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 |
|---|---|---|---|---|
| X-ray pelvis complete > 3 views CPT 72190 | $413.76 | $937.48 | $498.80 – $843.74 | 6 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,010.50 | $2,289.56 | $1,442.43 – $2,060.61 | 6 |
| X-ray ribs 3 views bilateral CPT 71110 | $352.43 | $798.51 | $498.80 – $718.66 | 6 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $444.00 | $1,006.00 | $498.80 – $905.40 | 6 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $359.24 | $813.95 | $498.80 – $732.56 | 6 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $320.32 | $725.77 | $270.71 – $653.20 | 6 |
| X-ray sella turcica CPT 70240 | $130.59 | $295.88 | $186.41 – $409.47 | 6 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $344.86 | $781.36 | $270.71 – $703.23 | 6 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $501.03 | $1,135.21 | $715.19 – $2,371.25 | 6 |
| X-ray skull < 4 views CPT 70250 | $362.82 | $822.07 | $498.80 – $739.87 | 6 |
| X-ray skull > 4 views complete CPT 70260 | $510.98 | $1,157.75 | $498.80 – $1,041.98 | 6 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $493.79 | $1,118.82 | $498.80 – $1,006.94 | 6 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $925.88 | $2,097.83 | $498.80 – $1,888.05 | 6 |
| X-ray small intestine follow-through study CPT 74248 | $736.24 | $1,668.15 | $1,050.94 – $1,501.34 | 5 |
| X-ray spine single view CPT 72020 | $270.58 | $613.06 | $270.71 – $551.76 | 6 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $273.71 | $620.15 | $270.71 – $558.14 | 6 |
| X-ray sternum > 2 views CPT 71120 | $288.11 | $652.79 | $270.71 – $587.52 | 6 |
| X-ray surgical specimen CPT 76098 | $439.74 | $996.35 | $627.71 – $2,371.25 | 6 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $853.00 | $1,932.70 | $498.80 – $1,739.43 | 6 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $376.82 | $853.78 | $270.71 – $768.41 | 6 |
| X-ray thoracic spine 2 views CPT 72070 | $360.44 | $816.67 | $498.80 – $735.01 | 6 |
| X-ray thoracic spine 3 views CPT 72072 | $411.50 | $932.37 | $498.80 – $839.14 | 6 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $308.11 | $698.11 | $270.71 – $628.30 | 6 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $979.66 | $2,219.69 | $270.71 – $1,997.73 | 6 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $1,335.89 | $3,026.84 | $498.80 – $2,724.16 | 6 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $802.59 | $1,818.49 | $849.94 – $1,636.65 | 6 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $924.98 | $2,095.80 | $849.94 – $1,886.22 | 6 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $745.43 | $1,688.97 | $849.94 – $1,520.08 | 6 |
| Xylose absorption test blood &/or urine CPT 84620 | $83.91 | $190.10 | $12.91 – $171.09 | 16 |
| Xyntha inj HCPCS J7185 | $3.71 | $8.40 | $1.54 – $7.56 | 15 |
| Yersinia antibody CPT 86793 | $112.61 | $255.13 | $13.19 – $229.62 | 16 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $2,103.45 | $4,765.95 | $3.02 – $117.18 | 5 |
| Zika virus dna/rna amp probe CPT 87662 | $250.36 | $567.25 | $51.31 – $510.53 | 16 |
| Zika virus igm antibody CPT 86794 | $118.37 | $268.20 | $16.85 – $241.38 | 16 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $218.21 | $494.40 | $16.16 – $222.48 | 5 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | $6,993.54 | $15,845.85 | $14.18 – $3,745.08 | 6 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | $38,838.63 | $88,000.00 | $6,300.00 – $9,000.00 | 5 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $3,271.98 | $7,413.60 | $11.45 – $5,337.77 | 5 |
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.