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 |
|---|---|---|---|---|
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | not published | not published | $51.14 – $1,199.32 | 14 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $1,621.20 | $4,053.00 | $31.36 – $224.76 | 15 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | not published | not published | $843.95 – $2,085.82 | 2 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | not published | not published | $843.95 – $2,085.82 | 2 |
| Ghs IV infusion sotrovimab HCPCS M0247 | not published | not published | $843.95 – $2,085.82 | 2 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $641.20 | $1,603.00 | $215.09 – $1,585.54 | 15 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $1,042.80 | $2,607.00 | $78.87 – $2,144.37 | 15 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $541.20 | $1,353.00 | $266.89 – $1,951.35 | 15 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | not published | not published | $266.89 – $1,951.35 | 14 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | not published | not published | $266.89 – $1,951.35 | 14 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | not published | not published | $266.89 – $1,951.35 | 14 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | not published | not published | $266.89 – $1,951.35 | 14 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | not published | not published | $266.89 – $1,951.35 | 14 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | not published | not published | $266.89 – $1,951.35 | 14 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | not published | not published | $266.89 – $3,547.71 | 14 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | not published | not published | $266.89 – $1,951.35 | 14 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | not published | not published | $266.89 – $3,547.71 | 14 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | not published | not published | $266.89 – $1,951.35 | 14 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | $266.89 – $3,547.71 | 14 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | not published | not published | $266.89 – $1,951.35 | 14 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | not published | not published | $266.89 – $9,904.20 | 14 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | not published | not published | $266.89 – $1,951.35 | 14 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $21.60 | $54.00 | $4.01 – $16.86 | 15 |
| Ghs low level laser therapy CPT 97039 | not published | not published | $5.97 – $61.21 | 6 |
| Ghs mbp CPT 83873 | $43.20 | $108.00 | $8.63 – $33.71 | 15 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $414.80 | $1,037.00 | $16.97 – $18.33 | 5 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $414.80 | $1,037.00 | $16.97 – $18.33 | 5 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $336.40 | $841.00 | $16.97 – $18.33 | 5 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $171.20 | $428.00 | $16.97 – $18.33 | 5 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $171.20 | $428.00 | $16.97 – $18.33 | 5 |
| Ghs musc test done w/n test comp CPT 95886 | $212.40 | $531.00 | $96.84 – $104.58 | 5 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $222.00 | $555.00 | $96.84 – $104.58 | 5 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $159.60 | $399.00 | $96.84 – $104.58 | 5 |
| Ghs myocardial strain img spckl track CPT 93356 | $480.40 | $1,201.00 | not published | 0 |
| Ghs nailbed repair/nail removal CPT 11760 | not published | not published | $46.56 – $3,547.71 | 14 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $2,119.60 | $5,299.00 | $823.46 – $4,245.66 | 15 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,280.80 | $3,202.00 | $309.03 – $3,388.40 | 15 |
| Ghs nerve block axillary nerve CPT 64417 | not published | not published | $823.46 – $4,245.66 | 14 |
| Ghs nerve block brachial plexus CPT 64415 | $2,089.60 | $5,224.00 | $823.46 – $4,245.66 | 15 |
| Ghs nerve block celiac plexus CPT 64530 | $1,778.40 | $4,446.00 | $823.46 – $4,245.66 | 15 |
| Ghs nerve block interscaline CPT 64510 | $2,119.60 | $5,299.00 | $823.46 – $4,245.66 | 15 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $2,119.60 | $5,299.00 | $607.22 – $4,245.66 | 15 |
| Ghs nerve block sciatic nerve CPT 64445 | $1,616.00 | $4,040.00 | $309.03 – $3,388.40 | 15 |
| Ghs nerve block suprascapular CPT 64418 | $1,280.80 | $3,202.00 | $309.03 – $3,388.40 | 15 |
| Ghs ng placement w fluoro guidance CPT 43752 | $460.80 | $1,152.00 | $477.34 – $2,144.37 | 15 |
| Ghs o2 saturation CPT 82810 | not published | not published | $8.63 – $19.15 | 14 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $36.95 – $673.34 | 14 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $36.95 – $283.18 | 14 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $31.36 – $224.76 | 14 |
| Ghs opcc repair cvp without subq port CPT 36575 | $1,899.20 | $4,748.00 | $518.92 – $3,011.21 | 15 |
| Ghs opcc repair cvp w subq port CPT 36576 | $2,899.60 | $7,249.00 | $518.92 – $7,556.28 | 15 |
| Ghs optokenetic CPT 92544 | not published | not published | $24.57 – $673.34 | 14 |
| Ghs oscillating trac CPT 92545 | not published | not published | $24.57 – $1,296.68 | 14 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $70.80 | $177.00 | $18.09 – $115.66 | 15 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $70.80 | $177.00 | $24.70 – $115.66 | 15 |
| Ghs ot dds rom CPT 95851 | not published | not published | $6.59 – $36.07 | 12 |
| Ghs ot group caregiver training CPT 97552 | $29.20 | $73.00 | $9.25 – $52.46 | 12 |
| Ghs ot prosthetic training/15 min CPT 97761 | $60.80 | $152.00 | $24.43 – $196.13 | 15 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $48.80 | $122.00 | $36.93 – $298.13 | 15 |
| Ghs ot work hardening-additional hours CPT 97546 | not published | not published | $313.82 – $313.82 | 1 |
| Ghs pacing - transcutaneous CPT 92953 | $529.60 | $1,324.00 | $458.63 – $3,172.66 | 15 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $712.40 | $1,781.00 | $607.22 – $655.80 | 5 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $712.40 | $1,781.00 | $607.22 – $655.80 | 5 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $12.26 – $13.25 | 5 |
| Ghs peritonsillar abscess i andd CPT 42700 | not published | not published | $78.87 – $1,136.96 | 14 |
| Ghs phenylketonurid CPT 84030 | $26.40 | $66.00 | $3.47 – $10.78 | 15 |
| Ghs picc line insert < 5 CPT 36568 | $1,804.80 | $4,512.00 | $798.34 – $7,556.28 | 15 |
| Ghs plngl fx pm cl CPT 26725 | not published | not published | $282.12 – $1,184.07 | 14 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $4.01 – $8.45 | 14 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $2,949.20 | $7,373.00 | $540.93 – $4,326.18 | 15 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $24.57 – $638.68 | 14 |
| Ghs ppd (tb intradermal) CPT 86580 | $41.60 | $104.00 | $7.40 – $138.82 | 15 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $24.00 | $60.00 | $3.47 – $18.93 | 15 |
| Ghs protein, misc fluid CPT 84160 | $12.40 | $31.00 | $3.47 – $11.00 | 15 |
| Ghs protoporphyrins fract CPT 84202 | $36.00 | $90.00 | $8.63 – $28.13 | 15 |
| Ghs pr without cont pulse ox CPT 94625 | $136.40 | $341.00 | $25.26 – $283.18 | 14 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $33.20 | $83.00 | $8.63 – $24.01 | 15 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | not published | not published | $787.70 – $787.70 | 1 |
| Ghs quinidine CPT 80194 | $36.40 | $91.00 | $7.45 – $28.62 | 15 |
| Ghs refill of implantable pump CPT 95990 | $578.00 | $1,445.00 | $31.36 – $1,585.54 | 15 |
| Ghs removal intranasal foreign body CPT 30300 | $216.40 | $541.00 | $78.87 – $638.68 | 15 |
| Ghs removal pharyngeal foreign body CPT 42809 | $268.00 | $670.00 | $78.87 – $2,144.37 | 15 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $940.20 – $7,718.72 | 14 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $1,227.92 – $15,706.36 | 14 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $33.20 | $83.00 | $7.40 – $31.14 | 15 |
| Ghs reticulocyte count CPT 85044 | $11.20 | $28.00 | $4.01 – $8.45 | 15 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $31.20 | $78.00 | $5.12 – $27.26 | 15 |
| Ghs sedimentation rate CPT 85651 | $11.60 | $29.00 | $4.01 – $8.37 | 15 |
| Ghs semen analysis fert CPT 89320 | $31.20 | $78.00 | $12.06 – $24.13 | 13 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $9.64 – $19.29 | 12 |
| Ghs sensitivity (per antimicro) CPT 87184 | $17.20 | $43.00 | $5.12 – $14.66 | 15 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | not published | not published | $132.69 – $1,951.35 | 14 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $132.69 – $1,951.35 | 14 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | not published | not published | $132.69 – $1,951.35 | 14 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $132.69 – $1,951.35 | 14 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | not published | not published | $132.69 – $963.09 | 14 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | not published | not published | $132.69 – $963.09 | 14 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | not published | not published | $132.69 – $963.09 | 14 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $132.69 – $963.09 | 14 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $132.69 – $963.09 | 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.