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 |
|---|---|---|---|---|
| Bln press regulation 71-80cm HCPCS C1815 | $13,852.80 | $34,632.00 | not published | 0 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $5,272.40 | $13,181.00 | not published | 0 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | $50.00 | $125.00 | $20.98 – $20.98 | 1 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | not published | not published | $823.46 – $4,245.66 | 14 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | not published | not published | $823.46 – $4,245.66 | 14 |
| Block paracervical nrv CPT 64435 | not published | not published | $309.03 – $3,388.40 | 14 |
| Block plantar digital nerve CPT 64455 | $658.00 | $1,645.00 | $309.03 – $1,473.43 | 15 |
| Block tap inj(s) w/wo img bi CPT 64488 | not published | not published | $309.03 – $333.75 | 5 |
| Block tap inj(s) w/wo img uni CPT 64486 | not published | not published | $309.03 – $333.75 | 5 |
| Blood clot lysis time CPT 85175 | not published | not published | $12.84 – $39.93 | 14 |
| Blood clot retraction CPT 85170 | not published | not published | $2.64 – $31.95 | 14 |
| Blood Clotting (PT/INR) Test CPT 85610 | $11.20 | $28.00 | $2.64 – $8.41 | 15 |
| Blood Clotting (PTT) Test CPT 85730 | $14.40 | $36.00 | $2.64 – $11.78 | 15 |
| Blood component/product noc HCPCS P9099 | not published | not published | $39.54 – $253.45 | 11 |
| Blood Count (CBC) Test CPT 85025 | $27.20 | $68.00 | $4.01 – $15.23 | 15 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $22.00 | $55.00 | $4.01 – $12.68 | 15 |
| Blood count spun microhematocrit CPT 85013 | $8.40 | $21.00 | $4.01 – $13.72 | 15 |
| Blood Culture Test CPT 87040 | $35.60 | $89.00 | $5.12 – $20.23 | 15 |
| Blood draw capillary 36416 CPT 36416 | $5.20 | $13.00 | $1.66 – $1.79 | 5 |
| Blood gases o2 saturation direct measurement CPT 82805 | $84.00 | $210.00 | $22.70 – $154.39 | 15 |
| Blood gases ph venous CPT 82800 | $17.60 | $44.00 | $8.63 – $21.56 | 15 |
| Blood, l/r, irradiated HCPCS P9056 | not published | not published | $94.65 – $503.37 | 14 |
| Blood mucoprotein HCPCS P2038 | not published | not published | $4.85 – $9.70 | 12 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $39.60 | $99.00 | $8.63 – $31.20 | 15 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $9.20 | $23.00 | $3.47 – $8.29 | 15 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $9.20 | $23.00 | $3.47 – $8.58 | 15 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $9.20 | $23.00 | $3.47 – $10.43 | 15 |
| Blood smear interpretation CPT 85060 | $69.60 | $174.00 | not published | 0 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $9.60 | $24.00 | $3.72 – $7.45 | 15 |
| Blood split unit HCPCS P9011 | not published | not published | $105.59 – $732.19 | 14 |
| Blood thymol turbidity HCPCS P2033 | not published | not published | $4.85 – $9.70 | 12 |
| Blood typing abo CPT 86900 | $96.40 | $241.00 | $3.05 – $638.68 | 15 |
| Blood typing ag donor ea ag CPT 86902 | $197.20 | $493.00 | $3.05 – $1,720.62 | 15 |
| Blood typing patient serum CPT 86904 | not published | not published | $3.05 – $283.18 | 14 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $197.20 | $493.00 | $3.05 – $1,720.62 | 15 |
| Blood typing rh (d) CPT 86901 | $31.20 | $78.00 | $3.05 – $179.28 | 15 |
| Blood typing rh phenotype complete reference CPT 86906 | $88.00 | $220.00 | $3.05 – $179.28 | 15 |
| Blood volume CPT 78122 | not published | not published | $621.01 – $2,606.40 | 14 |
| Bls-emergency HCPCS A0429 | not published | not published | $735.57 – $1,175.28 | 2 |
| Blue light cysto imag agent HCPCS C9738 | not published | not published | $1,107.76 – $1,196.38 | 5 |
| Body jacket mold to patient HCPCS L1300 | $989.60 | $2,474.00 | $1,626.20 – $8,386.83 | 13 |
| Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm HCPCS Q4433 | $16,008.00 | $40,020.00 | $142.33 – $597.36 | 10 |
| Bone biopsy open superficial CPT 20240 | not published | not published | $1,238.45 – $13,943.31 | 14 |
| Bone Density Scan (DEXA) CPT 77080 | $355.20 | $888.00 | $56.34 – $501.84 | 15 |
| Bone filler cerament 10cc HCPCS C1602 | $12,785.60 | $31,964.00 | not published | 0 |
| Bone imaging multiple areas CPT 78305 | not published | not published | $272.41 – $1,919.01 | 14 |
| Bone/joint imaging ltd area CPT 78300 | $1,188.00 | $2,970.00 | $272.41 – $1,919.01 | 15 |
| Bone marrow;aspiration only 38220 CPT 38220 | $3,129.60 | $7,824.00 | $843.36 – $7,928.07 | 15 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $3,129.60 | $7,824.00 | $843.36 – $7,928.07 | 15 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $1,214.81 – $7,476.01 | 14 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $1,214.81 – $20,907.43 | 14 |
| Bone marrow imaging body CPT 78104 | $1,249.20 | $3,123.00 | $272.41 – $1,919.01 | 15 |
| Bone marrow imaging ltd CPT 78102 | $1,178.00 | $2,945.00 | $272.41 – $1,919.01 | 15 |
| Bone marrow imaging mult CPT 78103 | $1,177.20 | $2,943.00 | $272.41 – $1,919.01 | 15 |
| Bone marrow interpretation CPT 85097 | $434.00 | $1,085.00 | $28.17 – $3,867.44 | 15 |
| Bone mineral dual photon CPT 78351 | not published | not published | $272.41 – $294.20 | 5 |
| Bone mineral single photon CPT 78350 | not published | not published | $272.41 – $294.20 | 5 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $3,712.68 – $34,831.50 | 14 |
| Bone/skin graft iliac crest CPT 20970 | not published | not published | $8,299.08 – $34,831.50 | 10 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $3,712.68 – $34,831.50 | 14 |
| Bone/skin graft microvasc CPT 20969 | not published | not published | $8,299.08 – $34,831.50 | 10 |
| Bone survey-lead poisoning CPT 77074 | $364.40 | $911.00 | $40.64 – $501.84 | 15 |
| Bone tendon board add on HCPCS C9356 | $9,384.00 | $23,460.00 | not published | 0 |
| Boot heel care softcare one sz HCPCS E0191 | $258.40 | $646.00 | $1.05 – $14.52 | 5 |
| Boot j walker l HCPCS L4386 | $239.60 | $599.00 | $159.30 – $821.59 | 13 |
| Boot mlti podous univ xlg HCPCS L4396 | $149.20 | $373.00 | $165.79 – $855.02 | 13 |
| Boot softgait shrt m HCPCS L4387 | $96.80 | $242.00 | $159.30 – $821.59 | 13 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $216.40 | $541.00 | $355.40 – $1,832.92 | 13 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $874.80 | $2,187.00 | $355.40 – $1,832.92 | 13 |
| Borrelia antibody CPT 86619 | $36.40 | $91.00 | $7.40 – $26.22 | 15 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $42.40 | $106.00 | $7.40 – $33.38 | 15 |
| Borrelia miyamotoi amp prb CPT 87478 | $95.20 | $238.00 | $19.51 – $68.78 | 14 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $51.82 | $129.55 | $2.08 – $618.68 | 10 |
| (both sides) smear without diff wbc count CPT 85008 | $9.60 | $24.00 | $3.36 – $6.72 | 15 |
| Botulism ig IV CPT 90288 | not published | not published | $68,187.00 – $68,187.00 | 1 |
| Bowel imaging CPT 78290 | $1,200.00 | $3,000.00 | $272.41 – $1,919.01 | 15 |
| Bpg axillary-pop/-tibial CPT 35623 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Bpg carotid-vertebral CPT 35642 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Bpg ilio-celiac CPT 35632 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Bpg ilio-mesenteric CPT 35633 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Bpg iliorenal CPT 35634 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Bpg pop-tibl/-prnl artery CPT 35671 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Bpg splenorenal CPT 35636 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Bpg subclavian-axillary CPT 35616 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Bpg subclavian-vertebral CPT 35645 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Brace adj motion lerman type HCPCS L2186 | $101.60 | $254.00 | $166.85 – $860.53 | 13 |
| Brace afo dbl upright cust HCPCS L1990 | not published | not published | $633.56 – $2,815.87 | 12 |
| Brace afo lg left 6607 HCPCS L1930 | $674.80 | $1,687.00 | $265.97 – $1,371.68 | 13 |
| Brace afopos solid ankle cust HCPCS L1960 | $324.80 | $812.00 | $533.59 – $2,751.93 | 13 |
| Brace afo spiral prefab HCPCS L1951 | $2,224.80 | $5,562.00 | $843.91 – $4,352.34 | 13 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $70.40 | $176.00 | $115.77 – $597.08 | 13 |
| Brace ank air stirrup univ HCPCS L4350 | $85.20 | $213.00 | $94.75 – $488.70 | 13 |
| Brace ankle joint dflxn assist HCPCS L2210 | $41.20 | $103.00 | $67.83 – $349.84 | 13 |
| Brace ankle stablizing lg HCPCS L1902 | $69.20 | $173.00 | $94.23 – $485.96 | 13 |
| Brace back epic lo 627 HCPCS L0642 | not published | not published | $137.85 – $994.34 | 12 |
| Brace back epic lso 637 HCPCS L0650 | not published | not published | $398.32 – $2,790.45 | 12 |
| Brace back epic tslo 456 HCPCS L0457 | not published | not published | $333.45 – $2,405.52 | 12 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | $1,004.00 | $2,510.00 | $413.07 – $2,130.36 | 13 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $3,527.20 | $8,818.00 | $1,493.66 – $7,703.30 | 13 |
| Brace back t-lso custom HCPCS L0486 | $1,104.40 | $2,761.00 | $1,815.05 – $9,360.80 | 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.