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 |
|---|---|---|---|---|
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $53.20 | $133.00 | $19.21 – $117.79 | 9 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $19.21 – $115.02 | 7 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | $2.80 | $7.00 | $14.57 – $30.27 | 8 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $26.70 | $66.75 | $14.20 – $30.94 | 8 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $19.21 – $34.50 | 7 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | $54.00 | $135.00 | $19.21 – $120.74 | 9 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $19.21 – $36.45 | 7 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $20.80 | $52.00 | $19.21 – $36.24 | 9 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $14.46 – $20.75 | 7 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $19.21 – $45.26 | 7 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $19.21 – $117.79 | 7 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $7.60 | $19.00 | $17.62 – $50.88 | 6 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | $2.80 | $7.00 | $5.14 – $20.75 | 8 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $1.07 | $2.67 | $77.90 – $350.84 | 6 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $77.90 – $298.33 | 6 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $1.07 | $2.67 | $269.65 – $299.49 | 2 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $148.40 | $371.00 | $77.90 – $246.72 | 6 |
| Vaccine mmr live subcutaneous CPT 90707 | $13.80 | $34.50 | $19.21 – $20.75 | 5 |
| Vaccine mmrv live subcutaneous CPT 90710 | $1.07 | $2.67 | $159.23 – $740.80 | 4 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $137.20 | $343.00 | $19.21 – $224.80 | 9 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $66.40 | $166.00 | $77.90 – $434.51 | 9 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $430.80 | $1,077.00 | $77.90 – $414.64 | 9 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $490.40 | $1,226.00 | $77.90 – $477.84 | 9 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $1.07 | $2.67 | $19.21 – $20.75 | 5 |
| Vaccine rabies im CPT 90675 | $548.06 | $1,370.15 | $77.90 – $1,584.48 | 15 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $19.21 – $462.56 | 6 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $218.00 | $545.00 | $814.97 – $814.97 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $1.07 | $2.67 | $814.97 – $814.97 | 1 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $19.21 – $460.99 | 6 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | $1.07 | $2.67 | $217.55 – $217.55 | 1 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $1.07 | $2.67 | $70.26 – $173.52 | 4 |
| Vaccine tdap >=7 years im CPT 90715 | $30.40 | $76.00 | $19.21 – $20.75 | 5 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $38.90 | $97.23 | $19.21 – $20.75 | 5 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $19.21 – $20.75 | 5 |
| Vaccine varicella live subcutaneous CPT 90716 | $1.07 | $2.67 | $286.94 – $286.94 | 1 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $77.90 – $84.14 | 5 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.05 | 11 |
| Vacuum drain bottle/tube kit HCPCS A7048 | $349.20 | $873.00 | $70.63 – $70.63 | 1 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | $3,285.60 | $8,214.00 | $471.35 – $2,430.89 | 13 |
| Vad cable power module dc input HCPCS Q0478 | $638.00 | $1,595.00 | $185.03 – $954.24 | 13 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | $13,299.60 | $33,249.00 | $4,205.58 – $21,689.61 | 13 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $2,938.41 – $24,012.92 | 14 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $4,239.64 – $24,012.92 | 14 |
| Vag hyst including t/o CPT 58262 | not published | not published | $2,938.41 – $24,012.92 | 14 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $4,239.64 – $35,595.81 | 14 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $4,239.64 – $24,012.92 | 14 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $2,938.41 – $24,012.92 | 14 |
| Vaginal bx CPT 58999 | not published | not published | $231.23 – $970.48 | 14 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $1,541.03 – $15,538.94 | 14 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | not published | 0 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $2,938.41 – $24,012.92 | 14 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $3,702.37 – $15,538.94 | 14 |
| Vag inser rectal control sys HCPCS A4563 | not published | not published | $150.31 – $7,086.91 | 12 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $2,500.00 – $3,125.79 | 6 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | $2.35 | $5.86 | not published | 0 |
| Valproic acid total therapeutic drug level CPT 80164 | $34.00 | $85.00 | $7.45 – $26.54 | 15 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,245.11 – $6,678.91 | 14 |
| Valvuloplasty aortic CPT 92986 | $11,805.20 | $29,513.00 | $6,105.02 – $27,320.79 | 15 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Valvuloplasty mitral CPT 92987 | $13,244.40 | $33,111.00 | $6,105.02 – $55,414.74 | 15 |
| Valvuloplasty pulmonary CPT 92990 | $13,396.00 | $33,490.00 | $6,105.02 – $55,414.74 | 15 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $30.02 | $75.05 | not published | 0 |
| Vancomycin hcl injection HCPCS J3370 | $19.44 | $48.60 | not published | 0 |
| Vancomycin peak therapeutic drug level CPT 80202 | $34.00 | $85.00 | $7.45 – $26.54 | 15 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $19.51 – $68.78 | 14 |
| Vantas implant HCPCS J9225 | not published | not published | $3,174.99 – $23,919.92 | 8 |
| Varicella zoster antibody igg CPT 86787 | $32.40 | $81.00 | $7.40 – $25.24 | 15 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $374.52 – $10,432.41 | 14 |
| Varus/valgus strap padded/li HCPCS L2270 | $40.80 | $102.00 | $68.93 – $355.49 | 13 |
| Vasc emb/occ w/prs cath HCPCS C9797 | $40,210.80 | $100,527.00 | $20,966.27 – $87,996.08 | 12 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $1,559.13 – $15,706.36 | 14 |
| Vasectomy CPT 55250 | $1,371.20 | $3,428.00 | $1,461.60 – $10,034.34 | 15 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $30.81 | $77.03 | $2.32 – $11.85 | 4 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | not published | not published | $20.56 – $3,428.99 | 14 |
| Veeg cont 2-12 hrs CPT 95713 | $1,992.00 | $4,980.00 | $226.73 – $2,238.28 | 15 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $2,845.60 | $7,114.00 | $359.60 – $4,326.18 | 15 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $1,660.00 | $4,150.00 | $226.73 – $1,791.23 | 15 |
| Veeg unmon 12-26 hrs CPT 95714 | $1,394.80 | $3,487.00 | $359.60 – $2,238.28 | 15 |
| Veeg unmon 2-12 hrs CPT 95711 | $715.60 | $1,789.00 | $226.73 – $1,296.68 | 15 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Vein byp pop-tibl peroneal CPT 35587 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Vein x-ray adrenal gland CPT 75840 | not published | not published | $1,296.35 – $15,156.63 | 14 |
| Vein x-ray adrenal glands CPT 75842 | not published | not published | $2,922.55 – $25,219.21 | 9 |
| Vein x-ray eye socket CPT 75880 | not published | not published | $598.07 – $3,011.21 | 14 |
| Vein x-ray kidney CPT 75831 | $3,942.40 | $9,856.00 | $1,296.35 – $15,156.63 | 15 |
| Vein x-ray liver CPT 75891 | not published | not published | $1,296.35 – $15,156.63 | 14 |
| Vein x-ray liver w/hemodynam CPT 75885 | $7,868.40 | $19,671.00 | $1,296.35 – $15,156.63 | 15 |
| Vein x-ray liver w/hemodynam CPT 75889 | $4,199.20 | $10,498.00 | $1,296.35 – $15,156.63 | 15 |
| Vein x-ray liver without hemodyn CPT 75887 | $2,949.20 | $7,373.00 | $598.07 – $15,156.63 | 15 |
| Vein x-ray skull CPT 75870 | $2,898.40 | $7,246.00 | $598.07 – $15,156.63 | 15 |
| Vein x-ray skull epidural CPT 75872 | not published | not published | $598.07 – $3,011.21 | 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.