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 |
|---|---|---|---|---|
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | not published | not published | $142.33 – $597.36 | 10 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | $6,943.60 | $17,359.00 | $142.33 – $597.36 | 10 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $19,913.20 | $49,783.00 | $142.33 – $597.36 | 10 |
| Drsg wound/burn 18x10cm suprathel resorb cost per sq cm HCPCS A2012 | not published | not published | $142.33 – $597.36 | 10 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $16,360.80 | $40,902.00 | $142.33 – $597.36 | 10 |
| Drug admin & hemodynmic meas CPT 93463 | $3,292.40 | $8,231.00 | $31.36 – $33.87 | 5 |
| Drug assay caffeine CPT 80155 | $44.40 | $111.00 | $7.45 – $75.60 | 15 |
| Drug assay posaconazole CPT 80187 | $37.60 | $94.00 | $7.45 – $53.14 | 15 |
| Drug assay rufinamide CPT 80210 | $20.00 | $50.00 | $7.45 – $53.14 | 14 |
| Drug assay vedolizumab CPT 80280 | $53.60 | $134.00 | $7.45 – $75.60 | 15 |
| Drug assay voriconazole CPT 80285 | $21.60 | $54.00 | $7.45 – $53.14 | 15 |
| Drug asy hydroxychloroquine CPT 80220 | $54.40 | $136.00 | $7.45 – $36.53 | 14 |
| Drug of abuse screen urine CPT 80305 | $44.40 | $111.00 | $8.63 – $24.70 | 15 |
| Drug screening tapentadol CPT 80372 | $122.00 | $305.00 | not published | 0 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $7.45 – $53.14 | 14 |
| Drug/substance nos 4-6 CPT 80376 | $124.00 | $310.00 | not published | 0 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $77.89 – $389.53 | 14 |
| Drug test def 1-7 classes HCPCS G0480 | $124.00 | $310.00 | $22.70 – $224.28 | 15 |
| Drug test def 22+ classes HCPCS G0483 | $687.60 | $1,719.00 | $77.89 – $483.96 | 15 |
| Drug test def 8-14 classes HCPCS G0481 | $313.20 | $783.00 | $77.89 – $306.92 | 15 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $60.90 – $121.79 | 12 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $8.63 – $33.59 | 14 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $71.20 | $178.00 | $60.90 – $121.79 | 15 |
| Drvvt confirm - quest CPT 85597 | $45.20 | $113.00 | $2.64 – $35.24 | 15 |
| Dry needling (97799) CPT 97799 | not published | not published | $22.93 – $24.76 | 5 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $2,288.08 – $18,871.60 | 14 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $4,592.80 | $11,482.00 | $2,233.37 – $9,373.54 | 13 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $116.08 – $1,951.35 | 14 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $116.08 – $1,951.35 | 14 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $116.08 – $3,547.71 | 14 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $116.08 – $3,547.71 | 14 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $629.04 – $2,640.11 | 14 |
| Ductogram sgl duct CPT 77053 | $661.20 | $1,653.00 | $85.70 – $1,145.33 | 15 |
| Duodenal exclusion CPT 48547 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Duodenal motility study CPT 91022 | not published | not published | $426.79 – $2,238.28 | 14 |
| Duplex scan bilateral study 93985 CPT 93985 | $767.60 | $1,919.00 | $272.89 – $1,145.33 | 13 |
| Duplex scan unilateral study 93986 CPT 93986 | $369.20 | $923.00 | $119.57 – $501.84 | 13 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $369.20 | $923.00 | $78.52 – $501.84 | 15 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $544.00 | $1,360.00 | $78.52 – $1,296.68 | 15 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $743.60 | $1,859.00 | $78.52 – $1,145.33 | 15 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $3,769.20 | $9,423.00 | not published | 0 |
| Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm HCPCS Q4432 | $3,873.20 | $9,683.00 | $142.33 – $597.36 | 10 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $84.42 – $2,018.91 | 14 |
| Dxa bone density axl vrt fx CPT 77085 | $363.60 | $909.00 | $56.34 – $501.84 | 15 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $27.35 – $689.78 | 13 |
| Dx aly aud oi snd prcsr each CPT 92623 | not published | not published | $27.35 – $29.53 | 5 |
| Dx bronchoscope/brush 31623 CPT 31623 | $2,912.00 | $7,280.00 | $1,165.56 – $8,543.90 | 15 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $2,912.00 | $7,280.00 | $1,165.56 – $8,543.90 | 15 |
| Dx bronchoscope/wash 31622 CPT 31622 | $2,912.00 | $7,280.00 | $1,165.56 – $8,543.90 | 15 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $51.65 – $2,144.37 | 14 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $477.34 – $4,353.73 | 14 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $477.34 – $4,353.73 | 14 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $246.96 – $1,296.68 | 14 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $147.17 – $673.34 | 14 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $447.33 – $1,877.47 | 14 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $539.64 – $8,543.90 | 14 |
| Dx ntrop epcr Ultrasound chd img acq CPT 76988 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $285.76 – $1,505.29 | 14 |
| Dynamic fine wire emg CPT 96003 | not published | not published | $524.65 – $1,296.68 | 3 |
| Dynamic surface emg CPT 96002 | $447.20 | $1,118.00 | $246.96 – $1,036.49 | 13 |
| Ear and throat examination CPT 92502 | not published | not published | $78.87 – $2,588.91 | 14 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $1,774.58 – $7,447.96 | 14 |
| Ear cartilage graft CPT 21235 | not published | not published | $2,476.42 – $28,416.55 | 14 |
| Ear irrigation 69209 CPT 69209 | $163.20 | $408.00 | $67.47 – $283.18 | 15 |
| Ear protector evaluation CPT 92596 | $105.20 | $263.00 | $42.72 – $179.28 | 13 |
| Ecallantide injection HCPCS J1290 | not published | not published | $567.17 – $2,409.92 | 12 |
| Ecg 12 lead tracing only CPT 93005 | $142.00 | $355.00 | $18.72 – $283.18 | 15 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $85.20 | $213.00 | $18.72 – $283.18 | 15 |
| Ecg < 30 days transmission & analysis CPT 93271 | $340.00 | $850.00 | $48.48 – $462.12 | 15 |
| Ecg external < 48 hours recording CPT 93225 | $289.60 | $724.00 | $48.48 – $638.68 | 15 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $410.40 | $1,026.00 | $48.48 – $537.59 | 15 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | not published | not published | $42.72 – $179.28 | 13 |
| Ecg external >7 days up to 15 days recording CPT 93246 | not published | not published | $42.72 – $266.13 | 13 |
| Ecg record/review CPT 93268 | not published | not published | not published | 0 |
| Ecg/review interpret only CPT 93272 | not published | not published | not published | 0 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,708.40 | $4,271.00 | $329.43 – $2,622.93 | 15 |
| Echocardiography doppler color flow mapping CPT 93325 | $732.40 | $1,831.00 | $78.52 – $84.80 | 5 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | not published | not published | $329.43 – $3,762.98 | 14 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $792.40 | $1,981.00 | $272.89 – $1,145.33 | 15 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | not published | not published | $329.43 – $1,705.83 | 14 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $308.40 | $771.00 | $329.43 – $355.78 | 5 |
| Echo exam of eye CPT 76516 | not published | not published | $78.52 – $501.84 | 14 |
| Echo exam of eye CPT 76519 | not published | not published | $78.52 – $501.84 | 14 |
| Echo exam of eye CPT 76529 | not published | not published | $40.65 – $417.74 | 14 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $33.08 – $138.82 | 14 |
| Echo exam of fetal heart CPT 76825 | $1,254.00 | $3,135.00 | $72.18 – $2,622.93 | 15 |
| Echo exam of fetal heart CPT 76826 | $1,041.60 | $2,604.00 | $72.18 – $1,145.33 | 15 |
| Echo exam of fetal heart CPT 76827 | $340.00 | $850.00 | $72.18 – $501.84 | 15 |
| Echo exam of fetal heart CPT 76828 | $312.00 | $780.00 | $72.18 – $501.84 | 15 |
| Echo exam uterus 76831- CPT 76831 | $377.60 | $944.00 | $119.20 – $1,145.33 | 15 |
| Echograp trans r pros study CPT 76873 | $468.00 | $1,170.00 | $119.20 – $501.84 | 15 |
| Echo guidance radiotherapy CPT 76965 | $270.40 | $676.00 | $80.33 – $86.76 | 5 |
| Echo guidance radiotherapy HCPCS G6001 | not published | not published | $80.33 – $507.24 | 6 |
| Echo guide for amniocentesis CPT 76946 | $107.20 | $268.00 | $80.33 – $86.76 | 5 |
| Echo guide for artery repair CPT 76936 | $719.60 | $1,799.00 | $127.62 – $1,296.68 | 15 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $80.33 – $86.76 | 5 |
| Echo guide for transfusion CPT 76941 | $298.40 | $746.00 | $80.33 – $86.76 | 5 |
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.