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 |
|---|---|---|---|---|
| Cath right hrt mnpul art CPT 36013 | $290.80 | $727.00 | $451.14 – $487.23 | 5 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $125.20 | $313.00 | $215.00 – $232.20 | 5 |
| Cath segmntl pulm art CPT 36015 | $599.60 | $1,499.00 | $451.14 – $487.23 | 5 |
| Cath soaker 5in 400mlx4ml/hr on-q silvr dual 2ml site HCPCS A4306 | $792.80 | $1,982.00 | not published | 0 |
| Cath steerable flex adv 12f HCPCS C1766 | $56,200.00 | $140,500.00 | not published | 0 |
| Cath stripping venous s&i CPT 75901 | $601.20 | $1,503.00 | $127.62 – $137.83 | 5 |
| Cath symplicity spyral HCPCS C1735 | $25,800.00 | $64,500.00 | not published | 0 |
| Cath temp pace flo bipol 5fr electrd HCPCS C1779 | $886.00 | $2,215.00 | not published | 0 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $1,068.40 | $2,671.00 | not published | 0 |
| Cath w/drainage 2-way latex HCPCS A4314 | $123.20 | $308.00 | $43.24 – $43.24 | 1 |
| Cauterization chemical granulation tissue CPT 17250 | $311.20 | $778.00 | $116.08 – $963.09 | 15 |
| Cauterization of cervix 57510 CPT 57510 | $6,279.60 | $15,699.00 | $1,612.89 – $15,538.94 | 15 |
| Cbc/diffwbc without platelet HCPCS G0306 | not published | not published | $4.01 – $15.23 | 14 |
| CBC without platelet HCPCS G0307 | not published | not published | $4.01 – $12.68 | 14 |
| #cbg+cort-cbg CPT 84449 | $34.00 | $85.00 | $8.93 – $35.28 | 15 |
| Cciiv4 vacc abx free im CPT 90756 | not published | not published | $19.21 – $51.50 | 7 |
| Cciiv4 vac no prsv 0.5 ml im CPT 90674 | $22.40 | $56.00 | $19.21 – $54.37 | 9 |
| Ccnd1/igh translocation alys CPT 81168 | $364.40 | $911.00 | $84.33 – $406.33 | 14 |
| Cdna analysis for variants CPT 81403 | $223.60 | $559.00 | $84.33 – $362.99 | 15 |
| Cdp-sot 6 cond w/i&r CPT 92548 | $399.20 | $998.00 | $102.84 – $638.68 | 15 |
| Cdp-sot 6 cond w/i&r mct&adt CPT 92549 | not published | not published | $102.84 – $638.68 | 14 |
| Cebpa gene full sequence CPT 81218 | $325.60 | $814.00 | $84.33 – $474.12 | 15 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $30.06 | $75.15 | not published | 0 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $31.84 | $79.60 | not published | 0 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $35.11 | $87.76 | not published | 0 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $5.77 | $14.41 | $4.17 – $122.32 | 15 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $17.16 | $42.89 | not published | 0 |
| Ceftazidime and avibactam HCPCS J0714 | $152.16 | $380.40 | $102.65 – $420.59 | 15 |
| Ceftizoxime sodium / 500 mg HCPCS J0715 | not published | not published | $34.97 – $34.97 | 1 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $30.84 | $77.10 | not published | 0 |
| #celiac hla-dq2 CPT 81377 | $126.40 | $316.00 | $92.85 – $185.69 | 13 |
| #celiac hla-dq8 CPT 81383 | $150.40 | $376.00 | $106.95 – $213.89 | 13 |
| Cell count body fluid CPT 89050 | not published | not published | $4.63 – $9.25 | 14 |
| Cell count w differential body fluid CPT 89051 | $13.20 | $33.00 | $5.49 – $10.98 | 15 |
| Cell cryopreserve/storage CPT 88240 | $30.40 | $76.00 | $12.81 – $25.62 | 13 |
| Cell enumeration & id CPT 86152 | $350.40 | $876.00 | $245.76 – $491.53 | 13 |
| Cellesta or duo per sq cm HCPCS Q4184 | not published | not published | $142.33 – $597.36 | 10 |
| Cell function assay w/stim CPT 86352 | $314.40 | $786.00 | $21.50 – $266.29 | 15 |
| Cell marker study CPT 88182 | $177.60 | $444.00 | $28.17 – $250.15 | 15 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | not published | not published | $29.17 – $4,545.55 | 14 |
| Centralization wrist on ulna CPT 25335 | not published | not published | $1,227.92 – $15,706.36 | 14 |
| Centruroides immune f(ab) HCPCS J0716 | not published | not published | $1,869.36 – $20,816.85 | 9 |
| Cephalin floculation test HCPCS P2028 | not published | not published | $4.85 – $9.70 | 12 |
| Cerclage cervix pregnancy abdominal 59325 CPT 59325 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | not published | not published | $1,612.89 – $15,538.94 | 14 |
| Cerebrospinal fld flw imag CPT 78645 | $1,499.20 | $3,748.00 | $621.01 – $2,606.40 | 15 |
| Cer post col occ/man sup adj HCPCS L0180 | $940.40 | $2,351.00 | $405.19 – $2,089.70 | 13 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | not published | not published | $3.71 – $2,018.91 | 14 |
| Cerv collar supp adj cerv ba HCPCS L0190 | $346.80 | $867.00 | $570.05 – $2,939.96 | 13 |
| Cervical collar molded to pt HCPCS L0170 | not published | not published | $848.64 – $3,771.78 | 12 |
| Cervical laminoplsty 2/> seg CPT 63050 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Cervical lymphadenectomy 38720 CPT 38720 | not published | not published | $2,051.91 – $40,770.58 | 14 |
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | not published | not published | $116.19 – $487.67 | 12 |
| Cerv sr wire occ/man pre ots HCPCS L0160 | $91.60 | $229.00 | $150.77 – $777.56 | 13 |
| Cesarean section delivery only 59514 CPT 59514 | $5,876.40 | $14,691.00 | $2,500.00 – $2,500.00 | 1 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | not published | not published | $78.85 – $2,018.91 | 14 |
| #cf-97variants CPT 81220 | $898.00 | $2,245.00 | $286.81 – $1,090.94 | 15 |
| Cftr gene dup/delet variants CPT 81222 | $524.40 | $1,311.00 | $286.81 – $852.74 | 15 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $84.33 – $330.75 | 14 |
| Cftr gene known fam variants CPT 81221 | $79.60 | $199.00 | $30.75 – $190.55 | 15 |
| Change cystostomy tube; complex 51710 CPT 51710 | $1,693.60 | $4,234.00 | $141.78 – $3,347.17 | 15 |
| Change cystostomy tube simple CPT 51705 | $868.00 | $2,170.00 | $141.78 – $1,199.32 | 15 |
| Change gastric port open CPT 43888 | not published | not published | $3,718.77 – $17,010.70 | 14 |
| Change g-tube to g-j perc CPT 49446 | $2,195.20 | $5,488.00 | $477.34 – $9,211.19 | 15 |
| Change nephroureteral cath CPT 50387 | $1,122.00 | $2,805.00 | $1,071.48 – $10,034.34 | 15 |
| Change of ureter tube/stent CPT 50688 | $1,122.00 | $2,805.00 | $1,071.48 – $10,034.34 | 15 |
| Change of windpipe airway 31502 CPT 31502 | $386.40 | $966.00 | $78.87 – $1,136.96 | 15 |
| Change stent via transureth CPT 50385 | $942.00 | $2,355.00 | $1,071.48 – $10,034.34 | 15 |
| Change ureter stent percut CPT 50382 | $1,782.80 | $4,457.00 | $1,071.48 – $10,034.34 | 15 |
| Charger coch impl/aoi battry HCPCS L8625 | not published | not published | $220.64 – $980.59 | 12 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $20.49 – $817.83 | 14 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $229.47 – $963.09 | 12 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $116.08 – $1,951.35 | 14 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $116.08 – $1,951.35 | 14 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $116.08 – $3,547.71 | 14 |
| Chemo adm cns w/lmbr punct CPT 96450 | $816.40 | $2,041.00 | $364.05 – $1,585.54 | 15 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $309.03 – $3,388.40 | 14 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | $740.40 | $1,851.00 | $823.46 – $889.33 | 5 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | $864.40 | $2,161.00 | $823.46 – $889.33 | 5 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | $1,259.20 | $3,148.00 | $309.03 – $3,388.40 | 15 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | $1,259.20 | $3,148.00 | $309.03 – $3,388.40 | 15 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $1,045.71 – $5,744.14 | 14 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | $712.40 | $1,781.00 | $309.03 – $1,473.43 | 15 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $223.72 – $1,523.60 | 14 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $309.03 – $1,473.43 | 14 |
| Chemodenerv eccrine glands 64650 CPT 64650 | $1,554.80 | $3,887.00 | $309.03 – $1,473.43 | 15 |
| Chemodenerv musc migraine 64615 CPT 64615 | $660.80 | $1,652.00 | $309.03 – $1,473.43 | 15 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $686.80 | $1,717.00 | $309.03 – $1,473.43 | 15 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | $1,714.00 | $4,285.00 | $309.03 – $1,473.43 | 15 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | $1,127.60 | $2,819.00 | $309.03 – $3,388.40 | 15 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | $881.20 | $2,203.00 | $309.03 – $3,388.40 | 15 |
| Chemo extend IV infus w/pump HCPCS G0498 | $816.40 | $2,041.00 | $377.78 – $1,585.54 | 13 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $53.56 – $393.17 | 14 |
| Chemo ia infusion up to 1 hr CPT 96422 | not published | not published | $215.09 – $1,585.54 | 14 |
| Chemo ia push tecnique CPT 96420 | $816.40 | $2,041.00 | $31.36 – $1,585.54 | 15 |
| Chemo intralesional over 7 CPT 96406 | $527.60 | $1,319.00 | $31.36 – $1,021.03 | 15 |
| Chemo intralesional up to 7 96405 CPT 96405 | $162.40 | $406.00 | $31.36 – $345.63 | 15 |
| Chemotaxis assay CPT 86155 | not published | not published | $7.40 – $31.34 | 14 |
| Chemotherapy injection 96542 CPT 96542 | $594.00 | $1,485.00 | $31.36 – $1,585.54 | 15 |
| Chemotx admn pertl cav impl CPT 96446 | $816.40 | $2,041.00 | $215.09 – $1,585.54 | 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.