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 |
|---|---|---|---|---|
| Extensive surgery of throat CPT 42842 | not published | not published | $1,418.28 – $28,416.55 | 14 |
| Extensive surgery of throat CPT 42844 | not published | not published | $1,418.28 – $28,416.55 | 14 |
| Extensive surgery of throat CPT 42845 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Extensive testis surgery CPT 54535 | not published | not published | $1,393.78 – $16,920.72 | 14 |
| Extensive thyroid surgery CPT 60254 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Extensive vulva surgery CPT 56632 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| External cannula declotting CPT 36860 | not published | not published | $215.09 – $7,556.28 | 14 |
| External chromosome analysis 20-25 cells CPT 88264 | $303.20 | $758.00 | $30.75 – $283.44 | 15 |
| External ocular photography CPT 92285 | not published | not published | $40.65 – $266.13 | 14 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | not published | not published | $18.88 – $138.82 | 14 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | $5,874.40 | $14,686.00 | $286.81 – $7,591.08 | 15 |
| External recharg sys extern HCPCS L8695 | not published | not published | $19.45 – $86.40 | 12 |
| External recharg sys intern HCPCS L8689 | $4,624.80 | $11,562.00 | $1,736.72 – $8,956.83 | 13 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $307.60 | $769.00 | $28.17 – $281.75 | 15 |
| Extnd color vision xm CPT 92283 | not published | not published | $51.65 – $283.18 | 14 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $45.20 | $113.00 | $7.40 – $35.14 | 15 |
| Extraction of lens CPT 66930 | not published | not published | $1,223.78 – $19,841.39 | 14 |
| Extraction of lens CPT 66940 | not published | not published | $1,223.78 – $11,078.09 | 14 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $1,223.78 – $11,078.09 | 14 |
| Extrnl counterpulse, per tx HCPCS G0166 | not published | not published | $48.48 – $638.68 | 14 |
| Eye allergy tests CPT 95060 | not published | not published | $30.21 – $638.68 | 14 |
| Eye implant band 40 HCPCS C1784 | $8,572.40 | $21,431.00 | not published | 0 |
| Eye photodynamic ther add-on CPT 67225 | not published | not published | $769.08 – $830.61 | 5 |
| Eye surgery follow-up add-on CPT 67331 | not published | not published | $1,557.94 – $1,682.58 | 5 |
| Eye suture during surgery CPT 67335 | not published | not published | $1,557.94 – $1,682.58 | 5 |
| Ezh2 gene common variants CPT 81237 | not published | not published | $84.33 – $343.78 | 14 |
| Ezh2 gene full gene sequence CPT 81236 | $333.20 | $833.00 | $84.33 – $554.44 | 15 |
| F-18 fdg pet diag HCPCS A9552 | $378.40 | $946.00 | not published | 0 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | $6,666.00 | $16,665.00 | $1,789.13 – $12,760.28 | 11 |
| F-18 fluciclovine per mci HCPCS A9588 | $1,356.00 | $3,390.00 | $315.82 – $1,803.62 | 11 |
| F-18 sodium fluoride HCPCS A9580 | $350.00 | $875.00 | not published | 0 |
| F9 full gene sequence CPT 81238 | not published | not published | $286.81 – $1,176.00 | 14 |
| Fabrication & fitting HCPCS V2628 | not published | not published | $482.77 – $2,145.68 | 12 |
| Face bone graft CPT 21210 | not published | not published | $3,162.51 – $28,416.55 | 14 |
| Facial bones <3 CPT 70140 | $244.00 | $610.00 | $40.64 – $417.74 | 15 |
| Facial nerve function test CPT 92516 | not published | not published | $102.84 – $1,296.68 | 14 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | $1,364.93 – $15,914.98 | 13 |
| Factor ix CPT 85250 | $44.40 | $111.00 | $2.64 – $37.32 | 15 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $3.51 – $4,545.55 | 14 |
| Factor ix complex HCPCS J7194 | not published | not published | $1.67 – $3,428.99 | 14 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $5.21 – $4,545.55 | 14 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.34 – $4,545.55 | 14 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $4.41 – $4,545.55 | 14 |
| Factor ix recombinan rixubis HCPCS J7200 | not published | not published | $1.71 – $4,545.55 | 14 |
| Factor ix recombinant nos HCPCS J7195 | not published | not published | $1.80 – $4,545.55 | 14 |
| Factor viia recomb sevenfact HCPCS J7212 | not published | not published | $2.15 – $8.84 | 11 |
| Factor viii CPT 85240 | $45.20 | $113.00 | $2.64 – $35.08 | 15 |
| Factor viii HCPCS J7190 | not published | not published | $1.37 – $3,428.99 | 14 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $2.41 – $4,545.55 | 14 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.16 – $3,428.99 | 14 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $2.10 – $4,545.55 | 14 |
| Factor viii recombinant nos HCPCS J7192 | not published | not published | $1.54 – $4,545.55 | 14 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.38 – $4,545.55 | 14 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $3.17 – $4,545.55 | 14 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $10.56 – $21,879.71 | 14 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $17.96 – $14,171.81 | 14 |
| Fallopian tube recnl CPT 58345 | not published | not published | $3,702.37 – $15,538.94 | 12 |
| Fam adapt bhv tx gdn phy/qhp CPT 97156 | not published | not published | $34.33 – $179.84 | 14 |
| Family therapy without pt 50min 90846 CPT 90846 | $130.80 | $327.00 | $107.11 – $852.02 | 15 |
| Family therapy with patient 50 min 90847 CPT 90847 | $130.80 | $327.00 | $203.01 – $852.02 | 13 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $1.52 | $3.78 | not published | 0 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | not published | not published | $30.64 – $3,428.99 | 14 |
| Fancc gene CPT 81242 | $64.00 | $160.00 | $30.75 – $71.78 | 15 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $2,429.81 – $15,706.36 | 12 |
| Fat/lipids feces qualitative CPT 82705 | $12.40 | $31.00 | $3.47 – $10.00 | 15 |
| Fatty acids nonesterified CPT 82725 | $27.20 | $68.00 | $8.63 – $36.79 | 15 |
| Fda ide #g240020 carry bag HCPCS Q0499 | not published | not published | $194.97 – $866.60 | 12 |
| Fecal bilirubin test CPT 82252 | not published | not published | $3.47 – $8.94 | 14 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $63.04 – $4,545.55 | 13 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | $1,063.61 – $4,464.03 | 12 |
| #fecal-sodium CPT 84302 | $12.00 | $30.00 | $3.47 – $9.53 | 15 |
| Feeding tube reposition CPT 74355 | not published | not published | $127.62 – $137.83 | 5 |
| Fees w/laryngeal sense i&r CPT 92617 | not published | not published | $78.87 – $85.18 | 5 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $78.87 – $459.76 | 14 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $13.20 | $33.00 | $7.45 – $36.53 | 14 |
| Fem focal defic constant fri HCPCS L5230 | not published | not published | $5,853.64 – $26,016.53 | 12 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Femoral lgth sock fx or equa HCPCS L2850 | $168.80 | $422.00 | $59.61 – $307.39 | 13 |
| Fem/popl revasc w/stent CPT 37226 | not published | not published | $7,787.45 – $52,907.13 | 9 |
| Feno poc CPT 95012 | $70.80 | $177.00 | $42.72 – $179.28 | 13 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $53.00 | $132.50 | not published | 0 |
| Fern test HCPCS Q0114 | $13.60 | $34.00 | $6.82 – $19.09 | 15 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | not published | not published | $1.08 – $404.48 | 14 |
| Ferritin CPT 82728 | $34.00 | $85.00 | $8.63 – $26.71 | 15 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | not published | not published | $0.22 – $275.57 | 14 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.22 – $275.57 | 14 |
| Fetal aneuploidy trisom risk CPT 81507 | $913.20 | $2,283.00 | $286.81 – $1,558.20 | 15 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $420.40 | $1,051.00 | $72.18 – $501.84 | 15 |
| Fetal chrmoml microdeltj CPT 81422 | not published | not published | $743.87 – $1,487.74 | 12 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $531.60 | $1,329.00 | $286.81 – $1,487.74 | 15 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $433.60 | $1,084.00 | $130.78 – $970.48 | 15 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $348.53 – $1,462.78 | 14 |
| Fetal fibronectin CPT 82731 | $149.60 | $374.00 | $63.12 – $126.24 | 15 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $130.78 – $1,462.78 | 14 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $9.20 | $23.00 | $4.01 – $15.15 | 15 |
| Fetal hemoglobin rosette CPT 85461 | $18.00 | $45.00 | $4.01 – $18.35 | 15 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $48.00 | $120.00 | $8.63 – $37.87 | 15 |
| Fetal monitor w/report CPT 59050 | not published | not published | $130.78 – $141.24 | 5 |
| Fetal non stress test CPT 59025 | $428.00 | $1,070.00 | $130.78 – $970.48 | 15 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $130.78 – $1,462.78 | 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.