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 |
|---|---|---|---|---|
| Unlisted px male genital sys CPT 55899 | not published | not published | $285.76 – $1,578.52 | 14 |
| Unlisted px mediastinum CPT 39499 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Unlisted px med radj physics CPT 77399 | $363.60 | $909.00 | $83.43 – $645.21 | 15 |
| Unlisted px middle ear CPT 69799 | not published | not published | $270.89 – $1,136.96 | 14 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $270.89 – $1,719.52 | 14 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $270.89 – $1,136.96 | 14 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $282.12 – $1,184.07 | 14 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $769.08 – $11,078.09 | 14 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $270.89 – $1,136.96 | 14 |
| Unlisted px small intestine CPT 44799 | $2,210.40 | $5,526.00 | $1,037.34 – $4,353.73 | 15 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $270.89 – $2,295.84 | 14 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $83.43 – $645.21 | 14 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $270.89 – $1,136.96 | 14 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $270.89 – $1,136.96 | 14 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $59.60 – $250.15 | 12 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $272.41 – $1,919.01 | 14 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $116.08 – $963.09 | 14 |
| Unlisted special svc px/rprt CPT 99199 | not published | not published | $0.01 – $0.01 | 1 |
| Unlisted surgical path px CPT 88399 | not published | not published | $6.82 – $250.15 | 14 |
| Unlisted transfusion med px CPT 86999 | not published | not published | $3.05 – $138.82 | 14 |
| Unlisted ultrasound procedure CPT 76999 | not published | not published | $78.52 – $417.74 | 14 |
| Unlisted urinalysis px CPT 81099 | not published | not published | $1.95 – $2.11 | 5 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $127.62 – $3,011.21 | 14 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $272.41 – $1,919.01 | 14 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $1,346.48 – $29,019.93 | 14 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $1,461.60 – $29,019.93 | 14 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $774.00 | $1,935.00 | $543.27 – $3,294.47 | 15 |
| Upgrade pm system CPT 33214 | $11,642.40 | $29,106.00 | $5,891.52 – $50,171.97 | 15 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $1,928.40 | $4,821.00 | $316.75 – $1,705.83 | 15 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $1,990.00 | $4,975.00 | $316.75 – $1,705.83 | 15 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,753.60 | $4,384.00 | $180.77 – $1,145.33 | 15 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $4,088.80 | $10,222.00 | $679.03 – $4,353.73 | 15 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $679.03 – $4,353.73 | 14 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | not published | not published | $408.07 – $1,813.66 | 12 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $679.03 – $4,353.73 | 14 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $2,486.46 – $29,019.93 | 14 |
| Urea nitrogen CPT 84520 | $11.20 | $28.00 | $3.47 – $7.74 | 15 |
| Urea nitrogen 24 hour urine CPT 84540 | $11.60 | $29.00 | $3.47 – $10.90 | 15 |
| Urea nitrogen clearance CPT 84545 | $16.00 | $40.00 | $3.47 – $14.11 | 15 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $3.47 – $10.05 | 14 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $4,923.08 – $5,316.92 | 5 |
| Ureteral reflux study CPT 78740 | $1,249.20 | $3,123.00 | $272.41 – $1,919.01 | 15 |
| Ureter endoscopy CPT 50970 | not published | not published | $1,071.48 – $16,920.72 | 14 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $2,088.63 – $25,737.83 | 14 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $2,088.63 – $25,737.83 | 14 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $1,071.48 – $16,920.72 | 14 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $2,088.63 – $25,737.83 | 14 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $2,088.63 – $25,737.83 | 14 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $2,088.63 – $25,737.83 | 14 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $2,088.63 – $25,737.83 | 14 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $382.40 | $956.00 | $85.70 – $1,145.33 | 15 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $2,085.40 – $16,920.72 | 14 |
| Urethrocystography void s&i CPT 74455 | $714.40 | $1,786.00 | $85.70 – $1,145.33 | 15 |
| Uric acid blood CPT 84550 | $11.60 | $29.00 | $3.47 – $8.86 | 15 |
| Uric acid urine CPT 84560 | $12.00 | $30.00 | $3.47 – $9.96 | 15 |
| Urinalysis glass test CPT 81020 | not published | not published | $1.95 – $9.21 | 14 |
| Urinalysis microscopic only CPT 81015 | $8.40 | $21.00 | $1.95 – $5.98 | 15 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $5.60 | $14.00 | $1.95 – $4.25 | 15 |
| Urinalysis (with microscopy) CPT 81001 | $9.20 | $23.00 | $1.95 – $6.21 | 15 |
| Urinalysis (without microscopy) CPT 81003 | $5.60 | $14.00 | $1.95 – $4.41 | 15 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $272.41 – $294.20 | 5 |
| Urinary reflex study CPT 51792 | $201.60 | $504.00 | $67.47 – $291.33 | 15 |
| Urine Culture Test CPT 87086 | $20.40 | $51.00 | $5.12 – $15.82 | 15 |
| Urine flow measurement 51736 CPT 51736 | $210.00 | $525.00 | $51.14 – $638.68 | 15 |
| Urine pregnancy test CPT 81025 | $11.60 | $29.00 | $1.95 – $16.88 | 15 |
| Urine screen for bacteria CPT 81007 | not published | not published | $1.95 – $58.76 | 14 |
| Urine shunt to intestine CPT 50815 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $10.27 – $10.91 | 2 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $113.26 – $920.36 | 6 |
| Urography, antegrade CPT 74425 | $795.60 | $1,989.00 | $85.70 – $1,705.83 | 15 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $85.70 – $841.97 | 14 |
| Use 1st target lesion CPT 76982 | $359.20 | $898.00 | $78.52 – $501.84 | 15 |
| User adjustable heel height HCPCS L5990 | $1,111.60 | $2,779.00 | $1,826.62 – $9,420.48 | 13 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $11.39 – $3,428.99 | 14 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $218.23 – $7,001.18 | 10 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $14,683.87 – $61,628.63 | 12 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $19.21 – $276.48 | 7 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $19.21 – $276.48 | 7 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $19.21 – $248.40 | 7 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $19.21 – $166.32 | 7 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $19.21 – $124.20 | 7 |
| Vaccine dtap < 7 years im CPT 90700 | $32.80 | $82.00 | not published | 0 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $1.07 | $2.67 | $153.62 – $153.62 | 1 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $1.07 | $2.67 | not published | 0 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | $1.07 | $2.67 | $245.57 – $245.57 | 1 |
| Vaccine dtap-ipv/hib im CPT 90698 | $1.07 | $2.67 | not published | 0 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $1.07 | $2.67 | $19.21 – $20.75 | 5 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $1.07 | $2.67 | $19.21 – $20.75 | 5 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $19.21 – $20.75 | 5 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $77.90 – $84.14 | 5 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $1.07 | $2.67 | not published | 0 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $107.90 – $120.78 | 2 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $108.98 | $272.45 | $19.21 – $118.53 | 9 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $19.21 – $256.13 | 7 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $8.83 | $22.06 | $27.50 – $50.32 | 5 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $1.07 | $2.67 | $77.90 – $482.33 | 6 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $251.15 – $251.15 | 1 |
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.