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 |
|---|---|---|---|---|
| Derma-gide, 1 sq cm HCPCS Q4203 | not published | not published | $142.33 – $597.36 | 10 |
| Dermal filler injection(s) HCPCS G0429 | not published | not published | $2,359.82 – $9,904.20 | 12 |
| Dermapure 1 square cm HCPCS Q4152 | not published | not published | $142.33 – $597.36 | 10 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $1,390.20 – $17,010.70 | 14 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $1,390.20 – $9,904.20 | 14 |
| Dermavest, plurivest sq cm HCPCS Q4153 | not published | not published | $142.33 – $597.36 | 10 |
| Derm-maxx, per sq cm HCPCS Q4238 | not published | not published | $142.33 – $597.36 | 10 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Description not available HCPCS S0013 | not published | not published | $113.26 – $122.32 | 5 |
| Design custom breast implant CPT 19396 | not published | not published | $993.24 – $18,794.97 | 14 |
| Design mlc device for imrt CPT 77338 | $980.40 | $2,451.00 | $135.96 – $1,797.33 | 15 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $49.44 | $123.60 | $6.67 – $122.32 | 12 |
| Desoxycorticosterone CPT 82633 | $47.60 | $119.00 | $8.93 – $60.72 | 15 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $4,386.00 | $10,965.00 | $2,500.00 – $2,500.00 | 1 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $116.08 – $963.09 | 14 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $116.08 – $1,727.31 | 14 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $116.08 – $1,727.31 | 14 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $116.08 – $963.09 | 14 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $116.08 – $963.09 | 14 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $116.08 – $963.09 | 14 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $116.08 – $963.09 | 14 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $116.08 – $963.09 | 14 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $116.08 – $963.09 | 14 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $116.08 – $963.09 | 14 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $2,555.60 | $6,389.00 | $607.22 – $9,373.54 | 15 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $1,303.60 | $3,259.00 | $607.22 – $655.80 | 5 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $1,045.71 – $5,744.14 | 14 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | not published | not published | $116.08 – $963.09 | 14 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $1,728.07 – $9,904.20 | 14 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $1,728.07 – $9,904.20 | 14 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $116.08 – $963.09 | 14 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $779.37 – $3,547.71 | 14 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $464.94 – $1,951.35 | 14 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $779.37 – $9,904.20 | 14 |
| Destruction 2-14 lesions 17003 CPT 17003 | not published | not published | $116.08 – $125.37 | 5 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $1,045.71 – $9,904.20 | 14 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $1,045.71 – $13,323.79 | 14 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $464.94 – $1,951.35 | 14 |
| Destruction benign lesions < 14 lesions CPT 17110 | $296.00 | $740.00 | $116.08 – $963.09 | 15 |
| Destruction by injection tx of nerve 64630 CPT 64630 | $2,679.60 | $6,699.00 | $823.46 – $4,245.66 | 15 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $1,754.80 | $4,387.00 | $607.22 – $655.80 | 5 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $3,825.20 | $9,563.00 | $607.22 – $9,373.54 | 15 |
| Destruction ciliary body CPT 66700 | not published | not published | $652.61 – $11,078.09 | 14 |
| Destruction ciliary body CPT 66720 | not published | not published | $652.61 – $11,412.47 | 14 |
| Destruction ciliary body CPT 66740 | not published | not published | $652.61 – $11,412.47 | 14 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $229.47 – $1,129.37 | 14 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $1,045.71 – $13,323.79 | 14 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $951.83 – $11,412.47 | 14 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $116.08 – $1,951.35 | 14 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $116.08 – $1,951.35 | 14 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $116.08 – $1,951.35 | 14 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $116.08 – $1,951.35 | 14 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $269.75 – $1,951.35 | 14 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $1,393.78 – $9,904.20 | 14 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $116.08 – $1,951.35 | 14 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $1,594.99 – $13,323.79 | 14 |
| Destruction vag lesions complex 57065 CPT 57065 | $6,279.60 | $15,699.00 | $1,728.07 – $15,538.94 | 15 |
| Destruction vag lesions simple 57061 CPT 57061 | $6,279.60 | $15,699.00 | $1,728.07 – $15,538.94 | 15 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $1,393.78 – $9,904.20 | 14 |
| Detect agent nos dna dir CPT 87797 | $54.40 | $136.00 | $19.51 – $58.86 | 15 |
| Detect agnt mult dna direc CPT 87800 | $93.20 | $233.00 | $19.51 – $85.59 | 15 |
| Determination venous press CPT 93770 | not published | not published | $48.48 – $52.36 | 5 |
| Determine refractive state CPT 92015 | not published | not published | not published | 0 |
| Developmental screen/score/document 96110 CPT 96110 | $218.80 | $547.00 | $12.74 – $443.93 | 7 |
| Devel tst phys/qhp 1st hr CPT 96112 | $350.40 | $876.00 | $147.17 – $1,296.68 | 15 |
| Device ablt adv novasure HCPCS C1886 | $9,923.60 | $24,809.00 | not published | 0 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $5,280.00 | $13,200.00 | not published | 0 |
| Device intraute mirena HCPCS J7298 | $1,192.22 | $2,980.55 | $374.52 – $10,509.01 | 10 |
| Device sut capio slim opn HCPCS C2631 | $1,816.80 | $4,542.00 | not published | 0 |
| Device tiss remov myosure reach HCPCS C1782 | $2,035.60 | $5,089.00 | not published | 0 |
| Dev interrog remote 1/2/mlt CPT 93295 | not published | not published | not published | 0 |
| Devise bowel pouch CPT 44316 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Devlopment test interpt&rep HCPCS G0451 | not published | not published | $116.19 – $487.67 | 12 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | not published | not published | $411.05 – $443.93 | 5 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | not published | not published | $56.34 – $417.74 | 14 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $90.70 – $701.03 | 14 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $2.43 – $404.48 | 6 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $3.84 | $9.58 | not published | 0 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $30.44 | $76.10 | not published | 0 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $199.72 – $925.26 | 14 |
| Dexamethasone panel CPT 80420 | not published | not published | $22.98 – $317.28 | 14 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $0.91 – $1.15 | 2 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $48.74 – $772.84 | 14 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $20.00 | $50.00 | not published | 0 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $20.00 | $50.00 | $11.40 – $11.40 | 1 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $20.00 | $50.00 | not published | 0 |
| Dextrose 5 % IV bolus HCPCS J7070 | $20.00 | $50.00 | not published | 0 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $51.20 | $128.00 | $8.93 – $43.57 | 15 |
| Diabetes (HbA1c) Test CPT 83036 | $24.00 | $60.00 | $3.47 – $19.03 | 15 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | not published | not published | $42.85 – $179.84 | 11 |
| Diabetic custom molded shoe HCPCS A5501 | not published | not published | $309.11 – $405.81 | 3 |
| Diabetic shoe with wedge HCPCS A5504 | not published | not published | $52.50 – $68.90 | 3 |
| Diabetic shoe w/off set heel HCPCS A5506 | not published | not published | $52.50 – $68.90 | 3 |
| Diabetic shoe w/roller/rockr HCPCS A5503 | not published | not published | $52.50 – $68.90 | 3 |
| Diab manage trn ind/group HCPCS G0109 | $32.40 | $81.00 | $16.12 – $72.18 | 15 |
| Diab shoe for density insert HCPCS A5500 | not published | not published | $103.07 – $135.31 | 3 |
| Diab shoe w/metatarsal bar HCPCS A5505 | not published | not published | $52.50 – $68.90 | 3 |
| Diag bronchoscope/catheter CPT 31643 | $1,735.20 | $4,338.00 | $1,165.56 – $8,543.90 | 15 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $2,643.73 – $29,019.93 | 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.