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 |
|---|---|---|---|---|
| Chest 2 vws w oblique CPT 71048 | $246.40 | $616.00 | $40.64 – $501.84 | 15 |
| Chest apical lordotic proj CPT 71047 | $212.40 | $531.00 | $40.64 – $417.74 | 15 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,382.40 | $3,456.00 | $200.61 – $841.97 | 15 |
| Chest CT scan (with contrast) CPT 71260 | $1,131.20 | $2,828.00 | $200.61 – $841.97 | 15 |
| Chest CT scan (without contrast) CPT 71250 | $882.00 | $2,205.00 | $82.80 – $501.84 | 15 |
| Chest X-ray CPT 71046 | $266.40 | $666.00 | $40.64 – $417.74 | 15 |
| Chest X-ray (single view) CPT 71045 | $212.40 | $531.00 | $40.64 – $417.74 | 15 |
| Chg pr pul rehab for copd patients CPT 94626 | $214.80 | $537.00 | $25.26 – $283.18 | 14 |
| Chg radiologic exam esophagus double contrast CPT 74221 | not published | not published | $85.70 – $841.97 | 14 |
| Chikungunya vaccine live im CPT 90589 | not published | not published | $77.90 – $431.20 | 6 |
| Chimerism anal no cell selec CPT 81267 | $1,180.00 | $2,950.00 | $203.31 – $406.62 | 13 |
| Chimerism anal w/cell select CPT 81268 | $456.40 | $1,141.00 | $255.57 – $511.15 | 13 |
| Chiropractic manj 5 regions CPT 98942 | not published | not published | $22.93 – $115.66 | 14 |
| Chiropract manj 1-2 regions CPT 98940 | not published | not published | $22.93 – $115.66 | 14 |
| Chiropract manj 3-4 regions CPT 98941 | not published | not published | $22.93 – $115.66 | 14 |
| Chlamydia culture CPT 87110 | $49.60 | $124.00 | $5.12 – $38.42 | 15 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $5.12 – $23.48 | 14 |
| Chlamydia type CPT 87140 | $14.00 | $35.00 | $5.12 – $10.92 | 15 |
| Chlmyd pneum dna dir probe CPT 87485 | not published | not published | $5.12 – $39.30 | 14 |
| Chlmyd pneum dna quant CPT 87487 | not published | not published | $19.51 – $83.97 | 14 |
| Chlnggrphy intraop addl s&i CPT 74301 | $276.40 | $691.00 | $127.62 – $137.83 | 5 |
| Chloramphenicol sodium injec HCPCS J0720 | not published | not published | $50.26 – $232.70 | 2 |
| Chlordiazepoxide injection HCPCS J1990 | not published | not published | $29.47 – $161.22 | 2 |
| Chloride CPT 82435 | $11.60 | $29.00 | $3.47 – $9.02 | 15 |
| Chloride 24 hour urine CPT 82436 | $12.40 | $31.00 | $3.47 – $11.27 | 15 |
| Chloroprocaine (clorotekal) HCPCS J2402 | not published | not published | $0.43 – $2.24 | 3 |
| Chloroprocaine hcl injection HCPCS J2401 | $0.45 | $1.12 | $0.04 – $0.19 | 4 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $0.85 – $3.33 | 4 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $76.78 | $191.95 | not published | 0 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $64.78 | $161.95 | not published | 0 |
| Chmotx admn plrl cav thrcnts CPT 96440 | not published | not published | $377.78 – $1,585.54 | 14 |
| Cholangiogram percutaneous compl CPT 47532 | $2,587.20 | $6,468.00 | $1,296.35 – $17,186.76 | 15 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $392.40 | $981.00 | $127.62 – $137.83 | 5 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $5,677.20 | $14,193.00 | $1,788.22 – $17,186.76 | 15 |
| Cholera vaccine live oral CPT 90625 | not published | not published | $19.21 – $528.00 | 6 |
| Cholesterol CPT 82465 | $11.20 | $28.00 | $3.47 – $8.53 | 15 |
| Cholesterol body fluid CPT 84999 | $628.40 | $1,571.00 | $8.63 – $9.32 | 5 |
| Cholesterol (Lipid) Test CPT 80061 | $33.60 | $84.00 | $5.88 – $26.24 | 15 |
| Choline c-11 HCPCS A9515 | not published | not published | $2,466.10 – $26,391.00 | 11 |
| Cholinesterase CPT 82480 | $20.00 | $50.00 | $3.47 – $15.43 | 15 |
| Cholinesterase challenge CPT 95857 | not published | not published | $96.84 – $1,296.68 | 14 |
| Chorion biopsy CPT 59015 | not published | not published | $462.01 – $4,421.25 | 14 |
| Chrom analysis CPT 88273 | $78.00 | $195.00 | $30.75 – $68.23 | 15 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $22.70 – $76.44 | 14 |
| Chromatography CPT 83021 | $45.20 | $113.00 | $4.01 – $35.40 | 15 |
| Chromogenic substrate assay CPT 85130 | $32.40 | $81.00 | $4.01 – $23.30 | 15 |
| Chromo high res and frag x - sendout CPT 81243 | $310.40 | $776.00 | $30.75 – $111.80 | 15 |
| Chromosome analys amniotic CPT 88269 | $405.20 | $1,013.00 | $84.33 – $340.37 | 15 |
| Chromosome analysis 100 CPT 88249 | $439.20 | $1,098.00 | $84.33 – $339.41 | 15 |
| Chromosome analysis 15-20 cell count CPT 88262 | $280.00 | $700.00 | $30.75 – $245.96 | 15 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $84.33 – $339.41 | 14 |
| Chromosome analysis 45 CPT 88263 | $237.20 | $593.00 | $84.33 – $294.57 | 15 |
| Chromosome analysis 5 CPT 88261 | $489.60 | $1,224.00 | $84.33 – $518.11 | 15 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $84.33 – $339.41 | 14 |
| Chromosome analys placenta CPT 88267 | $424.40 | $1,061.00 | $84.33 – $369.60 | 15 |
| Chromosome banding study CPT 88283 | $102.40 | $256.00 | $30.75 – $134.46 | 15 |
| Chromosome count additional CPT 88285 | $53.60 | $134.00 | $26.37 – $52.74 | 15 |
| Chromosome karyotype study CPT 88280 | $66.00 | $165.00 | $30.75 – $65.60 | 15 |
| Chromosome study additional CPT 88289 | $77.60 | $194.00 | $30.75 – $67.48 | 15 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $7.40 – $24.42 | 14 |
| Chylomicron screen, bf - sendout CPT 82664 | $54.00 | $135.00 | $22.70 – $120.54 | 15 |
| Cid ext controller repl HCPCS L8628 | not published | not published | $1,501.39 – $6,672.94 | 12 |
| Cid ext speech process repl HCPCS L8627 | not published | not published | $8,096.22 – $35,983.62 | 12 |
| Cidofovir injection HCPCS J0740 | not published | not published | $409.71 – $2,816.57 | 14 |
| Cid transmit coil and cable HCPCS L8629 | not published | not published | $209.19 – $929.70 | 12 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $652.61 – $11,412.47 | 14 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $576,724.91 – $1,153,449.82 | 10 |
| Cinacalcet 30 mg tablet HCPCS J0604 | not published | not published | $0.03 – $0.05 | 2 |
| Cine/video x-rays CPT 76120 | not published | not published | $40.64 – $501.84 | 14 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $40.64 – $43.90 | 5 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $33.57 | $83.91 | not published | 0 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | not published | not published | $48.00 – $138.95 | 3 |
| Circum 28 days or older CPT 54161 | $1,128.00 | $2,820.00 | $1,393.78 – $10,034.34 | 15 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | $1,128.00 | $2,820.00 | $797.51 – $3,347.17 | 15 |
| Circumcision (newborn) CPT 54150 | $3,442.80 | $8,607.00 | $1,393.78 – $10,034.34 | 15 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $61.29 | $153.22 | not published | 0 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $624.40 | $1,561.00 | $84.33 – $645.84 | 15 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | not published | not published | $8.55 – $174.41 | 14 |
| C-laminoplasty w/graft/plate CPT 63051 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $18,200.00 | $45,500.00 | not published | 0 |
| Clamp neck artery CPT 61703 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Claviculectomy partial CPT 23120 | not published | not published | $3,167.51 – $15,706.36 | 14 |
| Claviculectomy total CPT 23125 | not published | not published | $3,167.51 – $15,706.36 | 14 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $616.84 – $2,588.91 | 14 |
| Clearance of airways CPT 31720 | $128.00 | $320.00 | $36.95 – $1,051.14 | 15 |
| Clearance of airways CPT 31725 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Clearance of tear duct CPT 68530 | not published | not published | $223.72 – $1,523.60 | 14 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $152.17 – $638.68 | 12 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $152.17 – $638.68 | 12 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $152.17 – $638.68 | 12 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $42.72 – $179.28 | 12 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $31.76 | $79.40 | $2.87 – $10.09 | 4 |
| Clip ligating vesolock lg HCPCS C1760 | $4,900.00 | $12,250.00 | not published | 0 |
| Clip phn wireless f/baha4 proc HCPCS L9900 | $179.60 | $449.00 | not published | 0 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $1,728.07 – $15,538.94 | 14 |
| Cllr miami j sm HCPCS L0174 | $169.20 | $423.00 | $277.91 – $1,433.26 | 13 |
| Cl mult vsd w/rem pul band CPT 33677 | not published | not published | $2,500.00 – $2,500.00 | 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.