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 |
|---|---|---|---|---|
| Fetal shunt placement w/us CPT 59076 | not published | not published | $348.53 – $1,462.78 | 14 |
| #_fet/norfentcnfrmur CPT 80354 | $40.40 | $101.00 | not published | 0 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $10.88 – $30.88 | 4 |
| Fibrin degradation d dimer quantitative CPT 85379 | $26.00 | $65.00 | $2.64 – $19.95 | 15 |
| Fibrin degradation products CPT 85362 | $17.20 | $43.00 | $2.64 – $13.50 | 15 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $2.64 – $19.05 | 14 |
| Fibrin degradj d-dimer CPT 85380 | not published | not published | $4.01 – $19.95 | 14 |
| Fibrinogen activity CPT 85384 | $21.20 | $53.00 | $2.64 – $19.05 | 15 |
| Fibrinogen test CPT 85370 | $24.00 | $60.00 | $2.64 – $24.36 | 15 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $18.00 | $45.00 | $2.64 – $30.34 | 15 |
| Fibrinolytic antiplasmin CPT 85410 | $21.60 | $54.00 | $2.64 – $15.11 | 15 |
| Fibrinolytic plasmin CPT 85400 | not published | not published | $2.64 – $15.11 | 14 |
| Fibrinolytic plasminogen CPT 85415 | $33.60 | $84.00 | $2.64 – $33.69 | 15 |
| Fibrinolytic plasminogen CPT 85421 | not published | not published | $2.64 – $19.95 | 14 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $16.00 | $40.00 | $2.64 – $12.80 | 15 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $8,299.08 – $34,831.50 | 10 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | not published | not published | $0.28 – $1.36 | 12 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | not published | not published | $1.00 – $275.57 | 14 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | not published | not published | $0.35 – $275.57 | 14 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $1,390.20 – $9,904.20 | 14 |
| Filtered speech hearing test CPT 92571 | not published | not published | $42.72 – $179.28 | 12 |
| Filters elec/combo vad, rep HCPCS Q0500 | not published | not published | $35.69 – $158.62 | 12 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $24,933.60 | $62,334.00 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | $4,026.00 | $10,065.00 | not published | 0 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $2,500.00 – $8,140.45 | 2 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $530.80 | $1,327.00 | $448.26 – $3,399.19 | 15 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $346.00 | $865.00 | $448.26 – $484.13 | 5 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | not published | not published | $448.26 – $484.13 | 5 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $280.80 | $702.00 | $448.26 – $484.13 | 5 |
| Fine needle asp without image guide 10021 CPT 10021 | $350.40 | $876.00 | $448.26 – $1,951.35 | 15 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $4,912.00 | $12,280.00 | $494.95 – $494.95 | 1 |
| Finger tendon transfer CPT 26497 | not published | not published | $1,559.13 – $15,706.36 | 14 |
| Finger tendon transfer CPT 26498 | not published | not published | $1,559.13 – $15,706.36 | 14 |
| Fistula repair & colostomy CPT 57307 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Fit aphakia spectcl monofocl CPT 92352 | not published | not published | $67.47 – $283.18 | 12 |
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $67.47 – $283.18 | 12 |
| Fitg spect low vis 1system CPT 92354 | not published | not published | $42.72 – $179.28 | 12 |
| Fitg spect lw vis cmpnd lens CPT 92355 | not published | not published | $42.72 – $179.28 | 12 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $140.04 – $970.48 | 14 |
| Fixation of ankle joint CPT 27860 | not published | not published | $700.79 – $15,706.36 | 14 |
| Fixation of knee joint CPT 27570 | not published | not published | $700.79 – $7,718.72 | 14 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $3,167.51 – $34,831.50 | 14 |
| Fix g/colon tube w/device CPT 49460 | $637.20 | $1,593.00 | $477.34 – $4,353.73 | 15 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $3,742.25 – $15,706.36 | 14 |
| Flebogamma injection HCPCS J1572 | not published | not published | $62.36 – $1,272.76 | 14 |
| Flecainide (tambocor)-sendout CPT 80181 | $9.60 | $24.00 | $7.45 – $36.53 | 14 |
| Fl exam g/colon tube w contrast CPT 49465 | $416.00 | $1,040.00 | $85.70 – $1,145.33 | 15 |
| Flex/ext wrist w/wo friction HCPCS L6621 | not published | not published | $2,672.29 – $11,876.92 | 12 |
| Flex foot system HCPCS L5980 | $2,530.40 | $6,326.00 | $4,157.78 – $21,443.10 | 13 |
| Flexible keel foot HCPCS L5972 | $244.80 | $612.00 | $402.05 – $2,073.50 | 13 |
| Flexible metal hinge pair HCPCS L6610 | not published | not published | $208.12 – $924.98 | 12 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $689.17 – $4,464.03 | 14 |
| Flexion/extension wrist unit HCPCS L6620 | not published | not published | $398.37 – $1,770.56 | 12 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $4,029.46 – $34,831.50 | 14 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $1,227.92 – $34,831.50 | 14 |
| Flex thermoplastic collar mo HCPCS L0130 | $115.20 | $288.00 | $189.49 – $977.25 | 13 |
| Flex-walk sys low ext prosth HCPCS L5981 | $2,044.40 | $5,111.00 | $3,359.49 – $17,326.02 | 13 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $652.16 – $7,928.07 | 14 |
| Florbetaben f18 diagnostic HCPCS Q9983 | not published | not published | $1,552.98 – $13,741.84 | 11 |
| Flortaucipir inj 1 millicuri HCPCS A9601 | not published | not published | $363.58 – $5,936.00 | 10 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | not published | not published | $657.79 – $2,846.43 | 11 |
| Flow cytometry interp 16 or more CPT 88189 | $215.20 | $538.00 | $20.49 – $22.13 | 5 |
| Flow cytometry marker each additional CPT 88185 | $60.40 | $151.00 | $28.17 – $30.42 | 5 |
| Flow cytometry one marker technical component CPT 88184 | $231.20 | $578.00 | $20.49 – $1,720.62 | 15 |
| Floweramniopatch, per sq cm HCPCS Q4178 | not published | not published | $142.33 – $597.36 | 10 |
| #flow interp 9 - 15 markers CPT 88188 | $164.00 | $410.00 | $20.49 – $22.13 | 5 |
| Floxuridine injection HCPCS J9200 | not published | not published | $4,165.95 – $16,441.13 | 11 |
| Flt3 gene CPT 81245 | $221.60 | $554.00 | $84.33 – $324.40 | 15 |
| Flt3 gene analysis CPT 81246 | $114.00 | $285.00 | $30.75 – $162.68 | 15 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $35.92 | $89.80 | not published | 0 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | not published | not published | $168.96 – $748.90 | 4 |
| Fluidotherapy charges pt CPT 97022 | $40.40 | $101.00 | $10.07 – $80.01 | 15 |
| Fluid pressure muscle 20950 CPT 20950 | not published | not published | $136.63 – $3,399.19 | 14 |
| Flulaval vacc, 3 yrs & >, im HCPCS Q2036 | not published | not published | $12.00 – $20.75 | 6 |
| Fluocinol acet intravit imp HCPCS J7313 | not published | not published | $499.61 – $7,001.18 | 14 |
| Fluocinolone acetonide implt HCPCS J7311 | not published | not published | $332.02 – $4,545.55 | 14 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $223.72 – $2,238.28 | 14 |
| Fluorescein angrph mltiframe CPT 92235 | not published | not published | $223.72 – $1,296.68 | 14 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $223.72 – $1,296.68 | 14 |
| Fluorescent antibody titer dna CPT 86256 | $31.20 | $78.00 | $7.40 – $23.62 | 15 |
| Fluorodopa f-18 diag per mci HCPCS A9602 | not published | not published | $664.83 – $1,923.86 | 11 |
| Fluoroestradiol f 18 HCPCS A9591 | $1,806.00 | $4,515.00 | $3.57 – $1,146.94 | 11 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $161.20 | $403.00 | $127.62 – $137.83 | 5 |
| Fluoroguide needle placement CPT 77002 | $197.20 | $493.00 | $127.62 – $137.83 | 5 |
| Fluoro polarize fetal lung CPT 83663 | $48.00 | $120.00 | $8.63 – $37.06 | 15 |
| Fluoroscopy up to 1 hour CPT 76000 | $571.20 | $1,428.00 | $85.70 – $1,145.33 | 15 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $130.89 | $327.21 | not published | 0 |
| Flurpiridaz f18, diag, 1 mci HCPCS A9611 | not published | not published | $519.40 – $2,384.45 | 10 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | not published | not published | $1,224.16 – $14,515.05 | 11 |
| Fluvirin vacc, 3 yrs & >, im HCPCS Q2037 | not published | not published | $19.21 – $24.53 | 6 |
| Fluzone vacc, 3 yrs & >, im HCPCS Q2038 | not published | not published | $16.76 – $20.75 | 6 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $180.77 – $1,145.33 | 14 |
| Fmri brain by tech CPT 70554 | not published | not published | $180.77 – $1,145.33 | 14 |
| Fna bx w/ct gdn 1st les CPT 10009 | $643.20 | $1,608.00 | $448.26 – $3,399.19 | 15 |
| Fna bx w/ct gdn ea addl CPT 10010 | $470.40 | $1,176.00 | $448.26 – $484.13 | 5 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $448.26 – $3,399.19 | 14 |
| Fna bx w/mr gdn ea addl CPT 10012 | not published | not published | $448.26 – $484.13 | 5 |
| Foam/fabric leg strap HCPCS A5114 | not published | not published | $19.04 – $51.12 | 2 |
| Foam stability fetal lung CPT 83662 | not published | not published | $8.63 – $37.06 | 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.