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 |
|---|---|---|---|---|
| Spleen imaging CPT 78185 | not published | not published | $272.41 – $1,919.01 | 14 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Splicing of ureters CPT 50770 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Splint arm vnyl coated padded lft med HCPCS Q4051 | $225.20 | $563.00 | not published | 0 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $237.60 | $594.00 | $390.38 – $2,013.31 | 13 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $549.20 | $1,373.00 | $58.46 – $301.51 | 13 |
| Splint finger 4 prong foam sm HCPCS A4570 | $18.40 | $46.00 | $10.42 – $71.52 | 4 |
| Splint finger fold over sm HCPCS L3924 | not published | not published | $104.50 – $464.48 | 12 |
| Splint finger frog med HCPCS L3927 | $35.20 | $88.00 | $31.97 – $164.87 | 13 |
| Splint fing stax assort 1-7in HCPCS Q4049 | $3.60 | $9.00 | $4.00 – $9.10 | 2 |
| Splint func pos polyflex ii med HCPCS L3999 | $160.00 | $400.00 | not published | 0 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $253.60 | $634.00 | $90.06 – $464.48 | 13 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $1,390.20 – $17,010.70 | 14 |
| Split blood or products CPT 86985 | $41.20 | $103.00 | $18.88 – $817.83 | 15 |
| Split flat caliper stirr & p HCPCS L2230 | $54.00 | $135.00 | $90.70 – $467.77 | 13 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $1,390.20 – $1,501.41 | 5 |
| Spontaneous nystagmus study CPT 92531 | not published | not published | $24.57 – $26.53 | 5 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $377.78 – $1,585.54 | 11 |
| Spring-ass rot wrst with latch HCPCS L6623 | not published | not published | $856.99 – $3,808.87 | 12 |
| Sputum specimen collection CPT 89220 | not published | not published | $19.51 – $817.83 | 14 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $4,063.41 – $19,197.55 | 14 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $4,229.21 – $4,567.55 | 5 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $4,229.21 – $4,567.55 | 5 |
| Srs cran les complex addl CPT 61799 | not published | not published | $4,229.21 – $4,567.55 | 5 |
| Srs cran les simple addl CPT 61797 | not published | not published | $4,229.21 – $4,567.55 | 5 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $84.33 – $343.78 | 13 |
| Srs linear based CPT 77372 | $12,774.40 | $31,936.00 | $4,229.21 – $35,607.34 | 15 |
| Srs multisource CPT 77371 | not published | not published | $4,229.21 – $35,607.34 | 14 |
| Srs spinal lesion CPT 63620 | not published | not published | $4,229.21 – $4,567.55 | 5 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $4,229.21 – $4,567.55 | 5 |
| Staggered spondaic word test CPT 92572 | not published | not published | $147.17 – $673.34 | 12 |
| Stainless steel any wrist HCPCS L6630 | not published | not published | $256.48 – $1,139.95 | 12 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $118.00 | $295.00 | $63.41 – $513.10 | 15 |
| Stance phase only HCPCS L5858 | not published | not published | $21,713.27 – $96,504.57 | 12 |
| Standard control cable extra HCPCS L6655 | not published | not published | $119.20 – $529.76 | 12 |
| Staph a dna amp probe CPT 87640 | not published | not published | $19.51 – $68.78 | 14 |
| Static or dynami afo pre ots HCPCS L4397 | $420.80 | $1,052.00 | $165.79 – $855.02 | 13 |
| Stationary o2 contents, gas HCPCS E0441 | not published | not published | $77.79 – $106.83 | 3 |
| Stationary o2 contents, liq HCPCS E0442 | not published | not published | $77.79 – $106.83 | 3 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $189.20 | $473.00 | $93.48 – $478.56 | 15 |
| Stem cells total count CPT 86367 | $95.60 | $239.00 | $21.50 – $152.45 | 15 |
| Stenger test pure tone CPT 92565 | not published | not published | $67.47 – $283.18 | 12 |
| Stenger test speech CPT 92577 | not published | not published | $426.79 – $2,238.28 | 12 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | not published | not published | $7,787.45 – $83,773.46 | 9 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $35,611.60 | $89,029.00 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $3,760.00 | $9,400.00 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $50,120.00 | $125,300.00 | not published | 0 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | not published | not published | $7,787.45 – $52,907.13 | 9 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | not published | not published | $7,787.45 – $8,410.44 | 5 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | not published | not published | $7,787.45 – $83,773.46 | 9 |
| Stereoscopic x-ray guidance HCPCS G6002 | not published | not published | $127.62 – $191.79 | 6 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $224.34 – $242.28 | 5 |
| Sterile needle HCPCS A4215 | $648.00 | $1,620.00 | not published | 0 |
| Sternal debridement CPT 21627 | not published | not published | $1,592.15 – $15,706.36 | 12 |
| Sternal pad HCPCS L1050 | not published | not published | $114.48 – $508.84 | 12 |
| St evaluate speech sound production CPT 92522 | $124.80 | $312.00 | $64.53 – $519.39 | 15 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $482.00 | $1,205.00 | $132.23 – $1,065.41 | 15 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $200.80 | $502.00 | $85.70 – $428.37 | 15 |
| St evaluation swallow function CPT 92610 | $158.40 | $396.00 | $49.61 – $326.37 | 15 |
| Stimulants synthetic CPT 80371 | $20.00 | $50.00 | not published | 0 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $976.42 – $9,373.54 | 14 |
| Stocking sup grips 4 pre ots HCPCS L0982 | not published | not published | $19.35 – $86.03 | 12 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $194.86 – $817.83 | 12 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $194.86 – $1,500.63 | 12 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $194.86 – $817.83 | 12 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $194.86 – $817.83 | 12 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Straight knee joint heavy du HCPCS L2385 | not published | not published | $149.62 – $665.01 | 12 |
| Strap chin dlx f/cpap HCPCS A7036 | not published | not published | $15.47 – $18.68 | 2 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $154.80 | $387.00 | $30.86 – $780.03 | 15 |
| Strapping of chest CPT 29200 | not published | not published | $30.86 – $780.03 | 14 |
| Strapping of elbow or wrist 29260 CPT 29260 | $130.40 | $326.00 | $30.86 – $283.18 | 15 |
| Strapping of hand or finger CPT 29280 | not published | not published | $30.86 – $283.18 | 14 |
| Strapping of hip CPT 29520 | $172.80 | $432.00 | $30.86 – $638.68 | 15 |
| Strapping of knee CPT 29530 | $160.00 | $400.00 | $30.86 – $638.68 | 15 |
| Strapping of toes 29550 CPT 29550 | not published | not published | $30.86 – $283.18 | 14 |
| Strep a ag ia CPT 87430 | $33.20 | $83.00 | $5.12 – $32.95 | 15 |
| Strep a dna dir probe CPT 87650 | not published | not published | $5.12 – $39.30 | 14 |
| Strep a dna quant CPT 87652 | not published | not published | $19.51 – $81.85 | 14 |
| Strep b assay w/optic CPT 87802 | not published | not published | $5.12 – $24.95 | 14 |
| Strep b dna amp probe CPT 87653 | not published | not published | $19.51 – $68.78 | 14 |
| Streptokinase 1.5 m-units inj HCPCS J2995 | not published | not published | $574.56 – $574.56 | 1 |
| Streptokinase antibody CPT 86590 | not published | not published | $7.40 – $24.81 | 14 |
| Streptozocin injection HCPCS J9320 | not published | not published | $161.49 – $1,713.93 | 8 |
| Stress test pulmonary CPT 94618 | $371.60 | $929.00 | $36.95 – $638.68 | 15 |
| Stress tte complete CPT 93351 | $377.20 | $943.00 | $329.43 – $2,622.93 | 15 |
| Str markers spec anal addl CPT 81266 | not published | not published | $298.71 – $597.43 | 12 |
| Str markers specimen anal CPT 81265 | $676.00 | $1,690.00 | $228.41 – $456.82 | 13 |
| St treatment speech individual CPT 92507 | $143.20 | $358.00 | $44.39 – $357.76 | 15 |
| St treatment swallow dysfunction/oral CPT 92526 | $154.00 | $385.00 | $49.24 – $396.98 | 15 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $309.03 – $3,388.40 | 14 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $229.47 – $963.09 | 12 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $845.29 – $3,547.71 | 12 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $3,344.86 – $3,612.45 | 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.