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 |
|---|---|---|---|---|
| Treprostinil injection HCPCS J3285 | $45.86 | $114.65 | $54.08 – $404.48 | 15 |
| Treprostinil, non-comp unit HCPCS J7686 | not published | not published | $1,869.97 – $1,869.97 | 1 |
| Trg gene rearrangement anal CPT 81342 | $352.00 | $880.00 | $197.47 – $394.94 | 13 |
| Trh stimulation panel CPT 80439 | not published | not published | $22.98 – $131.73 | 14 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $30.88 | $77.20 | not published | 0 |
| Triamcinolone a inj prs-free HCPCS J3300 | not published | not published | $18.40 – $115.84 | 12 |
| Trichinella antibody CPT 86784 | $32.00 | $80.00 | $7.40 – $24.62 | 15 |
| Trichomonas assay w/optic CPT 87808 | $29.20 | $73.00 | $5.12 – $29.97 | 15 |
| #tricyclicantidprssnt CPT 80337 | $122.00 | $305.00 | not published | 0 |
| Triglycerides CPT 84478 | $14.40 | $36.00 | $3.47 – $11.25 | 15 |
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | not published | not published | $5.38 – $860.72 | 13 |
| Trimethobenzamide hci 250mg HCPCS Q0173 | not published | not published | $1.18 – $2.16 | 2 |
| Trim nail(s) HCPCS G0127 | not published | not published | $67.47 – $283.18 | 12 |
| Trim nondyst nails CPT 11719 | $50.40 | $126.00 | $46.56 – $283.18 | 15 |
| Triptorelin pamoate HCPCS J3315 | not published | not published | $459.99 – $1,688.28 | 14 |
| Trluml dil aq o/f can without st CPT 66174 | not published | not published | $2,392.29 – $19,841.39 | 14 |
| Trluml dil aq o/f can w/st CPT 66175 | not published | not published | $2,392.29 – $25,543.48 | 14 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | not published | not published | $14,683.87 – $61,628.63 | 11 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | not published | not published | $282.12 – $1,184.07 | 14 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $2,805.60 | $7,014.00 | $1,062.39 – $1,214.16 | 2 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $6,790.00 | $16,975.00 | $2,500.00 – $2,500.00 | 1 |
| Trnscath plc stnt ante carotid art CPT 37218 | $5,551.60 | $13,879.00 | $2,500.00 – $2,500.00 | 1 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $4,376.80 | $10,942.00 | $7,787.45 – $8,410.44 | 5 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $3,346.00 | $8,365.00 | $7,787.45 – $8,410.44 | 5 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $10,439.20 | $26,098.00 | $7,787.45 – $55,414.74 | 15 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $3,636.00 | $9,090.00 | $2,538.67 – $15,156.63 | 15 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $2,821.60 | $7,054.00 | $6,364.22 – $26,710.80 | 13 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $1,782.40 | $4,456.00 | $2,723.17 – $15,156.63 | 13 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $1,782.40 | $4,456.00 | $2,723.17 – $15,156.63 | 13 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $1,782.40 | $4,456.00 | $3,611.28 – $15,156.63 | 13 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | not published | not published | $1,390.20 – $17,010.70 | 14 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | not published | not published | $1,390.20 – $1,501.41 | 5 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | not published | not published | $1,390.20 – $9,904.20 | 14 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | not published | not published | $1,390.20 – $9,904.20 | 14 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | $1,390.20 – $9,904.20 | 14 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | not published | not published | $1,390.20 – $9,904.20 | 14 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | $1,390.20 – $9,904.20 | 14 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | not published | not published | $627.92 – $1,255.83 | 11 |
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | not published | not published | $3,175.20 – $6,350.40 | 11 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Troponin quantitative CPT 84484 | $35.60 | $89.00 | $8.63 – $24.44 | 15 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $629.04 – $2,640.11 | 14 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $1,082.46 – $16,920.72 | 14 |
| Truskin, per sq centimeter HCPCS Q4167 | not published | not published | $142.33 – $597.36 | 10 |
| Truss addition to std pad wa HCPCS L8320 | not published | not published | $66.52 – $295.63 | 12 |
| Truss add to std pad scrotal HCPCS L8330 | not published | not published | $58.75 – $261.13 | 12 |
| Truss double with standard pad HCPCS L8310 | not published | not published | $174.70 – $776.45 | 12 |
| Truss single with standard pad HCPCS L8300 | not published | not published | $124.72 – $554.30 | 12 |
| Tte w or without contr, cont ecg HCPCS C8930 | not published | not published | $329.43 – $3,762.98 | 14 |
| Tte w or without fol w/con,stres HCPCS C8928 | not published | not published | $329.43 – $3,762.98 | 14 |
| Tte w or without fol w/cont, com HCPCS C8921 | not published | not published | $329.43 – $3,762.98 | 14 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | not published | not published | $329.43 – $3,762.98 | 14 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $2,999.01 – $29,019.93 | 14 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $518.40 | $1,296.00 | $80.45 – $80.45 | 1 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | $366.40 | $916.00 | $81.19 – $81.19 | 1 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $504.58 – $2,117.74 | 14 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $4,239.64 – $35,595.81 | 14 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Twelve volt battery utah/equ HCPCS L7364 | not published | not published | $620.15 – $2,756.29 | 12 |
| Tx atrial fib pulm vein isol CPT 93656 | $21,050.80 | $52,627.00 | $11,601.67 – $125,467.69 | 15 |
| Tx closed distal humerus fx CPT 24999 | not published | not published | $282.12 – $1,184.07 | 14 |
| Tx closed hip disl traumatic without anes CPT 27250 | not published | not published | $282.12 – $1,184.07 | 14 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | not published | not published | $315.36 – $15,706.36 | 14 |
| Tx closed tib shaft fx without manip CPT 27750 | not published | not published | $282.12 – $1,184.07 | 14 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $845.29 – $3,547.71 | 12 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $845.29 – $3,547.71 | 12 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Tx l/r atrial fib addl CPT 93657 | $2,378.00 | $5,945.00 | $11,601.67 – $12,529.81 | 5 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $3,742.25 – $15,706.36 | 14 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | not published | not published | $3,742.25 – $15,706.36 | 14 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | not published | not published | $3,742.25 – $15,706.36 | 14 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $2,125.78 – $15,914.98 | 14 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $3,742.25 – $15,706.36 | 14 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $3,742.25 – $15,706.36 | 14 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | not published | not published | $282.12 – $1,184.07 | 14 |
| Tympanic membrane repair CPT 69610 | not published | not published | $1,774.58 – $7,447.96 | 14 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $2,064.79 – $15,914.98 | 14 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $58.00 – $1,036.49 | 14 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $616.84 – $2,588.91 | 14 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $3,243.71 – $28,416.55 | 14 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $3,243.71 – $28,416.55 | 14 |
| Tyms gene com variants CPT 81346 | not published | not published | $171.31 – $342.63 | 12 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $19.21 – $20.75 | 5 |
| U2af1 gene common variants CPT 81357 | not published | not published | $84.33 – $378.77 | 13 |
| Ua w/micro/comp poc CPT 81000 | $9.20 | $23.00 | $1.95 – $7.88 | 15 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $67.37 – $14,171.81 | 13 |
| Ue triple control harness HCPCS L6677 | not published | not published | $346.58 – $1,540.35 | 12 |
| Ugt1a1 gene analy common variants CPT 81350 | $282.00 | $705.00 | $84.33 – $458.64 | 15 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $359.20 | $898.00 | $78.52 – $501.84 | 15 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $56.34 – $501.84 | 14 |
| Ultrasound breast complete CPT 76641 | $347.20 | $868.00 | $78.52 – $501.84 | 15 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $255.60 | $639.00 | $78.52 – $417.74 | 15 |
| Ultrasound chest CPT 76604 | $353.60 | $884.00 | $78.52 – $501.84 | 15 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $300.00 | $750.00 | $72.18 – $501.84 | 15 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $78.52 – $501.84 | 14 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $78.52 – $84.80 | 5 |
| Ultrasound elastography parenchyma CPT 76981 | $327.20 | $818.00 | $78.52 – $501.84 | 15 |
| Ultrasound encephalogram CPT 76506 | $359.20 | $898.00 | $78.52 – $501.84 | 15 |
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.