 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $256.08 | $580.20 | $350.28 – $500.40 | 5 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | $164.32 | $372.30 | $234.55 – $335.07 | 5 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | $122.72 | $278.05 | $175.18 – $250.25 | 5 |
| Vaccine dtap < 7 years im CPT 90700 | $57.45 | $130.15 | $82.00 – $117.14 | 5 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $130.78 | $296.30 | $47.28 – $266.67 | 5 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $91.34 | $206.95 | $130.38 – $186.26 | 5 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $236.35 | $535.50 | $53.56 – $229.52 | 16 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $118.18 | $267.75 | $0.02 – $45.93 | 16 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $119.81 | $271.45 | $57.01 – $244.31 | 16 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $22.07 | $50.00 | $10.50 – $45.00 | 16 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $357.92 | $810.95 | $255.47 – $364.95 | 5 |
| Vaccine mmr live subcutaneous CPT 90707 | $226.42 | $513.00 | $317.72 – $461.70 | 5 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $289.66 | $656.30 | $137.83 – $590.67 | 16 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $685.42 | $1,553.00 | $0.04 – $0.05 | 5 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $104.56 | $236.90 | $143.24 – $213.21 | 5 |
| Vaccine rabies im CPT 90675 | $927.96 | $2,102.55 | $657.10 – $1,892.30 | 6 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $1,079.67 | $2,446.30 | $0.04 – $0.05 | 5 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $1,079.67 | $2,446.30 | $0.04 – $0.05 | 5 |
| Vaccine tdap >=7 years im CPT 90715 | $115.64 | $262.00 | $77.34 – $207.72 | 5 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $73.27 | $166.00 | $57.29 – $149.40 | 5 |
| Vaccine varicella live subcutaneous CPT 90716 | $261.33 | $592.10 | $373.03 – $532.89 | 5 |
| Vacuum drain bottle/tube kit HCPCS A7048 | $783.23 | $1,774.63 | $1,118.02 – $1,597.17 | 5 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $21,845.27 – $21,845.27 | 1 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $21,845.27 – $21,845.27 | 1 |
| Vag hyst including t/o CPT 58262 | not published | not published | $21,845.27 – $21,845.27 | 1 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $32,640.16 – $32,640.16 | 1 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $21,845.27 – $21,845.27 | 1 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $21,845.27 – $21,845.27 | 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.