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 |
|---|---|---|---|---|
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $1,607.60 | $4,019.00 | $200.61 – $841.97 | 15 |
| Cta neck without &/or w/contrast CPT 70498 | $1,502.40 | $3,756.00 | $200.61 – $841.97 | 15 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $2,226.40 | $5,566.00 | $274.65 – $1,705.83 | 15 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,401.60 | $3,504.00 | $200.61 – $841.97 | 15 |
| CT Angiogram of the Head CPT 70496 | $1,518.00 | $3,795.00 | $200.61 – $841.97 | 15 |
| CT angio hrt w/3d image CPT 75574 | $1,258.00 | $3,145.00 | $274.65 – $1,674.66 | 15 |
| CT angio pelvis CPT 72191 | $1,607.60 | $4,019.00 | $200.61 – $841.97 | 15 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,516.00 | $3,790.00 | $200.61 – $841.97 | 15 |
| CT bone density axial CPT 77078 | not published | not published | $56.34 – $417.74 | 14 |
| CT cerebral perf w cont & prcssng CPT 70473 | $1,813.20 | $4,533.00 | $200.61 – $841.97 | 10 |
| CT colonography dx CPT 74261 | $910.40 | $2,276.00 | $119.57 – $501.84 | 13 |
| CT colonography dx w/dye CPT 74262 | $1,472.00 | $3,680.00 | $200.61 – $841.97 | 13 |
| CT colonography screening CPT 74263 | $1,101.60 | $2,754.00 | $272.89 – $1,145.33 | 11 |
| CT guidance for needle placement CPT 77012 | $556.00 | $1,390.00 | $66.06 – $71.35 | 5 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $442.40 | $1,106.00 | $127.62 – $137.83 | 5 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $282.12 – $1,184.07 | 14 |
| CT guid parench tis ablat CPT 77013 | $1,693.60 | $4,234.00 | $66.06 – $71.35 | 5 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $59.60 | $149.00 | $99.53 – $417.74 | 13 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $1,139.20 | $2,848.00 | $224.34 – $1,674.66 | 15 |
| CT hrt w/3d image CPT 75572 | $1,096.00 | $2,740.00 | $224.34 – $1,674.66 | 15 |
| CT limited or localized follow-up study CPT 76380 | $507.60 | $1,269.00 | $82.80 – $417.74 | 15 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $1,125.20 | $2,813.00 | $200.61 – $841.97 | 15 |
| CT lower extremity without contrast (both sides) CPT 73700 | $870.00 | $2,175.00 | $82.80 – $501.84 | 15 |
| Ctlso a-p-l control molded HCPCS L0700 | $1,184.40 | $2,961.00 | $1,946.22 – $10,037.28 | 13 |
| Ctlso a-p-l control with inter HCPCS L0710 | $1,337.60 | $3,344.00 | $2,198.23 – $11,337.02 | 13 |
| Ctlso axilla sling HCPCS L1010 | $40.80 | $102.00 | $67.00 – $345.54 | 13 |
| Ctlso milwauke initial model HCPCS L1000 | not published | not published | $2,716.25 – $12,072.40 | 12 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,452.00 | $3,630.00 | $200.61 – $841.97 | 15 |
| CT neck soft tissue w/contrast CPT 70491 | $1,110.00 | $2,775.00 | $200.61 – $841.97 | 15 |
| CT neck soft tissue without contrast CPT 70490 | $864.40 | $2,161.00 | $82.80 – $501.84 | 15 |
| CT neck soft tissue without & w/contrast CPT 70492 | $1,370.00 | $3,425.00 | $200.61 – $841.97 | 15 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,533.60 | $3,834.00 | $200.61 – $841.97 | 15 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,349.20 | $3,373.00 | $200.61 – $841.97 | 15 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $911.60 | $2,279.00 | $82.80 – $501.84 | 15 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | not published | not published | $78.87 – $1,136.96 | 14 |
| CT scan for localization CPT 77011 | $1,634.00 | $4,085.00 | $66.06 – $71.35 | 5 |
| CT scan for therapy guide CPT 77014 | not published | not published | $66.06 – $71.35 | 5 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $2,091.60 | $5,229.00 | $224.34 – $1,705.83 | 15 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $2,021.60 | $5,054.00 | $224.34 – $1,705.83 | 15 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,435.60 | $3,589.00 | $224.34 – $1,145.33 | 15 |
| CT thoracic spine w/contrast CPT 72129 | $1,137.60 | $2,844.00 | $200.61 – $841.97 | 15 |
| CT thoracic spine without contrast CPT 72128 | $888.00 | $2,220.00 | $82.80 – $501.84 | 15 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $332.00 | $830.00 | $82.80 – $501.84 | 14 |
| CT t-spine w /wo contrast CPT 72130 | $1,432.40 | $3,581.00 | $200.61 – $841.97 | 15 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,316.00 | $3,290.00 | $224.34 – $1,705.83 | 15 |
| CT upper extremity without contrast (both sides) CPT 73200 | $866.00 | $2,165.00 | $82.80 – $501.84 | 15 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,452.00 | $3,630.00 | $200.61 – $841.97 | 15 |
| Cuffs adj lock with active con HCPCS L3740 | $615.20 | $1,538.00 | $1,010.76 – $5,212.82 | 13 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $194.86 – $817.83 | 12 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $194.86 – $817.83 | 12 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $1,390.20 – $17,010.70 | 14 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $1,390.20 – $9,904.20 | 14 |
| Culture aerobic additional method definitive id each CPT 87077 | $20.40 | $51.00 | $5.12 – $15.84 | 15 |
| Culture afb any source CPT 87116 | $27.60 | $69.00 | $5.12 – $21.17 | 15 |
| Culture anaerobic additional method definitive id each CPT 87076 | not published | not published | $5.12 – $15.84 | 14 |
| Culture anaerobic except blood CPT 87075 | $23.60 | $59.00 | $5.12 – $18.56 | 15 |
| Culture bacteria anaerobic CPT 87073 | not published | not published | $5.12 – $18.93 | 14 |
| Culture bacterial urine HCPCS P7001 | not published | not published | $21.39 – $152.49 | 2 |
| Culture bact stool aero addl path ea CPT 87046 | $23.60 | $59.00 | $5.12 – $18.50 | 15 |
| Culture body fluid CPT 87070 | $21.60 | $54.00 | $5.12 – $16.90 | 15 |
| Culture fungi definitive id mold CPT 87107 | $28.40 | $71.00 | $5.12 – $20.23 | 15 |
| Culture fungi definitive id yeast CPT 87106 | $26.00 | $65.00 | $5.12 – $20.23 | 15 |
| Culture fungi other (except blood) CPT 87102 | $21.20 | $53.00 | $5.12 – $16.48 | 15 |
| Culture fungi skin/hair/nail CPT 87101 | $19.60 | $49.00 | $5.12 – $15.11 | 15 |
| Culture mycobacteria definitive id each isolate CPT 87118 | not published | not published | $5.12 – $28.64 | 14 |
| Culture mycoplasma any source CPT 87109 | $29.20 | $73.00 | $5.12 – $30.16 | 15 |
| Culture of specimen by kit CPT 87084 | not published | not published | $5.12 – $53.06 | 14 |
| Culture quantitative aerobic other source CPT 87071 | not published | not published | $5.12 – $19.38 | 14 |
| Culture screening strep group a CPT 87081 | $16.40 | $41.00 | $5.12 – $12.99 | 15 |
| Culture type pulse field gel CPT 87152 | not published | not published | $5.12 – $15.17 | 14 |
| Culture typing added method CPT 87158 | $14.00 | $35.00 | $5.12 – $15.17 | 15 |
| Culture typing glc/hplc CPT 87143 | not published | not published | $5.12 – $24.54 | 14 |
| Culture typing immunologic CPT 87147 | $13.20 | $33.00 | $5.08 – $10.15 | 15 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | not published | not published | $213.70 – $427.40 | 11 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $88.40 | $221.00 | $34.39 – $68.78 | 13 |
| Culture urine each isolate CPT 87088 | $17.60 | $44.00 | $5.12 – $15.86 | 15 |
| Culture virus isolation CPT 87250 | not published | not published | $5.12 – $38.34 | 14 |
| Curette/treat cornea CPT 65435 | not published | not published | $376.72 – $4,785.26 | 14 |
| Curette/treat cornea CPT 65436 | not published | not published | $376.72 – $11,412.47 | 14 |
| Cus elbo skt in for con/atyp HCPCS L6696 | not published | not published | $1,536.77 – $6,830.22 | 12 |
| Cus elbo skt in not con/atyp HCPCS L6697 | not published | not published | $1,536.77 – $6,830.22 | 12 |
| Custom glove for term device HCPCS L6895 | not published | not published | $737.82 – $3,279.29 | 12 |
| Custom shape cover ak HCPCS L5705 | not published | not published | $1,191.41 – $5,295.28 | 12 |
| Custom shape cover bk HCPCS L5704 | $380.40 | $951.00 | $625.41 – $3,225.44 | 13 |
| Custom shape cvr hip disart HCPCS L5707 | not published | not published | $1,678.65 – $7,460.74 | 12 |
| Custom shape cvr knee disart HCPCS L5706 | not published | not published | $1,180.85 – $5,248.24 | 12 |
| Cutter lead HCPCS C1773 | $16,117.60 | $40,294.00 | not published | 0 |
| Cv line/pic reposition CPT 36597 | $832.40 | $2,081.00 | $518.92 – $7,556.28 | 15 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $38.40 | $96.00 | $8.63 – $28.07 | 15 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $29.20 | $73.00 | not published | 0 |
| Cyclic citrullinated peptide antibody CPT 86200 | $32.40 | $81.00 | $7.40 – $25.38 | 15 |
| Cyclophosphamide 100 mg inj HCPCS J9070 | not published | not published | $35.41 – $100.19 | 3 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $13.95 | $34.86 | $0.76 – $121.13 | 14 |
| Cyclosporine 2 hour CPT 80158 | $45.20 | $113.00 | $7.45 – $35.38 | 15 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $2.32 | $5.80 | not published | 0 |
| Cyclosporine oral 100 mg HCPCS J7502 | $3.48 | $8.70 | not published | 0 |
| Cygnus matrix, per sq cm HCPCS Q4199 | not published | not published | $142.33 – $597.36 | 10 |
| Cygnus, per sq cm HCPCS Q4170 | not published | not published | $142.33 – $597.36 | 10 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $31,089.60 | $77,724.00 | not published | 0 |
| Cymetra injectable HCPCS Q4112 | $883.60 | $2,209.00 | not published | 0 |
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.