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 |
|---|---|---|---|---|
| Folic acid CPT 82746 | $30.40 | $76.00 | $8.63 – $28.81 | 15 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $2.88 | $7.20 | not published | 0 |
| Follow-up angiography CPT 75898 | $929.60 | $2,324.00 | $598.07 – $15,156.63 | 15 |
| Followup eval of foot pt lop HCPCS G0246 | not published | not published | $152.27 – $639.07 | 12 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $652.61 – $11,412.47 | 14 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $9.06 | $22.63 | $6.41 – $275.57 | 15 |
| Fondaparinux sodium HCPCS J1652 | $8.30 | $20.73 | not published | 0 |
| Fo nontorsion joint cf HCPCS L3935 | not published | not published | $234.42 – $1,041.89 | 12 |
| Foot arch support remov prem HCPCS L3030 | not published | not published | $89.00 – $395.54 | 12 |
| Foot arch supp premold metat HCPCS L3050 | not published | not published | $54.87 – $243.86 | 12 |
| Foot drp splt w/exp heel lg HCPCS L4398 | $371.20 | $928.00 | $76.34 – $393.74 | 13 |
| Foot external keel sach foot HCPCS L5970 | not published | not published | $291.91 – $1,297.42 | 12 |
| Foot insert plastazote or eq HCPCS L3002 | not published | not published | $188.32 – $837.01 | 12 |
| Foot insert remov molded spe HCPCS L3001 | not published | not published | $154.23 – $685.47 | 12 |
| Foot insert silicone gel eac HCPCS L3003 | not published | not published | $203.21 – $903.17 | 12 |
| Foot lamin/prepreg composite HCPCS L3031 | $78.00 | $195.00 | $127.89 – $659.59 | 13 |
| Foot longitudinal arch suppo HCPCS L3010 | not published | not published | $203.21 – $903.17 | 12 |
| Foot longitud/metatarsal sup HCPCS L3020 | $121.20 | $303.00 | $199.35 – $1,028.14 | 13 |
| Foot plas heel stabi pre ots HCPCS L3170 | $31.20 | $78.00 | $51.14 – $263.72 | 13 |
| Foot plate molded stirrup at HCPCS L2250 | $277.60 | $694.00 | $456.08 – $2,352.18 | 13 |
| Foot single axis ankle/foot HCPCS L5974 | $194.00 | $485.00 | $318.66 – $1,643.42 | 13 |
| Foot X-ray CPT 73630 | $266.40 | $666.00 | $40.64 – $417.74 | 15 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | not published | not published | $1,148.95 – $5,106.52 | 12 |
| Forearm/arm cuffs free motio HCPCS L3720 | $448.00 | $1,120.00 | $735.95 – $3,795.58 | 13 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $1,390.20 – $17,010.70 | 14 |
| Forensic cytopathology CPT 88125 | not published | not published | $20.49 – $250.15 | 14 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | not published | not published | $269.75 – $1,199.32 | 14 |
| Formoterol comp unit HCPCS J7640 | not published | not published | $2.42 – $18.10 | 2 |
| Formoterol fumarate, inh HCPCS J7606 | not published | not published | $4.64 – $4.64 | 1 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $0.44 | $1.09 | $2.05 – $64.17 | 6 |
| Foscarnet sodium injection HCPCS J1455 | not published | not published | $53.59 – $243.54 | 10 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $16.44 | $41.08 | $1.31 – $24.03 | 13 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $8.93 – $55.86 | 14 |
| Fracture assessment via dxa CPT 77086 | $241.60 | $604.00 | $56.34 – $417.74 | 15 |
| _fragile x methylation-sendout CPT 81244 | $31.60 | $79.00 | $30.75 – $87.98 | 15 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $2,088.63 – $16,920.72 | 14 |
| Frame typ sock above elb/dis HCPCS L6688 | not published | not published | $840.59 – $3,735.99 | 12 |
| Frame typ socket bel elbow/w HCPCS L6687 | $360.00 | $900.00 | $591.58 – $3,050.94 | 13 |
| Frame typ socket shoulder di HCPCS L6689 | not published | not published | $1,028.82 – $4,572.59 | 12 |
| Frame typ sock interscap-tho HCPCS L6690 | not published | not published | $1,091.10 – $4,849.37 | 12 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $2,500.00 – $6,094.06 | 2 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $2,500.00 – $6,094.06 | 2 |
| Free omental flap microvasc CPT 49906 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Free skin flap microvasc CPT 15757 | not published | not published | $2,500.00 – $3,233.13 | 2 |
| Frenectomy 41115 CPT 41115 | not published | not published | $1,774.58 – $7,447.96 | 14 |
| Frenotomy 40806 CPT 40806 | not published | not published | $616.84 – $2,588.91 | 14 |
| Frenulotomy of penis CPT 54164 | not published | not published | $1,393.78 – $10,034.34 | 14 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $247.60 | $619.00 | $82.58 – $352.81 | 15 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $215.60 | $539.00 | $96.25 – $403.95 | 15 |
| Fresh frozen plasma thawing ea un CPT 86927 | not published | not published | $18.88 – $817.83 | 14 |
| Fr frz plasma donor retested HCPCS P9060 | not published | not published | $59.61 – $253.45 | 14 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $18.88 – $179.28 | 14 |
| Frozen blood prep CPT 86930 | not published | not published | $18.88 – $1,500.63 | 14 |
| Frozen blood thaw CPT 86931 | not published | not published | $18.88 – $1,500.63 | 14 |
| Frozen cell preparation CPT 88241 | $37.20 | $93.00 | $11.85 – $23.70 | 13 |
| Frozen plasma, pooled, sd HCPCS P9023 | not published | not published | $62.65 – $430.73 | 14 |
| Fructosamine glycated protein CPT 82985 | $32.40 | $81.00 | $8.63 – $32.85 | 15 |
| Ft arch suprt premold longit HCPCS L3040 | not published | not published | $54.87 – $243.86 | 12 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $1,390.20 – $1,501.41 | 5 |
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $1,390.20 – $1,501.41 | 5 |
| Ft insert ucb berkeley shell HCPCS L3000 | $192.00 | $480.00 | $315.66 – $1,627.95 | 13 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $1,457.62 – $2,915.25 | 12 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $68.13 – $136.26 | 12 |
| Ftl cgen abnor four anal CPT 81511 | $297.20 | $743.00 | $150.43 – $300.86 | 13 |
| Ftl cgen abnor three anal CPT 81510 | not published | not published | $54.43 – $108.86 | 12 |
| Ftl cgen abnor two proteins CPT 81508 | $68.40 | $171.00 | $53.21 – $106.43 | 13 |
| Ft prosth multiaxial ankl/ft HCPCS L5978 | $220.80 | $552.00 | $362.87 – $1,871.45 | 13 |
| Full field erg w/i&r CPT 92273 | not published | not published | $51.65 – $1,296.68 | 14 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $40.64 – $1,145.33 | 14 |
| Full sole/heel wedge btween HCPCS L3420 | $33.60 | $84.00 | $54.97 – $283.49 | 13 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $1,390.20 – $9,904.20 | 14 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $1,390.20 – $9,904.20 | 14 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $1,390.20 – $1,501.41 | 5 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | $1,390.20 – $9,904.20 | 14 |
| Fundus photography with i&r 92250 CPT 92250 | not published | not published | $40.65 – $638.68 | 14 |
| Furnsh initial orthosis only HCPCS L1200 | $1,224.00 | $3,060.00 | $2,011.09 – $10,371.89 | 13 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $7.53 | $18.81 | not published | 0 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $30.70 | $76.75 | not published | 0 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Fuse/graft added joint CPT 26863 | not published | not published | $940.20 – $1,015.42 | 5 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Fuse upper gi structures CPT 47721 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $940.20 – $15,706.36 | 14 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $1,559.13 – $34,831.50 | 14 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $4,956.46 – $61,628.63 | 14 |
| Fusion of big toe joint CPT 28750 | not published | not published | $3,712.68 – $34,831.50 | 14 |
| Fusion of big toe joint CPT 28755 | not published | not published | $1,531.31 – $34,831.50 | 14 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Fusion of finger jnt add-on CPT 26861 | not published | not published | $940.20 – $1,015.42 | 5 |
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.