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 |
|---|---|---|---|---|
| Ercp biliary & pancreas CPT 74330 | $736.00 | $1,840.00 | $127.62 – $137.83 | 5 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $3,049.94 – $29,141.70 | 14 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $3,049.94 – $18,507.16 | 14 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $3,049.94 – $18,507.16 | 14 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $3,049.94 – $29,141.70 | 14 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $1,811.81 – $18,507.16 | 14 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $1,811.81 – $15,096.99 | 14 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $1,811.81 – $15,096.99 | 14 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $3,049.94 – $29,141.70 | 14 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $1,811.81 – $18,507.16 | 14 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | not published | not published | $75.22 – $1,272.76 | 14 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $96.92 | $242.30 | not published | 0 |
| ER Visit (level 1, minor) CPT 99281 | $240.00 | $600.00 | $96.44 – $698.92 | 13 |
| ER Visit (level 2) CPT 99282 | $384.00 | $960.00 | $175.61 – $707.66 | 13 |
| ER Visit (level 3) CPT 99283 | $702.00 | $1,755.00 | $312.21 – $1,876.79 | 13 |
| ER Visit (level 4) CPT 99284 | $1,378.40 | $3,446.00 | $477.23 – $1,865.50 | 13 |
| ER Visit (level 5, high severity) CPT 99285 | $2,462.40 | $6,156.00 | $681.12 – $2,537.75 | 13 |
| Erwinaze injection HCPCS J9019 | not published | not published | $683.63 – $14,171.81 | 9 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $82.02 | $205.05 | $83.74 – $396.05 | 4 |
| Escharotomy ea addl incision CPT 16036 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Esd endoscopy or colonoscopy HCPCS C9779 | not published | not published | $4,409.58 – $18,507.16 | 11 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | not published | not published | $0.72 – $2.18 | 2 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $30.30 | $75.75 | $0.31 – $1.16 | 4 |
| Esophageal dilat s&i CPT 74360 | $550.00 | $1,375.00 | $127.62 – $137.83 | 5 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Esophageal motility CPT 78258 | not published | not published | $272.41 – $1,919.01 | 14 |
| Esophageal recording CPT 93615 | not published | not published | $1,392.52 – $5,844.47 | 14 |
| Esophageal recording CPT 93616 | not published | not published | $1,392.52 – $5,844.47 | 14 |
| Esophag muc integ w/eso egd HCPCS C9777 | not published | not published | $4,409.58 – $18,507.16 | 11 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Esophagoplasty congenital CPT 43313 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $1,471.56 – $9,211.19 | 14 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $679.03 – $4,353.73 | 14 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $679.03 – $9,211.19 | 14 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $2,609.86 – $29,141.70 | 14 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $679.03 – $9,211.19 | 14 |
| Esophagoscopy balloon <30mm CPT 43220 | $872.40 | $2,181.00 | $679.03 – $9,211.19 | 15 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $679.03 – $9,211.19 | 14 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $679.03 – $9,211.19 | 14 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $679.03 – $4,353.73 | 14 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $679.03 – $4,353.73 | 14 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $679.03 – $9,211.19 | 14 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $1,471.56 – $18,507.16 | 14 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $679.03 – $9,211.19 | 14 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $679.03 – $9,211.19 | 14 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $2,609.86 – $18,507.16 | 14 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $1,471.56 – $9,211.19 | 14 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $2,609.86 – $28,416.55 | 14 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $679.03 – $9,211.19 | 14 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $679.03 – $9,211.19 | 14 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $1,471.56 – $15,096.99 | 14 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $1,471.56 – $9,211.19 | 14 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $1,471.56 – $9,211.19 | 14 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $1,471.56 – $9,211.19 | 14 |
| Esophagotomy thrc rmvl fb CPT 43045 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $679.03 – $9,211.19 | 14 |
| Esophagus motility study CPT 91010 | not published | not published | $426.79 – $2,238.28 | 14 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $426.79 – $2,238.28 | 14 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $679.03 – $9,211.19 | 14 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $679.03 – $9,211.19 | 14 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $477.34 – $515.53 | 5 |
| Esoph imped function test CPT 91037 | not published | not published | $246.96 – $1,296.68 | 14 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $426.79 – $2,238.28 | 14 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $2,194.69 – $9,211.19 | 12 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $679.03 – $9,211.19 | 14 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $679.03 – $9,211.19 | 14 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Esrd home pt serv p mo 20+ CPT 90966 | not published | not published | not published | 0 |
| Esrd serv 1 visit p mo 20+ CPT 90962 | not published | not published | not published | 0 |
| Esrd srv 2-3 vsts p mo 20+ CPT 90961 | not published | not published | not published | 0 |
| Esrd srv 4 visits p mo 20+ CPT 90960 | not published | not published | not published | 0 |
| Essure 58565 CPT 58565 | $10,109.20 | $25,273.00 | $5,721.41 – $24,012.92 | 13 |
| Establish access to aorta CPT 36160 | not published | not published | $451.14 – $487.23 | 5 |
| Establish access to artery CPT 36100 | not published | not published | $451.14 – $487.23 | 5 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Established Patient Office Visit (level 1) CPT 99211 | $177.20 | $443.00 | $43.75 – $50.00 | 2 |
| Established Patient Office Visit (level 2) CPT 99212 | $177.20 | $443.00 | $43.75 – $50.00 | 2 |
| Established Patient Office Visit (level 3) CPT 99213 | $177.20 | $443.00 | $43.75 – $50.00 | 2 |
| Established Patient Office Visit (level 4) CPT 99214 | $177.20 | $443.00 | $43.75 – $50.00 | 2 |
| Established Patient Office Visit (level 5) CPT 99215 | $177.20 | $443.00 | $43.75 – $50.00 | 2 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $1,238.45 – $1,337.53 | 5 |
| Estradiol total CPT 82670 | $65.60 | $164.00 | $8.93 – $54.76 | 15 |
| Estrogens total-sendout CPT 82672 | $54.00 | $135.00 | $8.93 – $42.53 | 15 |
| Etanercept injection HCPCS J1438 | not published | not published | $628.10 – $3,661.31 | 9 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $508.25 – $2,125.03 | 14 |
| Eth estr and eton monthly HCPCS J7295 | not published | not published | $59.42 – $902.48 | 8 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $2,064.79 – $15,914.98 | 14 |
| Ethylene glycol -sendout CPT 82693 | $25.60 | $64.00 | $7.79 – $29.20 | 15 |
| Etonogestrel implant system HCPCS J7307 | $1,386.64 | $3,466.60 | $374.52 – $8,336.78 | 8 |
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.