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 |
|---|---|---|---|---|
| Incision of urethra CPT 53020 | not published | not published | $2,085.40 – $10,034.34 | 14 |
| Incision of urethra CPT 53025 | not published | not published | $2,085.40 – $10,034.34 | 14 |
| Incision of vagus nerve CPT 64760 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Incision of windpipe CPT 31601 | not published | not published | $1,462.60 – $28,416.55 | 14 |
| Incision of windpipe CPT 31610 | not published | not published | $1,462.60 – $28,416.55 | 14 |
| Incision of wrist capsule CPT 25085 | not published | not published | $1,227.92 – $15,706.36 | 14 |
| Incision secondary cataract CPT 66820 | not published | not published | $376.72 – $11,078.09 | 14 |
| Incision tendon sheath CPT 26055 | $3,665.60 | $9,164.00 | $940.20 – $7,718.72 | 15 |
| Incisn of toe tndn CPT 28010 | $3,665.60 | $9,164.00 | $1,531.31 – $7,718.72 | 15 |
| Incisn windpipe CPT 31600 | $3,718.80 | $9,297.00 | $1,462.60 – $15,914.98 | 15 |
| Incis spine 3 column adl seg CPT 22208 | not published | not published | $3,303.62 – $3,567.91 | 5 |
| Incis spine 3 column lumbar CPT 22207 | not published | not published | $3,303.62 – $34,831.50 | 12 |
| Incis spine 3 column thorac CPT 22206 | not published | not published | $3,303.62 – $34,831.50 | 12 |
| Incobotulinumtoxin a HCPCS J0588 | not published | not published | $5.18 – $404.48 | 14 |
| Inc&subq plmt crnl bone grf CPT 61316 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Indigotindisulfonate 8 mg/ml soln 5 ml ampule HCPCS J9220 | not published | not published | $9.11 – $46.11 | 10 |
| Induced ab 1+vag supp d&c CPT 59856 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Induced ab 1+vag supp hyst CPT 59857 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Induced abortion 1+njx d&c CPT 59851 | $3,106.40 | $7,766.00 | $2,500.00 – $2,500.00 | 1 |
| Induced abortion 1+njx hyst CPT 59852 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Induced abortion d&c CPT 59840 | not published | not published | $1,253.90 – $15,538.94 | 14 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $1,253.90 – $15,538.94 | 14 |
| Induction of vomiting CPT 99175 | $221.60 | $554.00 | $477.34 – $515.53 | 5 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $195.60 | $489.00 | $68.80 – $137.59 | 11 |
| Infect ag drug suscept pheno predict CPT 87900 | $111.60 | $279.00 | $76.91 – $255.49 | 15 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $5.12 – $29.40 | 14 |
| Infect ag eia influenza a or b ea CPT 87400 | $31.20 | $78.00 | $5.12 – $27.69 | 15 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $599.60 | $1,499.00 | $76.91 – $504.60 | 15 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $363.20 | $908.00 | $76.91 – $504.60 | 15 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $296.00 | $740.00 | $76.91 – $252.31 | 15 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $599.60 | $1,499.00 | $76.91 – $504.60 | 15 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $36.40 | $91.00 | $19.51 – $64.23 | 15 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $19.51 – $69.17 | 14 |
| Infect ag ia optc obs influenza CPT 87804 | $33.20 | $83.00 | $5.12 – $32.44 | 15 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | $31.20 | $78.00 | $5.12 – $23.48 | 15 |
| Infect ag if hep delta agent CPT 87380 | not published | not published | $5.12 – $35.99 | 14 |
| Infect ag if influenza a CPT 87276 | $33.20 | $83.00 | $5.12 – $31.50 | 15 |
| Infect ag if influenza b CPT 87275 | $31.20 | $78.00 | $5.12 – $24.01 | 15 |
| Infect ag if legionella pneumophila CPT 87278 | $32.40 | $81.00 | $5.12 – $30.58 | 15 |
| Infect ag if nos ea CPT 87299 | not published | not published | $5.12 – $31.56 | 14 |
| Infect ag if pneumocystis carinii CPT 87281 | $31.20 | $78.00 | $5.12 – $23.48 | 15 |
| Infect ag if varicella zoster CPT 87290 | $31.20 | $78.00 | $5.12 – $26.30 | 15 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $19.51 – $104.80 | 14 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $19.51 – $68.78 | 14 |
| Infect ag na herpes simplex quant CPT 87530 | $108.00 | $270.00 | $19.51 – $83.97 | 15 |
| Infect ag na hpv high-risk types CPT 87624 | $49.20 | $123.00 | $19.51 – $68.78 | 15 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $197.60 | $494.00 | $19.51 – $187.77 | 15 |
| Infect ag na influenza revr/amp ea type CPT 87501 | $92.00 | $230.00 | $19.51 – $100.57 | 15 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $103.20 | $258.00 | $35.31 – $108.00 | 13 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $446.40 | $1,116.00 | $76.91 – $816.89 | 15 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $785.20 | $1,963.00 | $76.91 – $957.77 | 15 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $60.40 | $151.00 | $5.12 – $51.10 | 15 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $72.40 | $181.00 | $5.12 – $81.10 | 14 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $31.20 | $78.00 | $5.12 – $23.48 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | not published | not published | $5.12 – $26.30 | 14 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $31.20 | $78.00 | $5.12 – $27.09 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $31.20 | $78.00 | $5.12 – $23.48 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $33.20 | $83.00 | $5.12 – $28.18 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $26.00 | $65.00 | $5.12 – $20.25 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $26.00 | $65.00 | $5.12 – $20.25 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $50.40 | $126.00 | $5.12 – $47.20 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $31.20 | $78.00 | $5.12 – $23.48 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $31.20 | $78.00 | $5.12 – $23.48 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $31.20 | $78.00 | $5.12 – $23.48 | 15 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $81.60 | $204.00 | $19.51 – $68.78 | 15 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $68.40 | $171.00 | $19.51 – $68.78 | 15 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $68.40 | $171.00 | $19.51 – $73.05 | 15 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $734.00 | $1,835.00 | $408.44 – $816.89 | 13 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $81.60 | $204.00 | $19.51 – $68.78 | 15 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | not published | not published | $19.51 – $68.78 | 14 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $88.40 | $221.00 | $19.51 – $81.69 | 15 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $68.40 | $171.00 | $19.51 – $68.78 | 15 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $142.40 | $356.00 | $50.28 – $100.57 | 14 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $177.60 | $444.00 | $19.51 – $279.55 | 14 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $289.20 | $723.00 | $19.51 – $279.55 | 14 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $79.60 | $199.00 | $19.51 – $68.78 | 15 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $40.00 | $100.00 | $19.51 – $68.78 | 15 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | $137.20 | $343.00 | $68.78 – $137.55 | 9 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $213.60 | $534.00 | $19.51 – $150.47 | 13 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | $941.20 | $2,353.00 | $666.17 – $1,332.35 | 9 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $535.20 | $1,338.00 | $76.91 – $816.89 | 15 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $137.20 | $343.00 | $76.91 – $251.45 | 15 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $389.60 | $974.00 | $76.91 – $515.46 | 15 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $99.60 | $249.00 | $19.51 – $83.97 | 15 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $99.60 | $249.00 | $19.51 – $83.97 | 15 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $99.60 | $249.00 | $19.51 – $83.97 | 15 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $197.60 | $494.00 | $76.91 – $166.80 | 15 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $153.20 | $383.00 | $76.91 – $279.55 | 15 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | not published | not published | $30.42 – $1,272.76 | 14 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | not published | not published | $27.48 – $2,018.91 | 14 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | not published | not published | $16.17 – $1,272.76 | 14 |
| Influenza dna amp prob addl CPT 87503 | $52.00 | $130.00 | $5.12 – $57.27 | 15 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $19.21 – $115.02 | 6 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | $18.00 | $45.00 | $18.57 – $39.90 | 8 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | not published | not published | $309.03 – $333.75 | 5 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | not published | not published | $823.46 – $889.33 | 5 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | not published | not published | $309.03 – $333.75 | 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.