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 |
|---|---|---|---|---|
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,536.36 – $7,294.19 | 13 |
| Tas congenital car anomal CPT 33741 | not published | not published | $2,500.00 – $7,748.74 | 6 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $316.31 – $3,547.71 | 14 |
| Tavr perq femoral CPT 33361 | $16,124.80 | $40,312.00 | $2,500.00 – $2,500.00 | 1 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.24 – $275.57 | 14 |
| Tbp gene detc abnor alleles CPT 81344 | $309.60 | $774.00 | $30.75 – $268.52 | 15 |
| Tbs techl calculation only CPT 77091 | not published | not published | $99.53 – $417.74 | 11 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $99.53 – $417.74 | 11 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $186.00 | $465.00 | $21.50 – $196.00 | 15 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $113.60 | $284.00 | $21.50 – $121.48 | 15 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $1,133.31 – $2,544.10 | 3 |
| Tc-99m bicisate HCPCS A9557 | $3,801.60 | $9,504.00 | $760.01 – $1,572.74 | 10 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $4,648.40 | $11,621.00 | $915.45 – $2,392.74 | 10 |
| Tc-99m exametazime diag HCPCS A9521 | $3,463.20 | $8,658.00 | $1,123.28 – $4,025.08 | 3 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $322.03 – $1,521.42 | 11 |
| Tc-99m labeled rbc HCPCS A9560 | $446.80 | $1,117.00 | not published | 0 |
| Tc-99m maa HCPCS A9540 | $417.60 | $1,044.00 | not published | 0 |
| Tc-99m mebrofenin HCPCS A9537 | $90.80 | $227.00 | not published | 0 |
| Tc-99m medronate HCPCS A9503 | $126.00 | $315.00 | not published | 0 |
| Tc-99m mertiatide HCPCS A9562 | $870.00 | $2,175.00 | not published | 0 |
| Tc-99m non-heu per study dose HCPCS Q9969 | not published | not published | $16.00 – $46.30 | 3 |
| Tc-99m oxidronate HCPCS A9561 | $68.00 | $170.00 | not published | 0 |
| Tc-99m pentetate dtpa HCPCS A9539 | $408.80 | $1,022.00 | not published | 0 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $488.40 | $1,221.00 | not published | 0 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $2.00 | $5.00 | not published | 0 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $196.80 | $492.00 | not published | 0 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $104.40 | $261.00 | not published | 0 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $4,064.80 | $10,162.00 | $646.73 – $3,055.48 | 10 |
| Tc-99m sulfur colloid HCPCS A9541 | $652.80 | $1,632.00 | not published | 0 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $125.60 | $314.00 | not published | 0 |
| Tc-99m tilmanocept diag HCPCS A9520 | $1,669.60 | $4,174.00 | not published | 0 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $116.08 – $3,547.71 | 14 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $78.52 – $501.84 | 14 |
| Tcd emboli detect without inj CPT 93892 | $322.00 | $805.00 | $119.20 – $501.84 | 15 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $437.46 – $1,081.20 | 3 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $504.58 – $2,117.74 | 14 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $109.20 | $273.00 | $21.50 – $92.08 | 15 |
| T cells absolute cd 4 count CPT 86361 | $49.20 | $123.00 | $7.40 – $52.49 | 15 |
| T cells total count CPT 86359 | $87.60 | $219.00 | $7.40 – $73.95 | 15 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $246.96 – $1,296.68 | 14 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $246.96 – $1,296.68 | 14 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $246.96 – $1,296.68 | 14 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Team conf without pat by hc pro CPT 99368 | not published | not published | $73.56 – $79.44 | 5 |
| Team conf without pat by phys CPT 99367 | not published | not published | $73.56 – $79.44 | 5 |
| Team conf w/pat by hc prof CPT 99366 | not published | not published | $73.56 – $79.44 | 5 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $218.04 – $14,171.81 | 13 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $329.43 – $3,762.98 | 14 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $329.43 – $3,762.98 | 14 |
| Teflon or equal cable lining HCPCS L6665 | not published | not published | $58.68 – $260.81 | 12 |
| Telavancin injection HCPCS J3095 | not published | not published | $6.89 – $275.57 | 14 |
| Telehealth original site facility fee HCPCS Q3014 | $55.60 | $139.00 | $32.77 – $45.82 | 4 |
| Telethx isodose plan cplx CPT 77307 | $1,023.20 | $2,558.00 | $135.96 – $1,797.33 | 15 |
| Telethx isodose plan simple CPT 77306 | $963.20 | $2,408.00 | $83.43 – $1,797.33 | 15 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $10.19 – $1,272.76 | 14 |
| Temperature gradient studies CPT 93740 | not published | not published | $147.17 – $673.34 | 12 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $26,621.98 – $26,621.98 | 1 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $29.48 – $618.68 | 14 |
| Tendon lengthening CPT 26476 | not published | not published | $940.20 – $15,706.36 | 14 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $1,227.92 – $15,706.36 | 14 |
| Tendon shortening CPT 26477 | not published | not published | $940.20 – $15,706.36 | 14 |
| Tendon transfer with graft CPT 26492 | not published | not published | $1,559.13 – $15,706.36 | 14 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $226.61 | $566.52 | $188.96 – $4,545.55 | 15 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $1,178.48 – $18,355.72 | 8 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $3,167.51 – $34,831.50 | 14 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $940.20 – $15,706.36 | 14 |
| Tenolysis triceps CPT 24332 | not published | not published | $3,167.51 – $15,706.36 | 14 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $3,167.51 – $34,831.50 | 14 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $1,559.13 – $7,718.72 | 14 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $3,742.25 – $15,706.36 | 10 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $1,531.31 – $15,706.36 | 14 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $1,531.31 – $7,718.72 | 14 |
| Tension based scoliosis orth HCPCS L1005 | $1,957.20 | $4,893.00 | $3,216.24 – $16,587.21 | 13 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $30.60 | $76.50 | not published | 0 |
| Teriparatide injection HCPCS J3110 | not published | not published | $95.81 – $95.81 | 1 |
| Term dev auto grasp feature HCPCS L6881 | not published | not published | $4,776.34 – $21,228.46 | 12 |
| Term device, multi art digit HCPCS L6715 | not published | not published | $3,688.50 – $16,393.53 | 12 |
| Term dev mech hand vol close HCPCS L6709 | not published | not published | $1,674.70 – $7,443.23 | 12 |
| Term dev mech hand vol open HCPCS L6708 | not published | not published | $1,167.85 – $5,190.55 | 12 |
| Term dev mech hook vol close HCPCS L6707 | not published | not published | $1,673.64 – $7,438.51 | 12 |
| Term dev mech hook vol open HCPCS L6706 | not published | not published | $474.39 – $2,108.46 | 12 |
| Term dev modifier wrist unit HCPCS L6805 | not published | not published | $503.37 – $2,237.17 | 12 |
| Term dev, passive hand mitt HCPCS L6703 | $206.00 | $515.00 | $338.61 – $1,746.30 | 13 |
| Term dev precision pinch dev HCPCS L6810 | not published | not published | $238.19 – $1,058.65 | 12 |
| Term dev, sport/rec/work att HCPCS L6704 | $391.20 | $978.00 | $642.71 – $3,314.71 | 13 |
| Tert gene targeted seq alys CPT 81345 | $325.60 | $814.00 | $84.33 – $362.99 | 15 |
| Test for chlorohydrocarbons CPT 82441 | $16.00 | $40.00 | $5.89 – $11.78 | 15 |
| Test for porphobilinogen CPT 84106 | not published | not published | $3.47 – $11.41 | 14 |
| Test for urine cystines CPT 82615 | $14.40 | $36.00 | $3.47 – $18.72 | 15 |
| Testicular imaging w/vasc flow CPT 78761 | $1,052.00 | $2,630.00 | $272.41 – $1,919.01 | 15 |
| Testosterone response panel CPT 80414 | not published | not published | $22.98 – $101.21 | 14 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $2.09 – $404.48 | 14 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $185.20 | $463.00 | $6.82 – $283.18 | 15 |
| Test sock elbw disart/above HCPCS L6682 | not published | not published | $360.19 – $1,600.87 | 12 |
| Test socket above knee HCPCS L5624 | not published | not published | $448.24 – $1,992.20 | 12 |
| Test socket below knee HCPCS L5620 | $185.20 | $463.00 | $304.22 – $1,568.97 | 13 |
| Test socket hemipelvectomy HCPCS L5628 | not published | not published | $719.52 – $3,197.89 | 12 |
| Test socket hip disarticulat HCPCS L5626 | not published | not published | $650.78 – $2,892.41 | 12 |
| Test socket knee disarticula HCPCS L5622 | not published | not published | $497.87 – $2,212.82 | 12 |
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.