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 |
|---|---|---|---|---|
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $346.40 | $866.00 | $40.64 – $501.84 | 15 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $244.00 | $610.00 | $40.64 – $417.74 | 15 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $222.40 | $556.00 | $40.64 – $417.74 | 15 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $628.40 | $1,571.00 | $85.70 – $841.97 | 15 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $593.20 | $1,483.00 | $85.70 – $841.97 | 15 |
| X-ray wrist 2 views (both sides) CPT 73100 | $244.00 | $610.00 | $40.64 – $417.74 | 15 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $40.64 – $841.97 | 14 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $48.48 – $52.36 | 5 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | not published | 0 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $142.33 – $597.36 | 10 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $8.63 – $25.30 | 14 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.46 – $2,018.91 | 14 |
| Yersinia antibody CPT 86793 | $32.40 | $81.00 | $7.40 – $25.85 | 15 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $28,267.31 – $303,156.57 | 14 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $142.33 – $597.36 | 10 |
| Ziconotide injection HCPCS J2278 | not published | not published | $10.25 – $1,272.76 | 14 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.48 – $6.99 | 10 |
| Zika virus dna/rna amp probe CPT 87662 | $90.00 | $225.00 | $19.51 – $100.57 | 15 |
| Zika virus igm antibody CPT 86794 | $57.60 | $144.00 | $7.40 – $33.03 | 15 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $25.60 | $64.00 | not published | 0 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $8.44 – $860.72 | 14 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | not published | not published | $32.98 – $155.38 | 10 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $13.52 | $33.80 | not published | 0 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $77.90 – $333.47 | 6 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $84.33 – $378.77 | 13 |
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.