MultiCare Good Samaritan Hospital
401 15th Avenue Southeast, Puyallup, WA · Multicare · · NPI 1841231461
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $51.60 | $129.00 | $8.93 – $57.39 | 15 |
| 17-hydroxypregnenolone CPT 84143 | $52.40 | $131.00 | $8.93 – $44.71 | 15 |
| 17-ketosteroids CPT 83586 | $32.00 | $80.00 | $8.93 – $25.09 | 15 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $152.27 – $639.07 | 12 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| 1st psyc collab care mgmt CPT 99492 | not published | not published | $47.71 – $487.67 | 14 |
| 1st/sbsq psyc collab care CPT 99494 | not published | not published | $47.71 – $51.52 | 5 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $35.20 – $70.40 | 11 |
| 24 hr ambulatory b/p monitor CPT 93786 | $272.40 | $681.00 | $48.48 – $638.68 | 15 |
| 2d tee w or without fol w/con,in HCPCS C8925 | not published | not published | $329.43 – $3,762.98 | 14 |
| 2d tte w or without fol w/con,co HCPCS C8923 | not published | not published | $329.43 – $3,762.98 | 14 |
| 2nd order venous cath CPT 36012 | $1,043.20 | $2,608.00 | $451.14 – $487.23 | 5 |
| 2vhpv vaccine 3 dose im CPT 90650 | not published | not published | $207.90 – $207.90 | 1 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $147.17 – $617.68 | 11 |
| 3d bn img algor drvd fr MRI HCPCS G0566 | not published | not published | $147.17 – $724.41 | 10 |
| 3d ech img cgen car anomal CPT 93319 | $675.20 | $1,688.00 | $329.43 – $355.78 | 5 |
| 3-d radiotherapy plan CPT 77295 | $3,801.60 | $9,504.00 | $781.93 – $6,644.13 | 15 |
| 3d recon without postprocess indpndt CPT 76376 | $351.60 | $879.00 | not published | 0 |
| 4-bar link above knee w/swng HCPCS L5614 | not published | not published | $1,971.48 – $8,762.23 | 12 |
| 5' nucleotidase - sendout CPT 83915 | $28.00 | $70.00 | $8.63 – $21.85 | 15 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $70.40 | $176.00 | $26.14 – $28.23 | 5 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | not published | not published | not published | 0 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | not published | not published | not published | 0 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | not published | not published | not published | 0 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | not published | not published | not published | 0 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | not published | not published | not published | 0 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | not published | not published | not published | 0 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | not published | not published | not published | 0 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | not published | not published | $43.82 – $2,018.91 | 14 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $32.40 | $81.00 | $7.40 – $23.54 | 15 |
| Abciximab injection HCPCS J0130 | not published | not published | $1,178.48 – $1,272.76 | 5 |
| Abd aorta w/runoff s&i CPT 75630 | $3,567.60 | $8,919.00 | $1,296.35 – $15,156.63 | 15 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Abd/low ext cath 1st CPT 36245 | $1,707.60 | $4,269.00 | $451.14 – $487.23 | 5 |
| Abd/low ext cath 2nd CPT 36246 | $1,774.00 | $4,435.00 | $451.14 – $487.23 | 5 |
| Abd/low ext cath 3rd CPT 36247 | $1,926.00 | $4,815.00 | $451.14 – $487.23 | 5 |
| Abd/low ext cath addl CPT 36248 | $510.80 | $1,277.00 | $451.14 – $487.23 | 5 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,588.00 | $3,970.00 | $200.61 – $841.97 | 15 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,231.60 | $3,079.00 | $200.61 – $841.97 | 15 |
| Abdominal CT scan (without contrast) CPT 74150 | $828.00 | $2,070.00 | $82.80 – $501.84 | 15 |
| Abdominal MRI (with and without contrast) CPT 74183 | $1,928.40 | $4,821.00 | $316.75 – $1,705.83 | 15 |
| Abdominal MRI (with contrast) CPT 74182 | $1,815.60 | $4,539.00 | $316.75 – $1,705.83 | 15 |
| Abdominal MRI (without contrast) CPT 74181 | $1,753.60 | $4,384.00 | $180.77 – $1,145.33 | 15 |
| Abdominal pad HCPCS L1270 | not published | not published | $86.55 – $384.71 | 12 |
| Abdominal paracentesis w/image guidance CPT 49083 | $953.20 | $2,383.00 | $524.65 – $4,353.73 | 15 |
| Abdominal Ultrasound (complete) CPT 76700 | $422.00 | $1,055.00 | $119.20 – $501.84 | 15 |
| Abdominal Ultrasound (limited) CPT 76705 | $359.20 | $898.00 | $78.52 – $501.84 | 15 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $1,255.15 – $31,874.32 | 14 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $551.60 | $1,379.00 | $524.65 – $4,353.73 | 15 |
| Abduct control hip semi-flex HCPCS L1630 | not published | not published | $204.45 – $908.68 | 12 |
| Abduction bar jointed adjust HCPCS L2300 | $192.00 | $480.00 | $323.16 – $1,666.61 | 13 |
| Abduction bar-straight HCPCS L2310 | $94.00 | $235.00 | $157.90 – $814.37 | 13 |
| Abduction rotation bar shoe HCPCS L3140 | $54.40 | $136.00 | $89.48 – $461.47 | 13 |
| Abduct rotation bar without shoe HCPCS L3150 | $49.60 | $124.00 | $81.80 – $421.84 | 13 |
| Abl1 gene CPT 81170 | $442.00 | $1,105.00 | $84.33 – $588.00 | 15 |
| Ablate arrhythmia add on CPT 93655 | $2,378.00 | $5,945.00 | $11,601.67 – $12,529.81 | 5 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Ablate atria without bypass ext CPT 33255 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $10,442.00 | $26,105.00 | $1,238.45 – $34,831.50 | 15 |
| Ablate bone tumor(s) perq CPT 20982 | $5,210.80 | $13,027.00 | $1,238.45 – $84,166.35 | 15 |
| Ablate heart dysrhythm focus CPT 93650 | $9,966.00 | $24,915.00 | $8,920.64 – $37,440.17 | 15 |
| Ablate heart dysrhythm focus CPT 33250 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Ablate heart dysrhythm focus CPT 33251 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Ablate heart dysrhythm focus CPT 33261 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $652.16 – $7,447.96 | 14 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $652.16 – $7,447.96 | 14 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $3,690.52 – $51,025.66 | 14 |
| Ablate pulm tumor perq rf CPT 32998 | $2,970.00 | $7,425.00 | $6,914.40 – $29,019.93 | 13 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $2,535.20 | $6,338.00 | $18.72 – $673.34 | 15 |
| Ablation cryo abd perit om CPT 49999 | $2,299.60 | $5,749.00 | $524.65 – $4,353.73 | 15 |
| Ablation cryo adrenal tumor CPT 60699 | $2,970.00 | $7,425.00 | $2,051.91 – $29,019.93 | 15 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $282.12 – $1,184.07 | 14 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $9,332.00 | $23,330.00 | $4,530.22 – $51,025.66 | 15 |
| Ablation cryo retro lymph node CPT 38999 | $350.80 | $877.00 | $504.58 – $2,216.06 | 15 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $282.12 – $1,184.07 | 14 |
| Ablation ire liver 1+ tumor(s) w/image pq CPT 47384 | not published | not published | $12,157.56 – $51,025.66 | 10 |
| Ablation of upper extremity nerves rf CPT 64999 | $1,807.60 | $4,519.00 | $309.03 – $1,473.43 | 15 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | not published | not published | $1,888.97 – $7,928.07 | 11 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $10,826.99 – $45,441.17 | 11 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | not published | not published | $15,089.63 – $63,331.64 | 11 |
| Abobotulinumtoxina HCPCS J0586 | $20.00 | $50.00 | $8.72 – $678.35 | 15 |
| Abortion CPT 59850 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Abortion (mpr) CPT 59866 | not published | not published | $348.53 – $1,462.78 | 12 |
| Above elbow prosth tiss shap HCPCS L6500 | not published | not published | $4,230.36 – $18,801.78 | 12 |
| Above knee cushion socket HCPCS L5648 | not published | not published | $783.53 – $3,482.36 | 12 |
| Above knee flex cover system HCPCS L5964 | not published | not published | $1,342.70 – $5,967.61 | 12 |
| Above knee hydracadence HCPCS L5610 | not published | not published | $3,161.07 – $14,049.32 | 12 |
| Above knee leather socket HCPCS L5642 | not published | not published | $983.12 – $4,369.47 | 12 |
| Above knee manual lock HCPCS L5925 | not published | not published | $519.05 – $2,306.90 | 12 |
| Above knee wood socket HCPCS L5644 | not published | not published | $784.81 – $3,488.10 | 12 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $116.08 – $125.37 | 5 |
| Abrasion lesion single CPT 15786 | $461.60 | $1,154.00 | $116.08 – $963.09 | 15 |
| Abscess drain retroperitoneal surg code CPT 49406 | $1,087.20 | $2,718.00 | $524.65 – $7,928.07 | 15 |
| Absorpt drg <=16 sq in w/bdr HCPCS A6254 | $34.00 | $85.00 | $2.04 – $2.04 | 1 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $2,370.40 | $5,926.00 | $12,693.34 – $13,708.80 | 5 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $451.14 – $487.23 | 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.