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 |
|---|---|---|---|---|
| Cytopath smear oth prep screen & interp CPT 88161 | $65.60 | $164.00 | $6.82 – $138.82 | 15 |
| Cytopath tbs c/v auto redo CPT 88166 | not published | not published | $12.26 – $36.34 | 14 |
| Cytopath tbs c/v manual CPT 88164 | $30.40 | $76.00 | $12.26 – $36.34 | 15 |
| Cytopath tbs c/v redo CPT 88165 | not published | not published | $12.26 – $82.75 | 14 |
| Cytopath tbs c/v select CPT 88167 | not published | not published | $12.26 – $36.34 | 14 |
| Cytotoxic antibody screening CPT 86807 | $84.00 | $210.00 | $18.60 – $154.15 | 15 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $3.05 – $58.17 | 14 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $909.20 | $2,273.00 | $194.86 – $955.32 | 13 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $330.92 – $2,723.73 | 14 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $14.95 | $37.36 | $14.70 – $3,428.99 | 15 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $0.18 | $0.44 | $0.42 – $64.17 | 6 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.06 – $1.53 | 4 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $53.93 – $3,428.99 | 13 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | not published | not published | $3.01 – $275.57 | 14 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $3.01 – $122.32 | 14 |
| Dark field exam spec collj CPT 87164 | not published | not published | $5.12 – $21.05 | 14 |
| Dark field exam without collj CPT 87166 | not published | not published | $5.12 – $22.15 | 14 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $255.97 – $7,001.18 | 14 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $32.93 – $174.41 | 10 |
| Daunorubicin citrate inj HCPCS J9151 | not published | not published | $112.16 – $526.83 | 6 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $116.08 – $963.09 | 14 |
| D&c after delivery 59160 CPT 59160 | $2,917.20 | $7,293.00 | $1,346.48 – $15,538.94 | 15 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $1,612.89 – $15,538.94 | 14 |
| Dch glucoscan CPT 82948 | $9.20 | $23.00 | $3.47 – $9.88 | 15 |
| Dch pulmonary stress test CPT 94621 | $647.60 | $1,619.00 | $72.64 – $1,791.23 | 15 |
| Dch validity tests CPT 81002 | $6.40 | $16.00 | $1.95 – $6.82 | 15 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $3,586.80 | $8,967.00 | $2,233.37 – $9,373.54 | 15 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $2,734.77 – $15,914.98 | 14 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $976.42 – $9,373.54 | 14 |
| D&c of cervical stump CPT 57558 | not published | not published | $1,612.89 – $15,538.94 | 14 |
| Deamidated gliadin antibody iga CPT 86258 | $24.00 | $60.00 | $7.40 – $23.62 | 14 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | not published | not published | $266.89 – $2,689.80 | 14 |
| Debridement (>20 cm) charge pt CPT 97598 | $284.00 | $710.00 | $34.94 – $769.12 | 6 |
| Debridement bone <= 20 sq cm CPT 11044 | $1,906.40 | $4,766.00 | $712.15 – $7,928.07 | 15 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $724.00 | $1,810.00 | $712.15 – $769.12 | 5 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $821.60 | $2,054.00 | $712.15 – $769.12 | 5 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $724.00 | $1,810.00 | $266.89 – $1,951.35 | 15 |
| Debride nail1-5 11720 CPT 11720 | $112.00 | $280.00 | $46.56 – $283.18 | 15 |
| Debride nail6 or more 11721 CPT 11721 | $140.80 | $352.00 | $46.56 – $283.18 | 15 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $266.89 – $3,399.19 | 14 |
| Debride skin bone at fx site CPT 11012 | not published | not published | $712.15 – $13,943.31 | 14 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $512.40 | $1,281.00 | $712.15 – $769.12 | 5 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $318.00 | $795.00 | $78.87 – $963.09 | 15 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | not published | not published | $266.89 – $3,399.19 | 14 |
| Debr inf skin add-on 11001 CPT 11001 | not published | not published | $266.89 – $288.24 | 5 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,022.00 | $2,555.00 | $266.89 – $3,547.71 | 15 |
| Decalcification CPT 88311 | $48.00 | $120.00 | $28.69 – $30.98 | 5 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | not published | not published | $11.11 – $121.13 | 6 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $412.80 | $1,032.00 | $215.09 – $1,585.54 | 15 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $2,213.64 – $15,706.36 | 14 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $1,227.92 – $7,718.72 | 14 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,227.92 – $7,718.72 | 14 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $1,559.13 – $15,706.36 | 14 |
| Decompress fingers/hand CPT 26035 | not published | not published | $1,559.13 – $15,706.36 | 14 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $1,227.92 – $15,706.36 | 14 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $1,227.92 – $15,706.36 | 14 |
| Decompression fasct forearm CPT 24495 | not published | not published | $4,029.46 – $34,831.50 | 14 |
| Decompression of leg CPT 27892 | not published | not published | $2,429.81 – $15,706.36 | 14 |
| Decompression of leg CPT 27893 | not published | not published | $2,429.81 – $34,831.50 | 14 |
| Decompression of leg CPT 27894 | not published | not published | $2,429.81 – $15,706.36 | 14 |
| Decompression of lower leg CPT 27600 | not published | not published | $2,213.64 – $15,706.36 | 14 |
| Decompression of lower leg CPT 27601 | not published | not published | $2,213.64 – $15,706.36 | 14 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $2,429.81 – $15,706.36 | 14 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $2,213.64 – $15,706.36 | 14 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $1,839.09 – $7,718.72 | 14 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $2,213.64 – $34,831.50 | 14 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $2,213.64 – $9,373.54 | 14 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $976.42 – $9,373.54 | 14 |
| Decompressive craniotomy CPT 61322 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Decompress optic nerve CPT 67570 | not published | not published | $1,980.78 – $18,871.60 | 14 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $3,303.62 – $34,831.50 | 14 |
| Decompress small bowel CPT 44021 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $3,303.62 – $34,831.50 | 14 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $3,303.62 – $34,831.50 | 14 |
| Decompress spine cord add-on CPT 63066 | not published | not published | $3,303.62 – $3,567.91 | 5 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $3,303.62 – $3,567.91 | 5 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $1,238.45 – $13,943.31 | 14 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | not published | not published | $4.37 – $174.41 | 14 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $2,298.80 – $40,770.58 | 14 |
| Delay flap arms/legs CPT 15610 | not published | not published | $1,390.20 – $9,904.20 | 14 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $1,390.20 – $9,904.20 | 14 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $1,390.20 – $9,904.20 | 14 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $1,390.20 – $17,010.70 | 14 |
| Delivery of placenta 59414 CPT 59414 | $1,324.80 | $3,312.00 | $1,346.48 – $15,538.94 | 15 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Demonstrate use home inr mon HCPCS G0248 | $273.20 | $683.00 | $152.27 – $639.07 | 13 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $135.60 | $339.00 | $36.95 – $1,051.14 | 15 |
| Denervation of hip joint CPT 27035 | not published | not published | $2,429.81 – $15,706.36 | 14 |
| Dengue vacc quad 3 dose subq CPT 90587 | not published | not published | $190.08 – $190.08 | 1 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $13.60 | $34.00 | $28.92 – $796.31 | 15 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | not published | not published | $78.87 – $638.68 | 14 |
| Dermabrasion other than face CPT 15782 | not published | not published | $779.37 – $13,943.31 | 14 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $779.37 – $3,399.19 | 14 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $464.94 – $1,951.35 | 14 |
| Dermabrasion total face CPT 15780 | not published | not published | $779.37 – $13,943.31 | 14 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $1,390.20 – $17,010.70 | 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.