Visits & medical services prices at St. Michael Medical Center

Silverdale, WA · every code in this section with a posted price and a Medicare benchmark.

207 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $5,399.81 $12,234.81 0.6×
Airway inhalation treatment (94640) $200.74 $454.82 0.8×
Bedside Swallowing Eval (92610) $362.17 $820.59 4.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $488.43 $1,106.66 1.1×
Bundle of his recording (93600)
unusually low: confirm this is the full procedure
$3,838.68 $8,697.62 0.4×
C motor evoked upr&lwr limbs (95939) $812.13 $1,840.09 0.8×
Car seat/bed test 60 min (94780) $76.89 $174.21 1.8×
Cardiac Stress Tst,Tracing Only (93017) $816.83 $1,850.75 3.3×
Cardiopulmonary exercise testing (94621) $668.15 $1,513.88 1.6×
Cardiopulmonary resuscitation (92950) $1,236.75 $2,802.21 5.0×
Cardioversion (92960) $1,340.03 $3,036.21 1.8×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $69.74 $158 2.7×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) $10,673.14 $24,183.04 0.5×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $14,379.70 $32,581.32 3.9×
Cbt 1st hour (94644) $206.42 $467.69 1.3×
Chemo Admin Peritoneal Cavity (96446) $480.59 $1,088.90 1.3×
Chemo Hormon Antineopl Sq/Im (96402) $360 $815.68 4.3×
Chemo IV push addl drug (96411) $251.11 $568.95 3.0×
Chemo prolong 8+ hrs infuse w/pump (96416) $811.27 $1,838.15 2.1×
Chemother, IV infusion, 1 hr (96413) $643.87 $1,458.85 1.7×
Chemother, IV infusion, ea add hr (96415) $251.11 $568.95 3.0×
Chemother,ia infusn tech,<1 hr (96422) $451.66 $1,023.35 1.2×
Chemother,Ia Push Technique (96420) $313.20 $709.63 0.8×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $360 $815.68 4.3×
Chemotherapy Administration Intralesional </7 (96405) $105.57 $239.18 1.3×
Chemotherapy into cns (96450) $301.13 $682.28 0.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $257.55 $583.54 3.1×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $334.81 $758.60 0.9×
Color/duplex Doppler, complete (93975) $1,185.93 $2,687.06 4.3×
Color/duplex Doppler, limited (93976) $741.21 $1,679.42 6.2×
Cont Gluc Monitoring Patient Provided Equipment (95249) $89.56 $202.91 1.3×
Continuous Glucose Monitoring (95250) $191.71 $434.36 1.3×
Coronary art/grft angio s&i (93455) $11,254.32 $25,499.87 3.0×
Coronary artery angio s&i (93454) $10,231.20 $23,181.70 2.7×
Cpap/bipap (94660) $683.25 $1,548.09 2.7×
Cpt initial (94667) $147.71 $334.66 1.0×
Critical care (99291) $8,203.12 $18,586.50 8.6×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $734.13 $1,663.37 1.7×
Ctr Motor Ep Std Transcrnl Motor Stimj Upr Limbs (95928) $734.13 $1,663.37 0.7×
Debridement Open Wound 20 Sq Cm< (97597) $292.48 $662.68 1.3×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $984.33 $2,230.26 3.6×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $628.55 $1,424.14 5.2×
Dup-scan artl infl&ven o/f pen vsl compl (93980) $477.01 $1,080.79 4.0×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,017.61 $2,305.68 3.7×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $868.82 $1,968.55 3.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,073.57 $2,432.47 3.9×
Duplex penile vessels ltd (93981) $304.80 $690.59 2.5×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $1,202.91 $2,725.52 4.4×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $603.99 $1,368.51 5.0×
Duplex scan extracranial art compl bi study (93880) $952.49 $2,158.12 3.5×
Duplex Scan Hemodialysis Access (93990) $507.56 $1,150.01 4.2×
Echo Heart Xthoracic,Limited (93308) $842.32 $1,908.51 3.1×
Echo transesophag montr cardiac pump functj (93318) $1,776.40 $4,024.93 2.8×
Echo transesophageal (93312) $2,234.41 $5,062.68 3.6×
Echo Transesophageal - Congenital Tee Complete (93315) $1,138.18 $2,578.87 1.8×
Echo Transthoracic - Congenital Tte Complete (93303) $1,100.95 $2,494.51 1.7×
Echo Transthoracic - Congenital Tte Limited (93304) $615.06 $1,393.58 1.0×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,206.89 $2,734.55 1.9×
EEG awake and asleep (95819) $973.31 $2,205.30 3.9×
EEG awake drowsy (95816) $1,041.44 $2,359.67 4.2×
EEG cerebral death evaluation (95824) $532.20 $1,205.83 1.2×
EEG coma or sleep only (95822) $805.25 $1,824.51 3.2×
EEG cont rec w/video by tech min 8 channels (95700) $912.89 $2,068.41 3.7×
EEG greater than 1 hour (95813) $1,241.11 $2,812.08 5.0×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $912.89 $2,068.41 3.7×
EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) $1,217.19 $2,757.88 2.8×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $1,217.19 $2,757.88 2.8×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $912.89 $2,068.41 3.7×
EKG rhythm strip (93041) $107.63 $243.86 1.6×
Electrocardiogram Tracing (93005) $226.18 $512.47 3.3×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $1,042.95 $2,363.09 4.2×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624)
unusually low: confirm this is the full procedure
$2,870.53 $6,503.99 0.3×
EMG two extremities (95861) $323.50 $732.98 2.1×
Endomyocardial biopsy (93505) $1,860 $4,214.34 0.5×
Ep & ablate supravent arrhyt (93653) $24,544.59 $55,612.78 0.8×
Ep & ablate ventric tachy (93654) $28,717.17 $65,066.95 1.0×
Ep Analyze Pacer Sys (93724) $311.87 $706.63 0.9×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $5,712.59 $12,943.49 0.6×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619)
unusually low: confirm this is the full procedure
$4,462.96 $10,112.10 0.5×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $1,982.33 $4,491.53 1.4×
Er level 1 (99281) $339.40 $769 3.5×
Er level ii (99282) $555.66 $1,259 3.1×
Er level iii (99283) $1,142.21 $2,588 3.6×
Er level IV (99284) $1,759.66 $3,987 3.7×
Er level v (99285) $3,086.79 $6,994 4.5×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $599.49 $1,358.30 1.4×
Evaluate Pt Use Of Inhaler (94664) $151.63 $343.56 0.6×
Exhaled Air Analysis (94690) $271.46 $615.05 4.0×
External Ecg Scanning Analysis Report (93226) $655.25 $1,484.64 9.6×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $1,082.30 $2,452.25 2.5×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $604.99 $1,370.77 2.4×
Hemodialysis (90935) $1,261.62 $2,858.56 1.6×
Holter Monitor (93225) $294.46 $667.18 1.9×
Imm admn sarscov2 vaccine single dose (90480) $46.35 $105 1.0×
Immune Admin Oral/Nasal (90473) $56.07 $127.03 0.7×
Immunization Admin (90471) $59.15 $134.02 0.7×
Induction of arrhythmia by electrical pacing (93618) $2,179.39 $4,938.03 1.6×
Inhalation bronchial challenge testing (95070) $407.55 $923.40 0.9×
Injection intra arterial (96373) $220.50 $499.59 0.9×
Ins swan ganz bedside (93503) $2,454.18 $5,560.64 1.4×
Interrog dev eval icpms phys/qhp in person (93290) $57.01 $129.15 1.3×
Intra Atrial Recording (93602)
unusually low: confirm this is the full procedure
$3,838.68 $8,697.62 0.4×
Intra-atrial pacing (93610)
likely a partial charge, not the full procedure
$2,442.72 $5,534.67 0.3×
Intracutaneous (intradermal) tests with allergenic extracts, delayed type reaction, including reading, specify number… (95028) $45.03 $102.02 1.0×
Intralesional Chemo Admin,8+ Lesn (96406) $254.16 $575.87 1.0×
Intrapulmonary Surfactant Administj Phys/Qhp (94610) $135.11 $306.12 0.5×
Intraventricular pacing (93612)
unusually low: confirm this is the full procedure
$4,045.97 $9,167.29 0.5×
Irrig drug delivery device (96523) $180.23 $408.34 2.7×
IV infusion hydration each additional hour (96361) $186.73 $423.07 3.5×
IV infusion hydration initial 31 min-1 hour (96360) $418.51 $948.25 1.7×
IV infusion ther proph addl sequential to 1 hr (96367) $186.73 $423.07 2.3×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $431.39 $977.43 1.8×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $186.73 $423.07 3.5×
IV push ea addl new drug (96375) $234.57 $531.48 4.4×
IV push initial (96374) $274.45 $621.83 1.1×
L hrt art/grft angio (93459) $15,098.69 $34,210.39 4.0×
Low frequency non-thermal us (97610) $189.24 $428.76 0.8×
Manual therapy 15 min (97140) $35.79 $81.09 1.3×
Massage 15 min (97124) $46.25 $104.78 1.6×
Mechanical chest wall oscillation (94669) $155.72 $352.82 0.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $82.83 $187.67 2.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $82.83 $187.67 2.3×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $29.37 $66.53 1.7×
Methacholine challenge (94070) $805.90 $1,825.99 1.9×
Motility study esophagus (91010) $869.61 $1,970.35 2.0×
Multiple Sleep Latency Test (95805) $2,882.47 $6,531.04 2.9×
Nasopharyngoscopy (92511) $279.40 $633.05 1.2×
Neg press wound tx >50 cm (97608) $636.28 $1,441.66 1.4×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $517.30 $1,172.08 1.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $267.98 $607.17 1.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $267.98 $607.17 0.6×
Newborn resuscitation (99465) $1,127.98 $2,555.75 1.5×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $388.48 $880.19 2.5×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $132.92 $301.16 0.9×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $64.16 $145.37 2.6×
Osteopathic manipulative tx 3-4 body regions (98926) $61.11 $138.45 2.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $199.53 $452.09 1.3×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $159.63 $361.67 1.1×
Patch/Application Test Specify Number Tests (95044) $595.41 $1,349.06 0.6×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $155.82 $353.04 0.6×
Peripheral arterial disease rehab per session (93668) $110.95 $251.37 1.6×
Peritoneal Dialysis (90945) $1,444.24 $3,272.32 3.0×
Perq transcath closure pda (93582)
unusually low: confirm this is the full procedure
$9,368.12 $21,226.15 0.4×
Perq Transcath Cls Mitral (93590) $11,396.28 $25,821.51 0.5×
Perq transcath cls paravalvr leak 1 aortic valve (93591) $11,396.28 $25,821.51 0.5×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $11,993.37 $27,174.39 0.9×
Phlebotomy therapeutic (99195) $207.90 $471.05 1.4×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $166.57 $377.41 2.5×
Plethysmography (94726) $383.81 $869.63 0.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $5,442.85 $12,332.32 5.5×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $4,914.60 $11,135.41 5.0×
Prq balloon valvuloplasty aortic valve (92986) $5,704.28 $12,924.66 0.9×
Prq Balloon Valvuloplasty Mitral Valve (92987) $8,756.59 $19,840.54 0.7×
Prq Revasc Byp Graft 1 Vsl (92937) $10,645.80 $24,121.09 0.8×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581)
unusually low: confirm this is the full procedure
$9,168.01 $20,772.73 0.4×
Pt group caregiver training (97552) $58.58 $132.72 2.7×
Pulm function test by gas (94727) $314.73 $713.10 1.3×
Pulmonary Service/Procedure (94799) $94.55 $214.23 0.6×
Pulmonary stress test simple (94618) $384.99 $872.29 2.5×
R & l hrt cath w/njx l ventriculog img s&i (93453) $16,133.30 $36,554.60 4.3×
R hrt art/grft angio (93457) $14,667.30 $33,232.95 3.9×
R hrt coronary artery angio (93456) $13,804.52 $31,278.07 3.7×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $16,968.05 $38,445.96 4.5×
R&l hrt art/ventricle angio (93460) $16,249.06 $36,816.89 4.4×
Refill/Maint Portable Pump (96521) $632 $1,431.97 2.6×
Refill/Maint Pump/Resvr Syst (96522) $290.73 $658.71 1.2×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $377.39 $855.08 1.1×
Right heart cath (93451) $7,107.19 $16,103.35 1.9×
Right ventricular recording (93603) $2,431.67 $5,509.64 1.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $225.96 $511.97 1.0×
Rt Chest Wall Manipulation,Subsequent (94668) $81.16 $183.88 0.5×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $1,798.82 $4,075.72 7.2×
Short-latency somatosens ep std upr limbs (95925) $536.65 $1,215.93 2.2×
Sleep study attended (95807) $2,133.03 $4,832.97 5.0×
Slp caregiver training 1st 30 min (97550) $139.47 $316 2.6×
Smoking cessation > 10 min (99407) $31.75 $71.93 0.7×
Somatosensory testing (95938) $783.42 $1,775.06 0.8×
Spirometry (94010) $256.66 $581.52 1.0×
Ssep lower limbs (95926) $536.65 $1,215.93 2.2×
Stress echo (93350) $928.38 $2,103.50 1.5×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $417.53 $946.03 1.7×
Subcutaneous Infusion Each Additional Hour (96370) $178.27 $403.92 3.3×
Subq Infusion Additional Pump Infusion Site (96371) $178.27 $403.92 2.2×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $671.52 $1,521.50 5.6×
Temp transcutaneous pacing (92953) $412.51 $934.65 0.5×
Therapeutic prophylactic/dx injection subq/im (96372) $147.78 $334.83 1.8×
Tilt table evaluation (93660) $1,084.25 $2,456.67 2.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $23.82 $53.95 0.6×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $691.41 $1,566.58 2.5×
Transcranial Doppler Intracran Art Emboli Detect (93892) $671.52 $1,521.50 5.6×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $580.79 $1,315.93 4.8×
Tte w/doppler, complete (93306) $2,453.82 $5,559.81 3.9×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,212.94 $2,748.25 4.4×
Tx atrial fib pulm vein isol (93656) $25,968.21 $58,838.40 0.9×
Ultraviolet Light Therapy (96900) $100.94 $228.69 2.3×
Unlisted Cardiovascular Service/Procedure (93799) $1,446.86 $3,278.28 9.8×
Upr/lxtr art stdy 3+ lvls (93923) $505.92 $1,146.29 2.0×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $632.39 $1,432.86 2.5×
Veeg 2-12 hr unmonitored (95711) $912.89 $2,068.41 3.7×
Veeg by tech 2-12 hr intermittent monitoring (95712) $912.89 $2,068.41 2.1×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,217.19 $2,757.88 2.8×
Veeg Ea 12-26 Hr Unmntr (95714) $1,217.19 $2,757.88 2.8×
Vent mgmt inpat init day (94002) $3,487.54 $7,902.02 4.9×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,615.66 $5,926.51 3.7×
Visual Evoked Potential Test (95930) $478.84 $1,084.93 1.9×
Vital capacity, total (94150) $147.83 $334.95 1.0×
Wada Activation Test Hemispheric Function W/Eeg (95958) $777.54 $1,761.73 0.8×