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 |
|---|---|---|---|---|
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $34.33 – $179.84 | 14 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $34.33 – $179.84 | 14 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $2,500.00 – $15,959.65 | 2 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $2,500.00 – $15,959.65 | 2 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $2,194.69 – $9,211.19 | 14 |
| G-tube reposition CPT 43761 | $1,399.60 | $3,499.00 | $141.78 – $1,199.32 | 15 |
| Gu dilat ureter/urethra s&i CPT 74485 | $4,972.40 | $12,431.00 | $127.62 – $10,034.34 | 15 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,703.20 | $4,258.00 | $779.37 – $3,399.19 | 15 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $8,776.00 | $21,940.00 | $817.79 – $817.79 | 1 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $6,268.00 | $15,670.00 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $7,175.60 | $17,939.00 | not published | 0 |
| Guid loc target vol rad tx CPT 77387 | $448.40 | $1,121.00 | $83.43 – $90.10 | 5 |
| Gum graft CPT 41870 | not published | not published | $1,774.58 – $7,447.96 | 14 |
| Gw stiffened micro access kit HCPCS C1894 | $39,480.00 | $98,700.00 | not published | 0 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $2,298.80 – $18,794.97 | 14 |
| Hair analysis HCPCS P2031 | not published | not published | $4.95 – $33.53 | 4 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $116.08 – $3,547.71 | 14 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $464.94 – $1,951.35 | 12 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $464.94 – $1,951.35 | 12 |
| Hallus-valgus nt dyn pre ots HCPCS L3100 | $26.40 | $66.00 | $43.44 – $224.05 | 13 |
| Halo cervical into body jack HCPCS L0820 | not published | not published | $3,016.27 – $13,405.84 | 12 |
| Halo cervical into jckt vest HCPCS L0810 | not published | not published | $3,071.34 – $13,650.58 | 12 |
| Halo cerv into milwaukee typ HCPCS L0830 | not published | not published | $4,230.75 – $18,803.59 | 12 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $30.84 | $77.10 | not published | 0 |
| Halo repl liner/interface HCPCS L0861 | not published | not published | $251.32 – $1,116.99 | 12 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | $12.40 | $31.00 | $5.83 – $6.66 | 2 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | not published | not published | $112.14 – $498.47 | 12 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $7,146.40 | $17,866.00 | not published | 0 |
| Hand restoration multiple fi HCPCS L6905 | not published | not published | $2,329.74 – $10,354.53 | 12 |
| Hand restoration no fingers HCPCS L6910 | not published | not published | $1,912.10 – $8,498.37 | 12 |
| Hand restoration replacmnt g HCPCS L6915 | not published | not published | $864.15 – $3,840.68 | 12 |
| Hand restorat thumb/1 finger HCPCS L6900 | not published | not published | $2,310.83 – $10,270.50 | 12 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $1,559.13 – $15,706.36 | 14 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $1,559.13 – $34,831.50 | 14 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $1,559.13 – $15,706.36 | 14 |
| Hand X-ray CPT 73130 | $244.00 | $610.00 | $40.64 – $417.74 | 15 |
| Haptoglobin quantitative CPT 83010 | $32.00 | $80.00 | $8.63 – $24.66 | 15 |
| Harness chest/shlder saddle HCPCS L6672 | not published | not published | $230.38 – $1,023.92 | 12 |
| Harness figure of 8 dual con HCPCS L6676 | not published | not published | $175.69 – $780.85 | 12 |
| Harness figure of 8 sing con HCPCS L6675 | not published | not published | $142.92 – $635.24 | 12 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $1,214.81 – $1,311.99 | 5 |
| Harvest auto stem cells CPT 38206 | $3,297.60 | $8,244.00 | $1,214.81 – $7,476.01 | 15 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $1,390.20 – $9,904.20 | 14 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $951.83 – $11,412.47 | 14 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $3,498.13 – $3,777.98 | 5 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $504.58 – $2,117.74 | 14 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $3,498.13 – $3,777.98 | 5 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $152.17 – $638.68 | 12 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $152.17 – $638.68 | 12 |
| Hba1/hba2 full gene sequence CPT 81259 | $432.40 | $1,081.00 | $286.81 – $1,176.00 | 15 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $278.40 | $696.00 | $84.33 – $396.70 | 15 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $84.33 – $735.49 | 14 |
| Hbb full gene sequence CPT 81364 | $447.20 | $1,118.00 | $84.33 – $636.18 | 15 |
| Hbb gene com variants CPT 81361 | $210.40 | $526.00 | $84.33 – $342.63 | 15 |
| Hbb gene dup/del variants CPT 81363 | $383.60 | $959.00 | $84.33 – $396.70 | 15 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $84.33 – $735.49 | 14 |
| Hb glycosylated a1c home dev CPT 83037 | $24.00 | $60.00 | $3.47 – $19.03 | 15 |
| Hbot, full body chamber, 30m HCPCS G0277 | $296.00 | $740.00 | $157.39 – $660.54 | 15 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $647.60 | $1,619.00 | $85.70 – $841.97 | 15 |
| Hcg free betachain test CPT 84704 | not published | not published | $8.63 – $29.97 | 14 |
| Hcg qualitative CPT 84703 | $18.40 | $46.00 | $3.47 – $14.74 | 15 |
| Hcg quantitative CPT 84702 | $37.60 | $94.00 | $8.93 – $29.50 | 15 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $73.68 | $184.18 | not published | 0 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $700.79 – $7,718.72 | 14 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $676.62 – $3,547.71 | 14 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $676.62 – $730.74 | 5 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $676.62 – $3,547.71 | 14 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $676.62 – $730.74 | 5 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $676.62 – $730.74 | 5 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $272.41 – $2,606.40 | 14 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $272.41 – $1,919.01 | 14 |
| Hc nm kidney imaging with flow CPT 78701 | not published | not published | $272.41 – $1,919.01 | 14 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $621.01 – $4,288.30 | 14 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $929.45 – $6,214.62 | 14 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $2,127.60 | $5,319.00 | $345.64 – $3,343.22 | 15 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $2,600.40 | $6,501.00 | $796.57 – $3,343.22 | 13 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $3,120.80 | $7,802.00 | $796.57 – $3,343.22 | 15 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $441.13 – $1,851.45 | 12 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $441.13 – $1,851.45 | 12 |
| Head CT scan (with and without contrast) CPT 70470 | $1,203.60 | $3,009.00 | $200.61 – $841.97 | 15 |
| Head CT scan (with contrast) CPT 70460 | $1,083.20 | $2,708.00 | $200.61 – $841.97 | 15 |
| Head CT scan (without contrast) CPT 70450 | $691.20 | $1,728.00 | $119.57 – $501.84 | 15 |
| Hearing loss dup/del analys CPT 81431 | $489.60 | $1,224.00 | $286.81 – $1,331.96 | 15 |
| Hearing loss sequence analys CPT 81430 | $1,172.40 | $2,931.00 | $286.81 – $3,185.00 | 15 |
| Heart first pass add-on CPT 78496 | $212.40 | $531.00 | $272.41 – $294.20 | 5 |
| Heart first pass multiple CPT 78483 | not published | not published | $621.01 – $2,606.40 | 14 |
| Heart image spect CPT 78494 | $1,249.20 | $3,123.00 | $272.41 – $1,919.01 | 15 |
| Heart infarct image CPT 78466 | not published | not published | $272.41 – $1,919.01 | 14 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $272.41 – $2,606.40 | 14 |
| Heart revascularize (tmr) CPT 33140 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Heart tmr w/other procedure 33141 CPT 33141 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Heavy duty control cable HCPCS L6660 | not published | not published | $126.18 – $560.79 | 12 |
| Heavy metal qual any number CPT 83015 | not published | not published | $7.79 – $41.04 | 14 |
| Heel leather reinforced HCPCS L3440 | not published | not published | $89.00 – $395.54 | 12 |
| Heinz bodies direct CPT 85441 | not published | not published | $4.01 – $8.23 | 14 |
| Heinz bodies induced CPT 85445 | not published | not published | $4.01 – $13.37 | 14 |
| Helicobacter pylori antibody igm CPT 86677 | $36.40 | $91.00 | $7.40 – $33.03 | 15 |
| Helicoll, per square cm HCPCS Q4164 | not published | not published | $142.33 – $597.36 | 10 |
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.