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 |
|---|---|---|---|---|
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $266.80 | $667.00 | $52.26 – $346.19 | 13 |
| Immobilizer shldr sling med HCPCS L3660 | $143.20 | $358.00 | $96.82 – $499.35 | 13 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $2,298.80 – $39,234.15 | 14 |
| Immune complex assay CPT 86332 | $56.00 | $140.00 | $7.40 – $47.77 | 15 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $82.54 | $206.34 | $43.38 – $2,018.91 | 15 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $78.79 – $2,018.91 | 14 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $46.09 – $1,272.76 | 14 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $149.09 – $161.15 | 2 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $53.20 | $133.00 | $7.40 – $40.79 | 15 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $53.20 | $133.00 | $7.40 – $40.79 | 15 |
| Immunoassay tumor qual CPT 86294 | $53.60 | $134.00 | $7.40 – $50.12 | 15 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $31.20 | $78.00 | $7.40 – $23.48 | 15 |
| Immunodiffusion nes CPT 86329 | $35.20 | $88.00 | $7.40 – $27.54 | 15 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $29.92 – $30.13 | 2 |
| Immunofixation electrophoresis serum CPT 86334 | $51.60 | $129.00 | $7.40 – $43.79 | 15 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $90.00 | $225.00 | $28.69 – $30.98 | 5 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $906.00 | $2,265.00 | $28.69 – $1,500.63 | 15 |
| Immunoglobulin assay CPT 86023 | $32.00 | $80.00 | $7.40 – $24.42 | 15 |
| Immunology procedure CPT 86849 | $92.00 | $230.00 | $7.40 – $8.00 | 5 |
| Impedence cardiogram CPT 93701 | $149.20 | $373.00 | $152.17 – $638.68 | 13 |
| Imp extar knee shck absrb HCPCS C8003 | not published | not published | $20,053.79 – $85,145.93 | 11 |
| Impl absrb msh/prsth dly cls CPT 15778 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | $1,754.00 | $4,385.00 | $859.97 – $4,435.12 | 13 |
| Implantation iris prosthesis CPT 66683 | not published | not published | $18,826.59 – $79,015.75 | 11 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Implant brain electrodes CPT 61531 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Implant brain electrodes CPT 61533 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Implant brain electrodes CPT 61760 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $5,350.00 | $13,375.00 | not published | 0 |
| Implant cochlear device CPT 69930 | not published | not published | $19,911.40 – $158,273.75 | 14 |
| Implant cochlear osia osi300 HCPCS L8690 | $8,692.40 | $21,731.00 | $6,860.86 – $6,860.86 | 1 |
| Implant eye drug system CPT 67027 | not published | not published | $2,288.08 – $74,173.53 | 14 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $316.31 – $2,144.37 | 14 |
| Implant nerve end CPT 64787 | not published | not published | $976.42 – $1,054.54 | 5 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Implant neuroelectrode CPT 61863 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Implant neuroelectrode CPT 61867 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $14,662.92 – $99,616.12 | 14 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $10,329.41 – $55,340.49 | 14 |
| Implant neuroelectrodes CPT 64555 | $13,896.00 | $34,740.00 | $4,211.31 – $30,591.85 | 15 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $4,211.31 – $30,591.85 | 14 |
| Implant neuroelectrodes CPT 61850 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Implant neuroelectrodes CPT 61860 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Implant neurostim arrays CPT 61886 | not published | not published | $14,662.92 – $148,124.04 | 14 |
| Implant power module patient cable cable 14 volt HCPCS Q0477 | $3,380.00 | $8,450.00 | $781.10 – $4,028.42 | 13 |
| Implant single ventricular device 33975 CPT 33975 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Implant spinal canal cath CPT 62351 | not published | not published | $7,277.63 – $34,831.50 | 14 |
| Implant spine infusion pump CPT 62361 | not published | not published | $7,277.63 – $86,518.60 | 14 |
| Implant spine infusion pump CPT 62362 | not published | not published | $7,277.63 – $86,518.60 | 14 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $2,500.00 – $7,748.74 | 6 |
| Implant ureter in bowel CPT 50800 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Implant ureth bulk agent HCPCS L8606 | $3,152.00 | $7,880.00 | $328.14 – $328.14 | 1 |
| Impl ear abutment ba300 9mm HCPCS L8693 | not published | not published | $1,771.54 – $7,873.64 | 12 |
| Impl eye bio-eye 16mm HCPCS L8042 | not published | not published | $2,138.56 – $17,582.80 | 12 |
| Impl neurostim electr perc CPT 63650 | $13,946.40 | $34,866.00 | $4,211.31 – $30,591.85 | 15 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $1,390.20 – $1,501.41 | 5 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $3,303.62 – $42,126.08 | 14 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $3,243.71 – $61,628.63 | 13 |
| Impl oi implt sk tc esp>=100 CPT 69729 | not published | not published | $3,243.71 – $61,628.63 | 13 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $3,243.71 – $61,628.63 | 14 |
| Impl/rplcmt gstr nstim eltrd CPT 43881 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $4,727.48 – $19,841.39 | 12 |
| Impltj tot rplcmt hrt sys CPT 33927 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Implt neurostim elctr each HCPCS L8680 | not published | not published | $1,623.69 – $1,623.69 | 1 |
| Imported lipodox inj HCPCS Q2049 | not published | not published | $292.77 – $3,428.99 | 14 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $215.04 – $15,914.98 | 14 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $215.04 – $15,914.98 | 14 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $215.04 – $15,914.98 | 14 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $215.04 – $15,914.98 | 14 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $215.04 – $28,416.55 | 14 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $41.19 – $28,416.55 | 14 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $41.19 – $1,136.96 | 14 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $215.04 – $28,416.55 | 14 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $215.04 – $15,914.98 | 14 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $215.04 – $15,914.98 | 14 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $215.04 – $15,914.98 | 14 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $215.04 – $7,447.96 | 14 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $41.97 – $7,001.18 | 14 |
| In-111 autol wbc diag per dose HCPCS A9570 | $5,354.00 | $13,385.00 | $1,081.13 – $2,372.20 | 10 |
| In-111 capromab pendet HCPCS A9507 | not published | not published | $1,695.68 – $8,011.24 | 10 |
| In-111 ibritumomab tiux dx HCPCS A9542 | not published | not published | $1,117.23 – $8,219.40 | 3 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $5,148.00 | $12,870.00 | $814.83 – $1,777.07 | 10 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $5,374.00 | $13,435.00 | $730.71 – $1,645.17 | 10 |
| In-111 pentetreotide HCPCS A9572 | $10,534.00 | $26,335.00 | $1,960.92 – $4,403.60 | 10 |
| Inactivated je vacc im CPT 90738 | not published | not published | $77.90 – $84.14 | 5 |
| Inc deep opng b1 crtx thorax CPT 21510 | not published | not published | $3,742.25 – $15,706.36 | 10 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $4,029.46 – $34,831.50 | 14 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $3,742.25 – $15,706.36 | 14 |
| Incis 1 vertebral seg cerv CPT 22210 | not published | not published | $8,299.08 – $34,831.50 | 10 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $8,299.08 – $34,831.50 | 10 |
| Incis 1 vertebral seg thorac CPT 22212 | not published | not published | $8,299.08 – $34,831.50 | 10 |
| Incise bile duct sphincter CPT 47460 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $2,233.37 – $9,373.54 | 14 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $951.83 – $4,785.26 | 14 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $940.20 – $15,706.36 | 14 |
| Incise hand/finger tendon CPT 26460 | not published | not published | $940.20 – $7,718.72 | 14 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $976.42 – $9,373.54 | 14 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | $976.42 – $9,373.54 | 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.