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 |
|---|---|---|---|---|
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | not published | not published | $700.79 – $7,718.72 | 14 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $700.79 – $15,706.36 | 14 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | not published | not published | $78.87 – $1,184.07 | 14 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | not published | not published | $282.12 – $1,184.07 | 14 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | not published | not published | $282.12 – $1,184.07 | 14 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | not published | not published | $315.36 – $7,718.72 | 14 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | not published | not published | $282.12 – $1,184.07 | 14 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | not published | not published | $282.12 – $1,184.07 | 14 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | not published | not published | $282.12 – $1,184.07 | 14 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | not published | not published | $282.12 – $1,184.07 | 14 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $282.12 – $1,184.07 | 14 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | not published | not published | $282.12 – $1,184.07 | 14 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | not published | not published | $282.12 – $1,184.07 | 14 |
| Clsr 1 vsd w/wo patch w/vlvt CPT 33684 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Clsr 1vsd w/wo ptch rmvl bnd CPT 33688 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | not published | not published | $282.12 – $1,184.07 | 14 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | not published | not published | $315.36 – $7,718.72 | 14 |
| Cltx craniofacial separation CPT 21431 | not published | not published | $6,770.63 – $28,416.55 | 10 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | not published | not published | $315.36 – $7,718.72 | 14 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | not published | not published | $282.12 – $1,184.07 | 14 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | not published | not published | $315.36 – $7,718.72 | 14 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | not published | not published | $282.12 – $1,184.07 | 14 |
| Cltx lunate dislc w/mnpj CPT 25690 | not published | not published | $315.36 – $7,718.72 | 14 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | not published | not published | $2,803.36 – $28,416.55 | 14 |
| Cltx mndblr fx w/mnpj CPT 21451 | not published | not published | $1,364.93 – $7,447.96 | 14 |
| Cltx mndblr/max alv ridge fx CPT 21440 | not published | not published | $2,005.86 – $15,914.98 | 14 |
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | $2,005.86 – $15,914.98 | 14 |
| Cltx post ankle fx CPT 27767 | not published | not published | $282.12 – $1,184.07 | 14 |
| Cltx post ankle fx w/mnpj CPT 27768 | not published | not published | $315.36 – $7,718.72 | 14 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | not published | not published | $315.36 – $7,718.72 | 14 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $282.12 – $1,184.07 | 14 |
| Cltx thigh fx CPT 27267 | not published | not published | $315.36 – $15,706.36 | 14 |
| Cltx thigh fx w/mnpj CPT 27268 | not published | not published | $315.36 – $7,718.72 | 12 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $1,364.93 – $7,447.96 | 14 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $2,085.40 – $24,012.92 | 14 |
| C motor evoked lwr limbs CPT 95929 | not published | not published | $96.84 – $2,238.28 | 14 |
| C motor evoked uppr limbs CPT 95928 | not published | not published | $96.84 – $4,326.18 | 14 |
| C motor evoked upr&lwr limbs CPT 95939 | not published | not published | $96.84 – $4,326.18 | 14 |
| Cmp rpr tof wo plm atrs ptch CPT 33694 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $40.65 – $283.18 | 14 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $40.65 – $283.18 | 14 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $8.63 – $27.58 | 14 |
| #cms hgb-sulfhemoglobin CPT 83060 | $22.40 | $56.00 | $3.47 – $17.25 | 15 |
| #cmvcul-virus inoculation shell CPT 87254 | $48.40 | $121.00 | $5.12 – $38.34 | 15 |
| Cmv ig IV CPT 90291 | not published | not published | $2,754.74 – $3,373.15 | 2 |
| Cmv pcr-sendout CPT 87496 | $88.40 | $221.00 | $19.51 – $68.78 | 15 |
| Cnbp gene detc abnor allele CPT 81187 | $260.00 | $650.00 | $30.75 – $268.52 | 15 |
| Cntct lens hydrophil photoch HCPCS V2524 | not published | not published | $162.11 – $714.69 | 11 |
| Co2 monitor per day CPT 94681 | not published | not published | $72.64 – $1,791.23 | 14 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | not published | not published | $2.59 – $4,545.55 | 14 |
| Coagulation time activated teg CPT 85347 | $11.20 | $28.00 | $2.64 – $8.39 | 15 |
| Coagulation time lee & white CPT 85345 | not published | not published | $2.64 – $9.19 | 14 |
| Coagulation time otr method CPT 85348 | $10.00 | $25.00 | $2.64 – $8.80 | 15 |
| Cocaine 4 % nasal solution HCPCS C9046 | not published | not published | $2.70 – $2.70 | 1 |
| Coccidioidomycosis skin test CPT 86490 | not published | not published | $107.68 – $266.13 | 3 |
| Coch imp ext proc/contr rplc HCPCS L8619 | not published | not published | $9,597.65 – $42,656.75 | 12 |
| Coch implant headset replace HCPCS L8615 | not published | not published | $526.93 – $2,341.90 | 12 |
| Coch implant microphone repl HCPCS L8616 | not published | not published | $122.73 – $545.51 | 12 |
| Coch implant tran cable repl HCPCS L8618 | not published | not published | $30.64 – $136.12 | 12 |
| Coch implant trans coil repl HCPCS L8617 | not published | not published | $107.19 – $476.43 | 12 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $27.35 – $673.34 | 14 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $27.35 – $673.34 | 14 |
| Cocm by rhc/fqhc 60 min mo HCPCS G0512 | not published | not published | $47.71 – $679.41 | 7 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $146.54 – $146.54 | 1 |
| Cogenex amnio memb per sq cm HCPCS Q4229 | not published | not published | $142.33 – $597.36 | 10 |
| Cold agglutinin screen (arc) CPT 86156 | not published | not published | $7.40 – $15.82 | 14 |
| Cold agglutinin titer CPT 86157 | $20.40 | $51.00 | $7.40 – $15.80 | 15 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Colectomy w/ileoanal anast CPT 44157 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Colectomy w/neo-rectum pouch CPT 44158 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Collagenase, clost hist inj HCPCS J0775 | not published | not published | $76.78 – $2,018.91 | 14 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $27.20 | $68.00 | $34.06 – $175.66 | 13 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $50.00 | $125.00 | $82.17 – $423.78 | 13 |
| Collar cerv ascend 172 reg HCPCS L0172 | $339.20 | $848.00 | $131.99 – $680.75 | 13 |
| Collar cerv patriot adlt HCPCS L0150 | $66.40 | $166.00 | $109.41 – $564.26 | 13 |
| Collar extrication adult univ HCPCS L0200 | $378.40 | $946.00 | $636.53 – $3,282.81 | 13 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $136.40 | $341.00 | $41.65 – $638.68 | 15 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $136.40 | $341.00 | $41.65 – $638.68 | 15 |
| Collection of venous blood by venipuncture CPT 36415 | $8.40 | $21.00 | $1.66 – $18.31 | 15 |
| Coll-e-derm 1 sq cm HCPCS Q4193 | not published | not published | $142.33 – $597.36 | 10 |
| Collj & interpj data ea 30 d CPT 99091 | not published | not published | $48.48 – $52.36 | 5 |
| Colon motility 6 hr study CPT 91117 | not published | not published | $246.96 – $1,296.68 | 14 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $689.17 – $4,464.03 | 14 |
| Colonoscopy flex with decompression 45393 CPT 45393 | not published | not published | $689.17 – $5,744.14 | 14 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $689.17 – $5,744.14 | 14 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | $689.17 – $5,744.14 | 14 |
| Colonoscopy for foreign body CPT 44390 | not published | not published | $689.17 – $4,464.03 | 14 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | $689.17 – $5,744.14 | 14 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | not published | not published | $689.17 – $5,744.14 | 14 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | $689.17 – $5,744.14 | 14 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $689.17 – $5,744.14 | 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.