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 |
|---|---|---|---|---|
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $10.72 – $618.68 | 14 |
| Close bladder-uterus fistula CPT 51920 | not published | not published | $2,500.00 – $8,140.45 | 2 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Close chest after drainage CPT 32810 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | not published | not published | $282.12 – $1,184.07 | 14 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | not published | not published | $315.36 – $7,718.72 | 14 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $226.42 – $7,718.72 | 10 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $282.12 – $1,184.07 | 14 |
| Closed tx humerus fx with manip 23605 CPT 23605 | not published | not published | $315.36 – $7,718.72 | 14 |
| Closed tx humerus fx without manip 23600 CPT 23600 | not published | not published | $282.12 – $1,184.07 | 14 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | not published | not published | $315.36 – $7,718.72 | 14 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | not published | not published | $282.12 – $1,184.07 | 14 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $1,364.93 – $7,447.96 | 14 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $616.84 – $2,588.91 | 14 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $652.16 – $7,447.96 | 14 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | not published | not published | $700.79 – $7,718.72 | 14 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $652.16 – $15,914.98 | 14 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $282.12 – $1,184.07 | 14 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | not published | not published | $282.12 – $1,184.07 | 14 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $315.36 – $15,706.36 | 14 |
| Close kidney-skin fistula CPT 50520 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | not published | not published | $270.89 – $1,136.96 | 12 |
| Close mastoid fistula CPT 69700 | not published | not published | $1,774.58 – $7,447.96 | 14 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $8,299.08 – $34,831.50 | 10 |
| Close mult vsd CPT 33675 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Close mult vsd w/resection CPT 33676 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Close nephrovisceral fistula CPT 50525 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Close nephrovisceral fistula CPT 50526 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Close tear duct opening CPT 68760 | not published | not published | $223.72 – $1,523.60 | 14 |
| Close tear duct opening CPT 68761 | not published | not published | $223.72 – $1,523.60 | 14 |
| Close tear system fistula CPT 68770 | not published | not published | $1,175.19 – $11,412.47 | 14 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $5.12 – $31.36 | 14 |
| Clos txnose fx without stablz 21315 CPT 21315 | not published | not published | $652.16 – $7,447.96 | 14 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $2,500.00 – $6,094.06 | 2 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $2,500.00 – $6,094.06 | 2 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | not published | not published | $616.84 – $2,588.91 | 14 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $951.83 – $4,785.26 | 14 |
| Closure of salivary fistula CPT 42600 | not published | not published | $2,064.79 – $15,914.98 | 14 |
| Closure of valve CPT 33600 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Closure of valve CPT 33602 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $1,462.60 – $15,914.98 | 14 |
| Closure paravalvlr leak pq CPT 33999 | $1,531.60 | $3,829.00 | $717.46 – $3,011.21 | 15 |
| Closure ureter/bowel fistula CPT 50930 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Closure ureter/skin fistula CPT 50920 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Clot factor fletcher fact CPT 85292 | $52.40 | $131.00 | $2.64 – $37.10 | 15 |
| Clot factor viii reltd antgn CPT 85244 | $50.40 | $126.00 | $12.84 – $40.02 | 15 |
| Clot factor wght kininogen CPT 85293 | $52.40 | $131.00 | $2.64 – $37.10 | 15 |
| Clot factor xii hageman CPT 85280 | $48.40 | $121.00 | $2.64 – $37.93 | 15 |
| Clot factor xiii fibrin scrn CPT 85291 | $22.40 | $56.00 | $2.64 – $17.86 | 15 |
| Clot factor xiii fibrin stab CPT 85290 | $39.60 | $99.00 | $2.64 – $32.03 | 15 |
| Clotting assay whole blood CPT 85396 | not published | not published | $2.64 – $2.85 | 5 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | not published | not published | $282.12 – $1,184.07 | 14 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | not published | not published | $282.12 – $1,184.07 | 14 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | not published | not published | $282.12 – $1,184.07 | 14 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $315.36 – $7,718.72 | 14 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | not published | not published | $282.12 – $1,184.07 | 14 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | not published | not published | $315.36 – $7,718.72 | 14 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | not published | not published | $282.12 – $1,184.07 | 14 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | not published | not published | $282.12 – $1,184.07 | 14 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | not published | not published | $282.12 – $1,184.07 | 14 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | not published | not published | $282.12 – $1,184.07 | 14 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | not published | not published | $282.12 – $1,184.07 | 14 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | not published | not published | $282.12 – $1,184.07 | 14 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | not published | not published | $315.36 – $7,718.72 | 14 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | not published | not published | $940.20 – $7,718.72 | 14 |
| Clsd tx fracture of radius 25500 CPT 25500 | not published | not published | $282.12 – $1,184.07 | 14 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | not published | not published | $282.12 – $1,184.07 | 14 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $1,046.00 | $2,615.00 | $282.12 – $1,184.07 | 15 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | not published | not published | $282.12 – $1,184.07 | 14 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | not published | not published | $315.36 – $7,718.72 | 14 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | not published | not published | $282.12 – $1,184.07 | 14 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | not published | not published | $315.36 – $7,718.72 | 14 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | not published | not published | $282.12 – $1,184.07 | 14 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | not published | not published | $282.12 – $1,184.07 | 14 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | not published | not published | $282.12 – $1,184.07 | 14 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | not published | not published | $282.12 – $1,184.07 | 14 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | not published | not published | $319.89 – $1,342.61 | 14 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | not published | not published | $616.84 – $2,588.91 | 14 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | not published | not published | $282.12 – $1,184.07 | 14 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | not published | not published | $282.12 – $1,184.07 | 14 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | not published | not published | $282.12 – $1,184.07 | 14 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $315.36 – $15,706.36 | 14 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | not published | not published | $282.12 – $1,184.07 | 14 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | not published | not published | $282.12 – $1,184.07 | 14 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $5,009.20 | $12,523.00 | $652.16 – $15,914.98 | 15 |
| Clsd tx nose fx without manip 21310 CPT 21310 | not published | not published | $726.88 – $726.88 | 1 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | not published | not published | $315.36 – $7,718.72 | 14 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | not published | not published | $282.12 – $1,184.07 | 14 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | not published | not published | $282.12 – $1,184.07 | 14 |
| Clsd tx pelvic ring fx CPT 27197 | not published | not published | $282.12 – $1,184.07 | 14 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $282.12 – $1,184.07 | 14 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | not published | not published | $315.36 – $7,718.72 | 14 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | not published | not published | $282.12 – $1,184.07 | 14 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | not published | not published | $282.12 – $1,184.07 | 14 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | not published | not published | $315.36 – $7,718.72 | 14 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | not published | not published | $282.12 – $1,184.07 | 14 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | not published | not published | $315.36 – $7,718.72 | 14 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | not published | not published | $315.36 – $7,718.72 | 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.