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 |
|---|---|---|---|---|
| Cover eye w/membrane suture CPT 65779 | not published | not published | $376.72 – $18,871.60 | 14 |
| Covers for upright each HCPCS L1120 | not published | not published | $54.91 – $244.05 | 12 |
| Cover wrist HCPCS L3984 | $206.00 | $515.00 | $338.42 – $1,745.32 | 13 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | not published | not published | $27.29 – $195.08 | 12 |
| Covid-19 convalescent plasma HCPCS C9507 | not published | not published | $761.28 – $3,379.02 | 11 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | $1,146.00 | $2,865.00 | $450.50 – $2,085.82 | 12 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | $1,146.00 | $2,865.00 | $450.50 – $2,085.82 | 12 |
| Covid-19 lab test non-cdc HCPCS U0002 | $75.60 | $189.00 | $19.51 – $100.57 | 14 |
| #covid19rsv-rsv CPT 87634 | $85.60 | $214.00 | $19.51 – $137.59 | 15 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $32.40 | $81.00 | $7.40 – $25.54 | 15 |
| C-peptide CPT 84681 | $53.20 | $133.00 | $8.63 – $40.79 | 15 |
| Cptrized corneal topography CPT 92025 | not published | not published | $40.65 – $283.18 | 14 |
| Cptr ophth dx img post segmt CPT 92134 | not published | not published | $40.65 – $283.18 | 14 |
| Cptrz oph img pst sg rta oct CPT 92137 | not published | not published | $40.65 – $1,441.78 | 13 |
| Cr-51 sodium chromate HCPCS A9553 | not published | not published | $1,879.60 – $8,880.15 | 10 |
| Cranial cervical orthosis HCPCS L0112 | $856.00 | $2,140.00 | $1,406.44 – $7,253.50 | 13 |
| Cranial cervical torticollis HCPCS L0113 | $181.20 | $453.00 | $297.69 – $1,535.31 | 13 |
| Craniect/craniot w/wo duraplasty w/lobectomy 61323 CPT 61323 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Craniectomy/craniotomy expl 61304 CPT 61304 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Craniectomy/craniotomy tx penet wound brain 61571 CPT 61571 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Craniectomy exc brain tumor fossa 61518 CPT 61518 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Craniectomy exc brain tumor meningioma 61519 CPT 61519 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Craniectomy f/osteomyelitis CPT 61501 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Craniectomy or craniotomy for drng abscess 61320 CPT 61320 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Craniectomy or craniotomy for drng inf 61315 CPT 61315 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Craniectomy or craniotomy for drng supr 61313 CPT 61313 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Craniectomy subocc w/cerv lam (press relief) 61343 CPT 61343 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Craniofacial approach skull CPT 61580 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Craniofacial approach skull CPT 61581 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Craniofacial approach skull CPT 61582 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Craniofacial approach skull CPT 61583 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Crbrospnl fld flw imag cistern CPT 78630 | $1,821.60 | $4,554.00 | $621.01 – $2,606.40 | 15 |
| C-reactive protein CPT 86140 | $12.40 | $31.00 | $5.08 – $10.15 | 15 |
| C-reactive protein high sensitivity CPT 86141 | $32.40 | $81.00 | $7.40 – $25.38 | 15 |
| C-reactive protein, quantitative CPT 86406 | $29.60 | $74.00 | $7.40 – $20.85 | 15 |
| Creat artery-vein fistula autograft 36825 CPT 36825 | not published | not published | $2,504.45 – $26,710.80 | 14 |
| Create eardrum opening CPT 69436 | not published | not published | $652.16 – $7,447.96 | 14 |
| Create passage to kidney CPT 52334 | not published | not published | $1,071.48 – $16,920.72 | 14 |
| Create tear duct drain CPT 68745 | not published | not published | $1,175.19 – $18,871.60 | 14 |
| Create tear duct drain CPT 68750 | not published | not published | $1,175.19 – $18,871.60 | 14 |
| Create tear sac drain CPT 68720 | not published | not published | $1,175.19 – $18,871.60 | 14 |
| Creatine isoforms CPT 82554 | not published | not published | $8.63 – $23.27 | 14 |
| Creatine kinase CPT 82550 | $16.00 | $40.00 | $3.47 – $12.76 | 15 |
| Creatine kinase isoenzymes CPT 82552 | $37.20 | $93.00 | $8.63 – $26.24 | 15 |
| Creatine kinase mb CPT 82553 | $29.60 | $74.00 | $8.63 – $22.64 | 15 |
| Creatine - sendout CPT 82540 | $11.20 | $28.00 | $3.47 – $9.09 | 15 |
| Creatinine CPT 82565 | $12.40 | $31.00 | $3.47 – $10.04 | 15 |
| Creatinine 24 hour urine CPT 82570 | $12.40 | $31.00 | $3.47 – $10.15 | 15 |
| Creatinine clearance urine CPT 82575 | $23.60 | $59.00 | $3.47 – $18.54 | 15 |
| #creutz-prot.,western blot CPT 84182 | $56.40 | $141.00 | $7.40 – $57.25 | 15 |
| Crh stimulation panel CPT 80412 | not published | not published | $22.98 – $1,571.18 | 14 |
| Cricopharyngeal myotomy 43030 CPT 43030 | not published | not published | $3,243.71 – $28,416.55 | 14 |
| Cricotracheal resection CPT 31592 | not published | not published | $6,770.63 – $28,416.55 | 12 |
| Crisis psychotherapy 90839 CPT 90839 | $308.80 | $772.00 | $203.01 – $852.02 | 13 |
| Crisis psychotherapy additional 30 mins 90840 CPT 90840 | $109.60 | $274.00 | not published | 0 |
| Critical care 30-74 minutes CPT 99291 | $5,090.00 | $12,725.00 | $944.75 – $3,965.15 | 13 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | not published | not published | $127.35 – $580.05 | 12 |
| Crnec/crnot drg icr abs ittl CPT 61321 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Crnec/crnot expl infratntorl CPT 61305 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Crnec/crnot ittl xdrl/sdrl CPT 61314 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Crnec exc tum/bone les skull CPT 61500 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Crnec sopl sctj 1+crnl nrv CPT 61460 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Crnec sopl xpl/dcmpr crl nrv CPT 61458 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Crnec stpl sctj cmprn/dcmprn CPT 61450 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Crnec treph exc brn abs sttl CPT 61514 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Crnec treph exc cyst sttl CPT 61516 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Crnop skull defect>5 cm diam CPT 62141 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Crnop w/autograft<5 cm diam CPT 62146 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Crnop w/autograft>5 cm diam CPT 62147 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Cromolyn sodium noncomp unit HCPCS J7631 | not published | not published | $0.53 – $0.53 | 1 |
| Cross-over vein graft CPT 34520 | not published | not published | $2,600.99 – $26,710.80 | 14 |
| Crotalidae poly immune fab HCPCS J0840 | not published | not published | $1,804.20 – $9,620.17 | 14 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Crutches underarm other than wood adjustable or e0114 HCPCS E0114 | $20.00 | $50.00 | $10.23 – $76.09 | 5 |
| Cryoablate prostate CPT 55873 | not published | not published | $3,047.58 – $45,441.17 | 14 |
| Cryocautery of cervix 57511 CPT 57511 | not published | not published | $324.94 – $1,462.78 | 14 |
| Cryo fib comp path redu each HCPCS P9026 | not published | not published | $105.59 – $2,580.75 | 13 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $22.40 | $56.00 | $8.63 – $27.71 | 15 |
| Cryoprecipitate each unit HCPCS P9012 | $206.00 | $515.00 | $80.55 – $344.43 | 15 |
| Cryopreservation embryo(s) CPT 89258 | not published | not published | $921.47 – $3,867.44 | 12 |
| Cryopreservation oocyte(s) CPT 89337 | not published | not published | $194.86 – $817.83 | 12 |
| Cryopreservation sperm CPT 89259 | not published | not published | $194.86 – $817.83 | 12 |
| Cryopreserve stem cells CPT 38207 | $1,133.60 | $2,834.00 | $504.58 – $2,117.74 | 15 |
| Cryopreserve testicular tiss CPT 89335 | not published | not published | $59.60 – $250.15 | 12 |
| Cryosurg ablate fa each CPT 19105 | not published | not published | $4,478.16 – $18,794.97 | 12 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | not published | not published | $229.47 – $963.09 | 14 |
| Cryotherapy of acne 17340 CPT 17340 | not published | not published | $67.47 – $283.18 | 14 |
| Cryptococcus abs qn - sendout CPT 86641 | $36.00 | $90.00 | $7.40 – $28.24 | 15 |
| Cryptosporidium antigen CPT 87272 | not published | not published | $5.12 – $23.48 | 14 |
| Crystal identification light microscopy CPT 89060 | $17.60 | $44.00 | $6.82 – $14.37 | 15 |
| C-Section Delivery (full care) CPT 59510 | not published | not published | not published | 0 |
| Csf leakage imaging CPT 78650 | $2,065.60 | $5,164.00 | $684.51 – $6,214.62 | 15 |
| Csf shunt reprogram 62252 CPT 62252 | $1,516.80 | $3,792.00 | $27.35 – $1,474.34 | 15 |
| Csf ventriculography CPT 78635 | not published | not published | $272.41 – $2,606.40 | 14 |
| Cstb gene detc abnor allele CPT 81188 | not published | not published | $30.75 – $268.52 | 14 |
| Cstb gene full gene sequence CPT 81189 | not published | not published | $84.33 – $538.67 | 14 |
| Cstb gene known famil vrnt CPT 81190 | not published | not published | $84.33 – $362.99 | 14 |
| CT 3d report other modality w/workstation CPT 76377 | $297.20 | $743.00 | not published | 0 |
| Cta abdomen without & /or w/contrast CPT 74175 | $1,608.40 | $4,021.00 | $200.61 – $841.97 | 15 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $1,608.00 | $4,020.00 | $200.61 – $841.97 | 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.