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 sleep study unattended CPT 95800 | $358.40 | $896.00 | $100.33 – $1,036.49 | 15 |
| Ghs somatosensory testing lower extremit CPT 95926 | $721.20 | $1,803.00 | $96.84 – $1,296.68 | 15 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $1,405.20 | $3,513.00 | $96.84 – $4,122.14 | 15 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $100.40 | $251.00 | $28.35 – $227.52 | 15 |
| Ghs sphenopalatine ganglion block CPT 64505 | $678.40 | $1,696.00 | $309.03 – $1,473.43 | 15 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $24.57 – $638.68 | 14 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $188.00 | $470.00 | $60.24 – $483.28 | 15 |
| Ghs st - eval for alt comm CPT 92567 | $96.40 | $241.00 | $24.57 – $179.28 | 15 |
| Ghs strapping shoulder - 29240 CPT 29240 | $181.60 | $454.00 | $30.86 – $638.68 | 15 |
| Ghs st - re-eval for alt comm CPT 92597 | $194.80 | $487.00 | $41.96 – $335.77 | 15 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $109.60 | $274.00 | $53.56 – $393.17 | 15 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $527.60 | $1,319.00 | $215.09 – $1,021.03 | 15 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | not published | not published | $266.89 – $3,547.71 | 14 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $266.89 – $1,951.35 | 14 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $1,462.60 – $7,447.96 | 14 |
| Ghs trypsin (fecal) CPT 84488 | $18.00 | $45.00 | $3.47 – $14.31 | 15 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $282.12 – $1,184.07 | 14 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $282.12 – $1,184.07 | 14 |
| Ghs urine, hydroxproline total CPT 83505 | $56.00 | $140.00 | $8.93 – $47.63 | 15 |
| Ghs urine, porphyrins quant CPT 84120 | $36.40 | $91.00 | $8.63 – $28.83 | 15 |
| Ghs vaginal delivery only CPT 59409 | $3,966.80 | $9,917.00 | $1,541.03 – $15,538.94 | 15 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $2,371.20 | $5,928.00 | $359.60 – $2,238.28 | 15 |
| Ghs windowing of cast CPT 29730 | $320.80 | $802.00 | $133.68 – $780.03 | 15 |
| Giardia ag if CPT 87269 | not published | not published | $5.12 – $26.68 | 14 |
| Giardia lamblia antibody CPT 86674 | $37.20 | $93.00 | $7.40 – $28.85 | 15 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $80.33 – $1,145.33 | 14 |
| Gi inhouse confirmation CPT 87045 | $23.60 | $59.00 | $5.12 – $18.50 | 15 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $2,005.86 – $15,914.98 | 14 |
| Gi protein loss CPT 78282 | not published | not published | $272.41 – $1,919.01 | 14 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $477.34 – $4,353.73 | 14 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $477.34 – $4,464.03 | 13 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $477.34 – $4,353.73 | 14 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $1,037.34 – $4,353.73 | 12 |
| Gjb2 gene full sequence CPT 81252 | $202.40 | $506.00 | $30.75 – $198.20 | 15 |
| Gjb2 gene known fam variants CPT 81253 | $116.00 | $290.00 | $30.75 – $120.58 | 15 |
| Gjb6 gene com variants CPT 81254 | $51.60 | $129.00 | $30.75 – $68.60 | 15 |
| Glassia injection HCPCS J0257 | not published | not published | $5.55 – $1,272.76 | 14 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $33.08 – $138.82 | 12 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $42.72 – $179.28 | 12 |
| Glaucoma surgery CPT 66150 | not published | not published | $2,392.29 – $19,841.39 | 14 |
| Glaucoma surgery CPT 66155 | not published | not published | $2,392.29 – $19,841.39 | 14 |
| Glaucoma surgery CPT 66160 | not published | not published | $2,392.29 – $11,078.09 | 14 |
| Glaucoma surgery CPT 66170 | not published | not published | $2,392.29 – $11,078.09 | 14 |
| Glove finger flexion right lg xl HCPCS L3912 | $74.80 | $187.00 | $119.11 – $614.31 | 13 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $113.26 – $880.90 | 14 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $212.52 | $531.30 | $113.26 – $690.06 | 14 |
| Glucagon plasma - sendout CPT 82943 | $39.60 | $99.00 | $8.93 – $28.01 | 15 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $22.98 – $90.30 | 14 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $22.98 – $98.98 | 14 |
| Glucagon tolerance test CPT 82946 | not published | not published | $8.63 – $34.83 | 14 |
| Glucose 1 hr post dose CPT 82950 | $12.00 | $30.00 | $3.47 – $9.31 | 15 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $3.47 – $11.86 | 14 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $4.40 | $11.00 | $3.21 – $6.43 | 15 |
| Glucose blood quantitative CPT 82947 | $11.20 | $28.00 | $3.47 – $7.70 | 15 |
| Glucose body fluid CPT 82945 | $11.20 | $28.00 | $3.47 – $7.70 | 15 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $158.00 | $395.00 | $48.48 – $283.18 | 15 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $32.40 | $81.00 | $8.63 – $25.23 | 15 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $11.20 | $28.00 | $3.47 – $7.68 | 15 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $31.66 | $79.15 | $0.81 – $1.19 | 3 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $42.21 – $134.97 | 2 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $11.06 – $2,018.91 | 14 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $43.60 | $109.00 | $8.93 – $36.42 | 15 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $22.98 – $290.88 | 14 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $43.20 | $108.00 | $8.93 – $36.30 | 15 |
| Gonioscopy CPT 92020 | not published | not published | $51.65 – $638.68 | 14 |
| Goniotomy CPT 65820 | not published | not published | $652.61 – $19,841.39 | 14 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $908.69 – $2,600.16 | 5 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $3,418.00 | $8,545.00 | $142.33 – $597.36 | 10 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $142.33 – $597.36 | 10 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $3,665.60 | $9,164.00 | $142.33 – $597.36 | 10 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $1,559.13 – $15,706.36 | 14 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $33,004.80 | $82,512.00 | $142.33 – $597.36 | 10 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $36,248.00 | $90,620.00 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $31,633.60 | $79,084.00 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $14,047.20 | $35,118.00 | $142.33 – $597.36 | 10 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $10,508.80 | $26,272.00 | $142.33 – $597.36 | 10 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $6,215.60 | $15,539.00 | $142.33 – $597.36 | 10 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $142.33 – $597.36 | 10 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $142.33 – $597.36 | 10 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $45,221.20 | $113,053.00 | $142.33 – $597.36 | 10 |
| Graft viashield 2layer amnion patch 2x2cm-cost per sq cm HCPCS Q4211 | not published | not published | $142.33 – $597.36 | 10 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $5,720.80 | $14,302.00 | $142.33 – $597.36 | 10 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $28,062.40 | $70,156.00 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $22,318.80 | $55,797.00 | not published | 0 |
| Granulocyte pheresis ea unit HCPCS P9050 | $1,314.00 | $3,285.00 | $265.38 – $7,020.88 | 6 |
| Great toe-hand transfer CPT 26551 | not published | not published | $8,299.08 – $34,831.50 | 10 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $282.12 – $1,184.07 | 14 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $1,390.20 – $9,904.20 | 14 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $1,390.20 – $17,010.70 | 14 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $1,390.20 – $1,501.41 | 5 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $1,390.20 – $17,010.70 | 14 |
| Ground mileage HCPCS A0425 | not published | not published | $12.81 – $25.09 | 2 |
| Group behave couns 2-10 HCPCS G0473 | not published | not published | $42.85 – $179.84 | 12 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $38.40 | $96.00 | $12.33 – $72.18 | 13 |
| Group train without patient HCPCS G0543 | not published | not published | $13.99 – $104.41 | 10 |
| Growth hormone antibody CPT 86277 | not published | not published | $7.40 – $30.85 | 14 |
| Growth hormone panel CPT 80428 | not published | not published | $22.98 – $130.73 | 14 |
| Growth hormone panel CPT 80430 | not published | not published | $22.98 – $253.49 | 14 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $22.98 – $148.18 | 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.