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 |
|---|---|---|---|---|
| Cyp2c19 gene com variants CPT 81225 | $401.60 | $1,004.00 | $84.33 – $571.07 | 15 |
| Cyp2c9 gene com variants CPT 81227 | $240.40 | $601.00 | $84.33 – $342.63 | 15 |
| Cyp2d6 gene com variants CPT 81226 | $620.40 | $1,551.00 | $286.81 – $883.78 | 15 |
| Cyp3a4 gene common variants CPT 81230 | $240.40 | $601.00 | $171.31 – $342.63 | 13 |
| Cyp3a5 gene common variants CPT 81231 | $240.40 | $601.00 | $171.31 – $342.63 | 13 |
| Cystatin c CPT 82610 | $37.60 | $94.00 | $8.63 – $36.30 | 15 |
| Cystic fibrosis cftr CPT 81223 | $967.60 | $2,419.00 | $286.81 – $978.04 | 15 |
| Cystine urine quantitative CPT 82131 | $46.00 | $115.00 | $8.63 – $45.04 | 15 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $2,085.40 – $16,920.72 | 14 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $561.20 | $1,403.00 | $85.70 – $1,705.83 | 15 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $3,047.58 – $45,441.17 | 14 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $10,826.99 – $45,441.17 | 11 |
| Cysto, litho, vacuum kidney HCPCS C9761 | not published | not published | $7,064.69 – $45,441.17 | 12 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $269.75 – $3,347.17 | 14 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $2,500.00 – $5,629.03 | 2 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $2,934.74 – $45,441.17 | 14 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $6,132.40 – $25,737.83 | 11 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $1,071.48 – $16,920.72 | 14 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $1,107.76 – $16,920.72 | 14 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $1,107.76 – $16,920.72 | 14 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $1,107.76 – $16,920.72 | 14 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $1,107.76 – $16,920.72 | 14 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $1,107.76 – $16,920.72 | 14 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $1,107.76 – $25,737.83 | 14 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $1,107.76 – $10,034.34 | 14 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $1,107.76 – $10,034.34 | 14 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $2,085.40 – $10,034.34 | 14 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $2,085.40 – $16,920.72 | 14 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $2,085.40 – $10,034.34 | 14 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $797.51 – $3,347.17 | 14 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $1,107.76 – $10,034.34 | 14 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $2,934.74 – $16,920.72 | 14 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $1,107.76 – $16,920.72 | 14 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $2,934.74 – $25,737.83 | 14 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $1,107.76 – $10,034.34 | 14 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $1,107.76 – $10,034.34 | 14 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $1,107.76 – $16,920.72 | 14 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $1,107.76 – $16,920.72 | 14 |
| Cystoscopy (Bladder Scope) CPT 52000 | $1,827.60 | $4,569.00 | $797.51 – $3,347.17 | 15 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $1,107.76 – $10,034.34 | 14 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $269.75 – $3,347.17 | 14 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $2,085.40 – $16,920.72 | 14 |
| Cystoscopy inject material CPT 52327 | not published | not published | $2,934.74 – $25,737.83 | 14 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $3,047.58 – $25,737.83 | 14 |
| Cystoscopy removal of clots CPT 52001 | $3,235.60 | $8,089.00 | $1,107.76 – $16,920.72 | 15 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $2,085.40 – $10,034.34 | 14 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $2,085.40 – $10,034.34 | 14 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $2,934.74 – $25,737.83 | 14 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $1,107.76 – $10,034.34 | 14 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $1,107.76 – $10,034.34 | 14 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $1,107.76 – $16,920.72 | 14 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $1,107.76 – $16,920.72 | 14 |
| Cystouretero & or pyeloscope CPT 52351 | $1,178.40 | $2,946.00 | $1,107.76 – $16,920.72 | 15 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $1,107.76 – $16,920.72 | 14 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $2,088.63 – $25,737.83 | 14 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $2,088.63 – $25,737.83 | 14 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $2,934.74 – $25,737.83 | 14 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $2,088.63 – $25,737.83 | 14 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $2,088.63 – $25,737.83 | 14 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $1,107.76 – $16,920.72 | 14 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $2,934.74 – $16,920.72 | 14 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $2,085.40 – $16,920.72 | 14 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $1,107.76 – $10,034.34 | 14 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $1,107.76 – $10,034.34 | 14 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $1,071.48 – $16,920.72 | 14 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $1,071.48 – $16,920.72 | 14 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $1,107.76 – $16,920.72 | 14 |
| Cytarabine liposome inj HCPCS J9098 | not published | not published | $1,285.34 – $4,359.60 | 7 |
| Cytog alys chrml abnr lw-ps CPT 81349 | not published | not published | $1,160.00 – $2,347.96 | 11 |
| Cytogenetics 25-99 CPT 88274 | $86.00 | $215.00 | $30.75 – $83.06 | 15 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $30.75 – $79.77 | 14 |
| Cytogenomic neo microra alys CPT 81277 | $2,198.00 | $5,495.00 | $286.81 – $2,273.60 | 15 |
| Cytogenom microarray copy nmbr var CPT 81228 | $649.60 | $1,624.00 | $286.81 – $1,764.00 | 15 |
| Cytog genom-wid alys hem mal CPT 81195 | not published | not published | $1,263.53 – $3,651.91 | 11 |
| Cytomegalovirus ag ia CPT 87332 | not published | not published | $5.12 – $23.48 | 14 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $33.60 | $84.00 | $7.40 – $28.20 | 15 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $42.00 | $105.00 | $7.40 – $33.03 | 15 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $5.12 – $26.30 | 14 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $1,772.43 – $8,401.69 | 14 |
| Cytomeg dna dir probe CPT 87495 | not published | not published | $19.51 – $58.86 | 14 |
| Cyto/molecular report CPT 88291 | $68.40 | $171.00 | $30.75 – $33.21 | 5 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $12.26 – $49.73 | 14 |
| Cytopath c/v automated CPT 88147 | not published | not published | $12.26 – $99.10 | 14 |
| Cytopath c/v auto redo CPT 88152 | not published | not published | $12.26 – $54.17 | 14 |
| Cytopath c/v auto rescreen CPT 88148 | not published | not published | $12.26 – $36.34 | 14 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $12.26 – $28.71 | 14 |
| Cytopath c/v manual CPT 88150 | not published | not published | $12.26 – $36.34 | 14 |
| Cytopath c/v redo CPT 88153 | not published | not published | $12.26 – $47.10 | 14 |
| Cytopath c/v thin layer redo CPT 88143 | not published | not published | $12.26 – $45.16 | 14 |
| Cytopath fl nongyn filter CPT 88106 | $76.00 | $190.00 | $6.82 – $138.82 | 15 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $158.00 | $395.00 | $20.49 – $250.15 | 15 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $55.60 | $139.00 | $12.26 – $52.16 | 15 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $49.60 | $124.00 | $12.26 – $39.71 | 15 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $120.40 | $301.00 | $6.82 – $179.28 | 15 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $58.00 | $145.00 | $6.82 – $179.28 | 15 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $48.00 | $120.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $153.20 | $383.00 | $28.17 – $817.83 | 15 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $158.00 | $395.00 | $26.14 – $250.15 | 15 |
| Cytopath smear other source CPT 88160 | $82.40 | $206.00 | $6.82 – $138.82 | 15 |
| Cytopath smear other source CPT 88162 | $158.40 | $396.00 | $28.17 – $250.15 | 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.