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 |
|---|---|---|---|---|
| Sleep Study (Polysomnography) CPT 95810 | $2,611.20 | $6,528.00 | $540.93 – $4,326.18 | 15 |
| Sleep study unattended CPT 95806 | $428.00 | $1,070.00 | $100.33 – $1,036.49 | 15 |
| Sleeve fing rolyan med HCPCS L3933 | not published | not published | $226.40 – $1,006.19 | 12 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $241.20 | $603.00 | $13.18 – $13.18 | 1 |
| Sling pelv split sam med HCPCS L0621 | $241.20 | $603.00 | $27.87 – $260.62 | 13 |
| Sling suprapubic suburetheral HCPCS C1771 | $16,991.60 | $42,479.00 | not published | 0 |
| Slitting of prepuce CPT 54000 | not published | not published | $269.75 – $16,920.72 | 14 |
| Slitting of prepuce CPT 54001 | not published | not published | $1,393.78 – $10,034.34 | 14 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | $129.20 | $323.00 | $34.58 – $177.12 | 9 |
| Slp eval non-spch gen comm dev CPT 92605 | $315.20 | $788.00 | $98.67 – $398.55 | 9 |
| Slp pure tone screening CPT 92551 | $17.60 | $44.00 | $13.84 – $26.53 | 7 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $67.47 – $537.59 | 14 |
| Slp ther svc non-spch gen CPT 92606 | $165.20 | $413.00 | $85.56 – $316.97 | 4 |
| Sm-153 lexidron ther HCPCS A9604 | $25,860.40 | $64,651.00 | $3,096.60 – $79,913.11 | 15 |
| Small animal inoculation CPT 87003 | not published | not published | $5.12 – $33.01 | 14 |
| Small bowel endoscopy CPT 44360 | not published | not published | $679.03 – $9,211.19 | 14 |
| Small bowel endoscopy CPT 44364 | not published | not published | $1,471.56 – $9,211.19 | 14 |
| Small bowel endoscopy CPT 44366 | not published | not published | $1,471.56 – $9,211.19 | 14 |
| Small bowel endoscopy CPT 44369 | not published | not published | $679.03 – $9,211.19 | 14 |
| Small bowel endoscopy CPT 44376 | not published | not published | $679.03 – $9,211.19 | 14 |
| Small bowel endoscopy CPT 44378 | not published | not published | $1,471.56 – $9,211.19 | 14 |
| Small bowel endoscopy CPT 44382 | not published | not published | $689.17 – $4,353.73 | 14 |
| Small bowel endoscopy CPT 44384 | not published | not published | $1,452.86 – $15,096.99 | 14 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $1,471.56 – $9,211.19 | 14 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $1,471.56 – $9,211.19 | 14 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $679.03 – $9,211.19 | 14 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $679.03 – $9,211.19 | 14 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $689.17 – $4,353.73 | 14 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $689.17 – $9,211.19 | 14 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $1,471.56 – $29,141.70 | 14 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $20.75 | 13 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $13.20 | $33.00 | $5.12 – $10.56 | 15 |
| Smear gram stain CPT 87205 | $11.20 | $28.00 | $4.18 – $8.37 | 15 |
| Smear nasal eosinophil CPT 89190 | $12.00 | $30.00 | $5.67 – $11.35 | 15 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $15.20 | $38.00 | $5.12 – $11.74 | 15 |
| Smear wet mount CPT 87210 | $21.60 | $54.00 | $5.12 – $11.41 | 15 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $84.33 – $590.65 | 14 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $84.33 – $362.99 | 14 |
| Smpd1 gene common variants CPT 81330 | $91.20 | $228.00 | $46.06 – $92.12 | 13 |
| Snrpn/ube3a gene CPT 81331 | $96.40 | $241.00 | $50.05 – $100.10 | 13 |
| So airplane w/wo joint cf HCPCS L3674 | $658.00 | $1,645.00 | $1,080.99 – $5,575.03 | 13 |
| So cap design without jnts cf HCPCS L3671 | $489.60 | $1,224.00 | $824.07 – $4,249.97 | 13 |
| Socket insert above knee HCPCS L5658 | not published | not published | $576.94 – $2,564.23 | 12 |
| Socket insert below knee HCPCS L5655 | $216.80 | $542.00 | $356.03 – $1,836.17 | 13 |
| Socket insert knee articulat HCPCS L5656 | not published | not published | $588.62 – $2,616.09 | 12 |
| Socket insert symes HCPCS L5654 | not published | not published | $461.08 – $2,049.24 | 12 |
| Socket insert without lock mech HCPCS L5679 | $372.40 | $931.00 | $612.19 – $3,157.29 | 13 |
| Socket insert w lock mech HCPCS L5673 | $447.20 | $1,118.00 | $734.66 – $3,788.87 | 13 |
| Sock fracture or equal each HCPCS L3995 | $20.40 | $51.00 | $34.20 – $176.36 | 13 |
| Sock wool above knee HCPCS L8430 | not published | not published | $27.26 – $121.17 | 12 |
| Sodium 24 hour urine CPT 84300 | $12.00 | $30.00 | $3.47 – $9.92 | 15 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $4.88 | $12.20 | not published | 0 |
| Sodium serum/plasma/whole blood CPT 84295 | $12.00 | $30.00 | $3.47 – $9.43 | 15 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $1.39 | $3.47 | $0.86 – $4.07 | 10 |
| Soft interface below knee se HCPCS L2820 | $50.80 | $127.00 | $83.60 – $431.15 | 13 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $99.53 – $417.74 | 10 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $286.81 – $2,636.81 | 12 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $286.81 – $2,343.83 | 12 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $286.81 – $6,445.48 | 12 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $286.81 – $2,050.85 | 12 |
| Somatosensory testing CPT 95927 | not published | not published | $96.84 – $1,296.68 | 14 |
| Somatropin injection HCPCS J2941 | not published | not published | $68.49 – $785.11 | 4 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $286.81 – $5,859.52 | 12 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $286.81 – $1,757.87 | 12 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $30.26 – $87.60 | 9 |
| So vest canvas/web pre ots HCPCS L3675 | $97.60 | $244.00 | $160.49 – $827.71 | 13 |
| Spacer bag/reservoir HCPCS A4627 | not published | not published | $35.28 – $69.43 | 2 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $7,277.63 – $7,859.84 | 5 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $7,277.63 – $7,859.84 | 5 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $7,277.63 – $7,859.84 | 5 |
| Special casting material HCPCS A4590 | not published | not published | $30.90 – $159.34 | 2 |
| Special physics consult CPT 77370 | $466.00 | $1,165.00 | $83.43 – $645.21 | 15 |
| Special pump services CPT 99190 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Special pump services CPT 99191 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Special pump services CPT 99192 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Special radiation dosimetry CPT 77331 | $386.40 | $966.00 | $83.43 – $645.21 | 15 |
| Special radiation treatment CPT 77470 | $1,454.40 | $3,636.00 | $345.64 – $2,652.31 | 15 |
| Special supplies phys/qhp CPT 99070 | not published | not published | not published | 0 |
| Special teletx port plan CPT 77321 | $1,023.20 | $2,558.00 | $135.96 – $1,797.33 | 15 |
| Specific gravity body fluid CPT 84315 | $4.40 | $11.00 | $3.21 – $6.43 | 15 |
| Specimen fat stain CPT 89125 | $12.00 | $30.00 | $5.76 – $11.52 | 15 |
| Speech audiometry complete CPT 92556 | $124.00 | $310.00 | $24.57 – $283.18 | 15 |
| Speech evaluation complex CPT 70371 | not published | not published | $85.70 – $1,145.33 | 14 |
| Speech recep thresh CPT 92555 | $112.40 | $281.00 | $24.57 – $283.18 | 15 |
| Sperm antibody test CPT 89325 | $27.20 | $68.00 | $10.46 – $20.91 | 13 |
| Sperm evaluation test CPT 89329 | not published | not published | $19.20 – $38.40 | 12 |
| Sperm identification CPT 89257 | not published | not published | $59.60 – $250.15 | 12 |
| Sperm isolation complex CPT 89261 | not published | not published | $59.60 – $250.15 | 12 |
| Sperm isolation simple CPT 89260 | not published | not published | $59.60 – $250.15 | 12 |
| Sperm washing 58323 CPT 58323 | not published | not published | $231.23 – $970.48 | 12 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $2,476.42 – $28,416.55 | 14 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $1,594.99 – $13,323.79 | 14 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $7,277.63 – $7,859.84 | 5 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $7,277.63 – $7,859.84 | 5 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $2,027.60 | $5,069.00 | $607.22 – $3,388.40 | 15 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $14,683.87 – $61,628.63 | 12 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $72.64 – $1,296.68 | 14 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $497.20 | $1,243.00 | $72.64 – $1,791.23 | 15 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $36.95 – $673.34 | 14 |
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.