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 |
|---|---|---|---|---|
| EKG for initial prevent exam g0403 HCPCS G0403 | not published | not published | $34.76 – $34.76 | 1 |
| EKG interpret & report preve g0405 HCPCS G0405 | not published | not published | $27.06 – $27.06 | 1 |
| EKG tracing for initial prev HCPCS G0404 | not published | not published | $33.08 – $138.82 | 12 |
| Elb disart prosth tiss shap HCPCS L6450 | not published | not published | $4,182.55 – $18,589.26 | 12 |
| Elb mold sock flex hinge pad HCPCS L6100 | not published | not published | $2,783.08 – $12,369.37 | 12 |
| Elbow arthroscopy CPT 29830 | not published | not published | $1,586.95 – $15,706.36 | 14 |
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | $1,586.95 – $15,706.36 | 14 |
| Elbow arthroscopy/surgery CPT 29835 | not published | not published | $1,586.95 – $15,706.36 | 14 |
| Elbow arthroscopy/surgery CPT 29836 | not published | not published | $3,969.53 – $34,831.50 | 14 |
| Elbow arthroscopy/surgery CPT 29837 | not published | not published | $1,586.95 – $15,706.36 | 14 |
| Elbow arthroscopy/surgery CPT 29838 | not published | not published | $1,586.95 – $15,706.36 | 14 |
| Elbow inter loc elbow forarm HCPCS L6250 | not published | not published | $3,931.39 – $17,473.02 | 12 |
| Elbow mold doub splt soc ste HCPCS L6120 | not published | not published | $3,569.40 – $15,864.23 | 12 |
| Elbow mold outsid lock hinge HCPCS L6200 | not published | not published | $4,215.64 – $18,736.41 | 12 |
| Elbow mold sock suspension t HCPCS L6110 | not published | not published | $2,838.56 – $12,615.96 | 12 |
| Elbow socket ins use without lck HCPCS L6695 | not published | not published | $710.38 – $3,157.29 | 12 |
| Elbow socket ins use w/lock HCPCS L6694 | not published | not published | $852.48 – $3,788.87 | 12 |
| Elbow stump activated lock h HCPCS L6130 | not published | not published | $4,107.75 – $18,256.83 | 12 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | $754.00 | $1,885.00 | $104.03 – $1,474.34 | 15 |
| Elec hand ind art digits HCPCS L6880 | not published | not published | $27,913.85 – $124,063.03 | 12 |
| Elec knee-shin swing/stance HCPCS L5856 | not published | not published | $28,046.28 – $124,651.59 | 12 |
| Elec stim unattend for press HCPCS G0281 | not published | not published | $11.73 – $56.49 | 12 |
| Elect analysis of infusion pump 62367 CPT 62367 | $717.60 | $1,794.00 | $104.03 – $1,474.34 | 15 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | $696.40 | $1,741.00 | $104.03 – $1,474.34 | 15 |
| Electrd sq emblem s-icd HCPCS C1896 | $9,672.80 | $24,182.00 | not published | 0 |
| Electrical bone stim 20974 CPT 20974 | not published | not published | $49.24 – $238.49 | 14 |
| Electrical stimulation/unattended 97014 CPT 97014 | $16.80 | $42.00 | $7.09 – $15.40 | 7 |
| Electric stim/w chemodenervation 95873 CPT 95873 | $216.00 | $540.00 | $309.03 – $333.75 | 5 |
| Electrocochleography CPT 92584 | not published | not published | $58.00 – $673.34 | 14 |
| Electroconvulsive therapy 90870 CPT 90870 | $1,223.60 | $3,059.00 | $346.46 – $4,122.14 | 15 |
| Electrocorticography durng sx CPT 95829 | not published | not published | $226.73 – $244.87 | 5 |
| Electrode stimulation brain CPT 95961 | not published | not published | $226.73 – $4,326.18 | 14 |
| Electroejaculation CPT 55870 | not published | not published | $1,053.42 – $4,421.25 | 12 |
| Electrogastrography CPT 91132 | not published | not published | $96.84 – $1,296.68 | 14 |
| Electrogastrography w/test CPT 91133 | not published | not published | $96.84 – $638.68 | 14 |
| Electrolyte panel CPT 80051 | $16.40 | $41.00 | $5.88 – $13.74 | 15 |
| Electromagntic tx for ulcers HCPCS G0329 | not published | not published | $10.86 – $51.76 | 12 |
| Electron elbow child switch HCPCS L7186 | not published | not published | $10,527.01 – $46,787.26 | 12 |
| Electronic analysis with brain program ea add 15 min 95984 CPT 95984 | $204.40 | $511.00 | $104.03 – $112.35 | 5 |
| Electronic analysis with brain program first 15 min 95983 CPT 95983 | $326.00 | $815.00 | $104.03 – $462.12 | 15 |
| Electronic elbo simultaneous HCPCS L7181 | not published | not published | $46,811.96 – $208,055.58 | 12 |
| Electronic elbow sequential HCPCS L7180 | not published | not published | $43,602.14 – $193,789.62 | 12 |
| Electron microscopy diagnostic CPT 88348 | $1,459.60 | $3,649.00 | $28.69 – $3,867.44 | 15 |
| Electro-oculography w/i&r CPT 92270 | not published | not published | $51.65 – $638.68 | 14 |
| Electrophysiologic study CPT 93624 | not published | not published | $8,920.64 – $37,440.17 | 14 |
| Electrophysiology evaluation CPT 93619 | $9,398.00 | $23,495.00 | $8,920.64 – $37,440.17 | 15 |
| Electrophysiology evaluation CPT 93620 | $13,306.80 | $33,267.00 | $8,920.64 – $37,440.17 | 15 |
| Electrophysiology evaluation CPT 93621 | $4,559.60 | $11,399.00 | $11,601.67 – $12,529.81 | 5 |
| Electrophysiology evaluation CPT 93622 | $4,559.60 | $11,399.00 | $11,601.67 – $12,529.81 | 5 |
| Electrophysiology evaluation CPT 93641 | $1,722.40 | $4,306.00 | $4,399.22 – $4,751.15 | 5 |
| Electrophysiology evaluation CPT 93642 | $3,582.00 | $8,955.00 | $1,392.52 – $5,844.47 | 15 |
| Electrophysiology evaluation CPT 93644 | $669.60 | $1,674.00 | not published | 0 |
| Electrophys map 3d add-on CPT 93613 | $4,890.00 | $12,225.00 | $11,601.67 – $12,529.81 | 5 |
| Elisa hiv-1/hiv-2 screen HCPCS G0433 | not published | not published | $17.92 – $35.85 | 12 |
| Elosulfase alfa, injection HCPCS J1322 | not published | not published | $305.71 – $1,216.35 | 12 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | not published | not published | $7.88 – $3,428.99 | 14 |
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | not published | not published | $183.06 – $4,545.55 | 13 |
| Embedded ip cath exit-site 49436 CPT 49436 | not published | not published | $524.65 – $9,211.19 | 14 |
| Emboli detcj wo IV mbubb njx CPT 93897 | not published | not published | $119.20 – $128.74 | 5 |
| Embolization s&i CPT 75894 | $4,787.20 | $11,968.00 | $127.62 – $137.83 | 5 |
| Embo or occlude vascular arterial s&i CPT 37242 | $10,480.80 | $26,202.00 | $7,787.45 – $87,996.08 | 15 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $12,855.60 | $32,139.00 | $7,787.45 – $55,414.74 | 15 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $11,735.20 | $29,338.00 | $7,787.45 – $55,414.74 | 15 |
| Embo or occlude vascular venous s&i CPT 37241 | $9,994.80 | $24,987.00 | $7,787.45 – $55,414.74 | 15 |
| Embryo hatching CPT 89253 | not published | not published | $194.86 – $817.83 | 12 |
| Embryo transfer intrauterine CPT 58974 | not published | not published | $1,053.42 – $4,421.25 | 12 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | not published | not published | $2,600.99 – $26,710.80 | 14 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | not published | not published | $2,600.99 – $26,710.80 | 14 |
| Emb w/colposcopy 58110 CPT 58110 | $83.20 | $208.00 | $324.94 – $350.93 | 5 |
| Emb without cervical dilation 58100 CPT 58100 | $412.40 | $1,031.00 | $231.23 – $970.48 | 15 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $313.20 | $783.00 | $96.84 – $638.68 | 15 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | not published | not published | $96.84 – $673.34 | 14 |
| Emg cranial nerve bilateral CPT 95868 | not published | not published | $96.84 – $1,296.68 | 14 |
| Emg needle test 1-extremity CPT 95860 | $313.20 | $783.00 | $96.84 – $638.68 | 15 |
| Emg needle test 4-extremities CPT 95864 | not published | not published | $96.84 – $673.34 | 14 |
| Emg thor paraspinal without t1/t2 CPT 95869 | not published | not published | $96.84 – $1,036.49 | 14 |
| Emr hd pmp elec/combo, rep HCPCS Q0494 | not published | not published | $250.70 – $1,114.21 | 12 |
| Emr pwr cbl combo vad, rep HCPCS Q0493 | not published | not published | $296.26 – $1,316.77 | 12 |
| Emr pwr cbl elec vad, rep HCPCS Q0492 | not published | not published | $104.02 – $462.31 | 12 |
| Emr pwr source combo vad rep HCPCS Q0491 | not published | not published | $1,291.41 – $5,739.67 | 12 |
| Emr pwr source elec vad, rep HCPCS Q0490 | not published | not published | $821.45 – $3,650.94 | 12 |
| Encephalitis, california igg/igm CPT 86651 | $36.00 | $90.00 | $7.40 – $25.85 | 15 |
| Encephalitis, st louis igg/igm CPT 86653 | $36.00 | $90.00 | $7.40 – $25.85 | 15 |
| Encephalitis, western equine igg/igm CPT 86654 | $36.00 | $90.00 | $7.40 – $25.85 | 15 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | not published | not published | $1,814.19 – $15,156.63 | 14 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | $6,436.80 | $16,092.00 | $1,814.19 – $15,156.63 | 15 |
| Endo ak/hip alignable system HCPCS L5920 | not published | not published | $631.45 – $2,806.52 | 12 |
| Endo ak/hip knee extens assi HCPCS L5850 | not published | not published | $152.25 – $676.63 | 12 |
| Endo ak ultra-light material HCPCS L5950 | not published | not published | $1,066.83 – $4,741.58 | 12 |
| Endo assay seven anal CPT 81506 | not published | not published | $67.54 – $135.08 | 11 |
| Endo below knee alignable sy HCPCS L5910 | $226.00 | $565.00 | $371.45 – $1,915.66 | 13 |
| Endo bk ultra-light material HCPCS L5940 | $389.20 | $973.00 | $639.62 – $3,298.74 | 13 |
| Endo cath bile duct s&i CPT 74328 | $511.60 | $1,279.00 | $127.62 – $137.83 | 5 |
| Endo cath panc duct s&i CPT 74329 | $401.60 | $1,004.00 | $127.62 – $137.83 | 5 |
| Endocerv curettage w/scope 57456 CPT 57456 | $1,516.80 | $3,792.00 | $324.94 – $1,462.78 | 15 |
| Endocervical curettage 57505 CPT 57505 | $1,860.00 | $4,650.00 | $324.94 – $4,421.25 | 15 |
| Endo cholangiopancreatograph CPT 43261 | not published | not published | $1,811.81 – $18,507.16 | 14 |
| Endo cholangiopancreatograph CPT 43262 | not published | not published | $1,811.81 – $18,507.16 | 14 |
| Endo defect closure gi tract HCPCS C9901 | not published | not published | $12,157.56 – $51,025.66 | 11 |
| Endo hip ultra-light materia HCPCS L5960 | not published | not published | $1,219.34 – $5,419.37 | 12 |
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.