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 |
|---|---|---|---|---|
| Excision of rectal prolapse CPT 45135 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Excision of rectal stricture CPT 45150 | not published | not published | $1,368.62 – $5,744.14 | 14 |
| Excision of salivary cyst CPT 42408 | not published | not published | $2,064.79 – $15,914.98 | 14 |
| Excision of skull/sutures CPT 61558 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Excision of skull/sutures CPT 61559 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Excision of skull tumor CPT 61563 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Excision of skull tumor CPT 61564 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Excision of stomach lesion CPT 43610 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Excision of stomach lesion CPT 43611 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Excision of tongue lesion CPT 41112 | not published | not published | $2,064.79 – $15,914.98 | 14 |
| Excision of tongue lesion CPT 41114 | not published | not published | $2,064.79 – $15,914.98 | 14 |
| Excision of tongue lesion w/closure 41113 CPT 41113 | not published | not published | $2,064.79 – $15,914.98 | 14 |
| Excision of tonsil tags CPT 42860 | not published | not published | $1,418.28 – $15,914.98 | 14 |
| Excision of umbilicus 49250 CPT 49250 | not published | not published | $2,486.46 – $17,186.76 | 14 |
| Excision of uvula CPT 42140 | not published | not published | $652.16 – $15,914.98 | 14 |
| Excision of vaginal septum 57130 CPT 57130 | not published | not published | $1,728.07 – $15,538.94 | 14 |
| Excision olecranon bursa CPT 24105 | not published | not published | $1,227.92 – $15,706.36 | 14 |
| Excision perinephric cyst CPT 50290 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Excision radial head CPT 24130 | not published | not published | $3,742.25 – $15,706.36 | 14 |
| Excision tongue lesion without closure 41110 CPT 41110 | not published | not published | $2,064.79 – $15,914.98 | 14 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | not published | not published | $1,238.45 – $7,928.07 | 14 |
| Excis partial tal calc CPT 28120 | not published | not published | $1,531.31 – $15,706.36 | 14 |
| Excis uppr jaw cyst w/repair CPT 21049 | not published | not published | $2,803.36 – $28,416.55 | 14 |
| Exc leg/ankle tum dep 5 cm/ > 27634 CPT 27634 | not published | not published | $2,213.64 – $13,943.31 | 14 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | not published | not published | $1,238.45 – $13,943.31 | 14 |
| Exc les conjunctiva <1 cm CPT 68110 | not published | not published | $652.61 – $11,412.47 | 14 |
| Exc les conjunctiva >1 cm CPT 68115 | not published | not published | $1,175.19 – $11,412.47 | 14 |
| Exc les conjunctiva adj scl CPT 68130 | not published | not published | $1,175.19 – $11,412.47 | 14 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | not published | not published | $2,064.79 – $15,914.98 | 14 |
| Excl laa open any method 33267 CPT 33267 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Excl laa opn oth px any meth 33268 CPT 33268 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Excl laa thrscp any method CPT 33269 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | not published | not published | $316.31 – $3,399.19 | 14 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | not published | not published | $316.31 – $3,399.19 | 14 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | not published | not published | $815.64 – $7,928.07 | 14 |
| Exc malig feenl >4cm 11646 CPT 11646 | not published | not published | $1,255.15 – $13,943.31 | 14 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | not published | not published | $815.64 – $7,928.07 | 14 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | not published | not published | $316.31 – $3,399.19 | 14 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | not published | not published | $815.64 – $7,928.07 | 14 |
| Exc malig tal <0.5cm 11600 CPT 11600 | not published | not published | $316.31 – $3,399.19 | 14 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | not published | not published | $316.31 – $3,399.19 | 14 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | not published | not published | $316.31 – $1,951.35 | 14 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $1,983.60 | $4,959.00 | $316.31 – $3,399.19 | 15 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | not published | not published | $809.91 – $3,399.19 | 14 |
| Exc mandible 21025 CPT 21025 | not published | not published | $2,476.42 – $28,416.55 | 14 |
| Exc neck tum deep < 5 cm CPT 21556 | not published | not published | $1,592.15 – $13,943.31 | 14 |
| Exc neck tum deep 5 cm/> CPT 21554 | not published | not published | $1,592.15 – $13,943.31 | 14 |
| Exc of facial bones/osteomy/abcess 21026 CPT 21026 | not published | not published | $2,125.78 – $28,416.55 | 14 |
| Exc of rectal prlpse 45130 CPT 45130 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Exc of residual cervix 57540 CPT 57540 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Exc of residual cervix via aginal approach 57550 CPT 57550 | not published | not published | $1,612.89 – $24,012.92 | 14 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | not published | not published | $815.64 – $13,943.31 | 14 |
| Exc prtl bn phlnx toe CPT 28124 | not published | not published | $1,531.31 – $15,706.36 | 14 |
| Exc rect tum transanal full CPT 45172 | not published | not published | $1,594.99 – $13,323.79 | 14 |
| Exc rect tum transanal part CPT 45171 | $5,453.20 | $13,633.00 | $1,594.99 – $13,323.79 | 15 |
| Exc sac pr ulc prim str ostc CPT 15933 | not published | not published | $712.15 – $13,943.31 | 14 |
| Exc sac pr ulc skn flp ostc CPT 15935 | not published | not published | $712.15 – $17,010.70 | 14 |
| Exc sacral pr ulc prim sutr CPT 15931 | not published | not published | $712.15 – $13,943.31 | 14 |
| Exc sacral pr ulc skn flap CPT 15934 | not published | not published | $712.15 – $17,010.70 | 14 |
| Exc shoulder tum deep < 5 cm CPT 23076 | not published | not published | $1,238.45 – $13,943.31 | 14 |
| Exc skn hdrdnt ax complex CPT 11451 | not published | not published | $1,255.15 – $13,943.31 | 14 |
| Exc skn hdrdnt ax smpl/ntrm CPT 11450 | not published | not published | $1,255.15 – $13,943.31 | 14 |
| Exc skn hdrdnt ing complex CPT 11463 | not published | not published | $1,255.15 – $13,943.31 | 14 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | not published | not published | $316.31 – $3,399.19 | 14 |
| Exc snhfg mal+mrg 3.1-4 11624 CPT 11624 | not published | not published | $815.64 – $7,928.07 | 14 |
| Exc snhfg mal+mrg >4 cm 11626 CPT 11626 | not published | not published | $1,255.15 – $13,943.31 | 14 |
| Exc sq tum/leg or ankle area <3 cm 27618 CPT 27618 | not published | not published | $1,238.45 – $7,928.07 | 14 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | not published | not published | $1,592.15 – $13,943.31 | 14 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | not published | not published | $1,592.15 – $7,928.07 | 14 |
| Exc sq tumor/foot or toe < 1.5 cm 28039 CPT 28039 | not published | not published | $1,531.31 – $13,943.31 | 14 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | not published | not published | $1,227.92 – $7,928.07 | 14 |
| Exc sq tumor/leg/ankle 3cm/> 27632 CPT 27632 | not published | not published | $2,213.64 – $13,943.31 | 14 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | not published | not published | $1,238.45 – $7,928.07 | 14 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | not published | not published | $1,238.45 – $13,943.31 | 14 |
| Exc sq tum/vasc malform/hand/fngr 26111 CPT 26111 | not published | not published | $940.20 – $7,928.07 | 14 |
| Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043 | not published | not published | $1,238.45 – $13,943.31 | 14 |
| Exc tendon sheath or cap lesion 26160 CPT 26160 | not published | not published | $940.20 – $7,718.72 | 14 |
| Exc thigh/knee les sc<3cm 27327 CPT 27327 | not published | not published | $1,238.45 – $7,928.07 | 14 |
| Exc thigh/knee tum deep <5cm CPT 27328 | not published | not published | $1,238.45 – $13,943.31 | 14 |
| Exc thigh/knee tum dep 5cm/> CPT 27339 | not published | not published | $1,238.45 – $13,943.31 | 14 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | not published | not published | $1,045.71 – $5,744.14 | 14 |
| Exc tmr sft tiss shldr subq <3cm CPT 23075 | not published | not published | $1,238.45 – $7,928.07 | 14 |
| Exc torus mandibularis 21031 CPT 21031 | not published | not published | $2,005.86 – $15,914.98 | 14 |
| Exc trchntric pr ulcer w/prim sutr w/ostectomy 15951 CPT 15951 | not published | not published | $712.15 – $13,943.31 | 14 |
| Exc trchntr pr ulc flp clsr CPT 15952 | not published | not published | $712.15 – $9,904.20 | 14 |
| Exc trchntr pr ulc flp ostc CPT 15953 | not published | not published | $712.15 – $17,010.70 | 14 |
| Exc trchntr pr ulc prep flap CPT 15956 | not published | not published | $712.15 – $9,904.20 | 14 |
| Exc trchntr pr ulc prep ostc CPT 15958 | not published | not published | $712.15 – $17,010.70 | 14 |
| Exc trchntr pr ulc prim sutr CPT 15950 | not published | not published | $712.15 – $7,928.07 | 14 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | $3,368.00 | $8,420.00 | $1,255.15 – $7,928.07 | 15 |
| Exc/unroofing cyst kidney CPT 50280 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Excursion amplifier lever ty HCPCS L6642 | not published | not published | $276.39 – $1,228.34 | 12 |
| Excursion amplifier pulley t HCPCS L6641 | not published | not published | $204.38 – $908.36 | 12 |
| Exc vagina lesion 57135 CPT 57135 | not published | not published | $1,728.07 – $15,538.94 | 14 |
| Exercise tst brncspsm w/ecg CPT 94617 | not published | not published | $36.95 – $638.68 | 14 |
| Exercise tst brncspsm wo ecg CPT 94619 | $147.20 | $368.00 | $36.95 – $283.18 | 14 |
| Exercise w/hemodynamic meas CPT 93464 | $188.40 | $471.00 | $118.97 – $128.49 | 5 |
| Exhaled breath condensate CPT 83987 | not published | not published | $3.47 – $7.02 | 14 |
| Exome re-evaluation CPT 81417 | not published | not published | $84.33 – $627.20 | 14 |
| Exome sequence analysis CPT 81415 | $1,967.20 | $4,918.00 | $286.81 – $9,368.80 | 15 |
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.