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 |
|---|---|---|---|---|
| Infuse radioactive materials CPT 77750 | not published | not published | $129.92 – $1,851.45 | 14 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | not published | $477.34 – $515.53 | 5 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $426.79 – $2,238.28 | 14 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $232.80 | $582.00 | $34.79 – $1,051.14 | 15 |
| Init ak ischal plstr direct HCPCS L5505 | not published | not published | $2,069.94 – $9,199.86 | 12 |
| Init bk ptb plaster direct HCPCS L5500 | not published | not published | $1,528.46 – $6,793.23 | 12 |
| Initial care training 30 m HCPCS G0539 | not published | not published | $39.61 – $244.74 | 10 |
| Initial custom socket insert HCPCS L5683 | $806.00 | $2,015.00 | $1,324.37 – $6,830.22 | 13 |
| Initial foot exam pt lops HCPCS G0245 | not published | not published | $152.27 – $639.07 | 12 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Initiation & management bipap/cpap initial day CPT 94660 | $1,946.40 | $4,866.00 | $88.07 – $1,051.14 | 15 |
| Init/sub psych care m 1st 30 HCPCS G2214 | not published | not published | $47.71 – $487.67 | 13 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $5.90 – $1,272.76 | 13 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | not published | not published | $7.13 – $1,272.76 | 14 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.09 – $1.02 | 10 |
| Inj, acetaminophen (b braun) HCPCS J0136 | not published | not published | $0.09 – $0.23 | 2 |
| Inj acetaminophen -fresenius HCPCS J0134 | $5.08 | $12.70 | $0.06 – $0.23 | 4 |
| Inj, acetaminophen (hikma) HCPCS J0137 | not published | not published | $0.08 – $0.32 | 2 |
| Inj. acthar gel to 40 units HCPCS J0801 | not published | not published | $3,174.99 – $18,937.12 | 13 |
| Inj, adalimumab, 1 mg HCPCS J0139 | not published | not published | $113.26 – $424.66 | 8 |
| Inj adalimumab-ryvk, 1 mg HCPCS Q5142 | not published | not published | $14.76 – $48.80 | 3 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $62,996.65 – $125,993.31 | 10 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $9.56 – $27.69 | 3 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $7.77 – $160.57 | 11 |
| Inj, aflibercept-ayyh, 1 mg HCPCS Q5147 | not published | not published | $804.97 – $3,684.83 | 10 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | not published | not published | $295.15 – $1,582.30 | 13 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.54 – $4,545.55 | 14 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | not published | not published | $3.73 – $2,018.91 | 13 |
| Inj, alyglo, 500 mg HCPCS J1552 | not published | not published | $120.66 – $680.10 | 11 |
| Inj alymsys 10 mg HCPCS Q5126 | not published | not published | $50.56 – $860.72 | 13 |
| Inj, amisulpride, 1 mg HCPCS J0184 | not published | not published | $9.37 – $44.17 | 11 |
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $128.54 – $14,171.81 | 14 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | not published | not published | $17.94 – $2,018.91 | 13 |
| Inj. (ani), up to 40 units HCPCS J0802 | not published | not published | $3,174.99 – $16,101.01 | 13 |
| Inj, aponvie, 1 mg HCPCS C9145 | $3.71 | $9.27 | $2.26 – $64.17 | 10 |
| Inj., aristada initio, 1 mg HCPCS J1943 | not published | not published | $3.19 – $860.72 | 14 |
| Inj, artesunate, 1mg HCPCS J0391 | not published | not published | $50.79 – $2,018.91 | 13 |
| Inj. asceniv HCPCS J1554 | not published | not published | $490.91 – $2,232.91 | 13 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | not published | not published | $55.16 – $14,171.81 | 13 |
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | not published | not published | $31.31 – $142.97 | 10 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | not published | not published | $101.33 – $1,272.76 | 13 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $79.58 – $335.44 | 11 |
| Inj belantamab mafodot blmf HCPCS J9037 | not published | not published | $72.44 – $209.79 | 2 |
| Inj., benralizumab, 1 mg HCPCS J0517 | not published | not published | $160.09 – $3,428.99 | 14 |
| Inj beta interferon sq 1 mcg HCPCS Q3028 | not published | not published | $57.16 – $404.48 | 8 |
| Inj, betibeglogene autotemce HCPCS J3393 | not published | not published | $2,879,553.60 – $6,826,400.00 | 10 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | not published | not published | $39.03 – $1,272.76 | 14 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | not published | not published | $209.74 – $955.08 | 14 |
| Inj, biorphen, 20 micrograms HCPCS J2372 | not published | not published | $0.28 – $0.83 | 2 |
| Inj bortezomib boruzu 0.1 mg HCPCS J9054 | not published | not published | $24.90 – $121.63 | 10 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | not published | not published | $3.39 – $121.13 | 13 |
| Inj, bortezomib freseniuskab HCPCS J9048 | not published | not published | $4.28 – $224.79 | 13 |
| Inj, bortezomib, hospira HCPCS J9049 | not published | not published | $11.41 – $121.13 | 7 |
| Inj., brexanolone, 1 mg HCPCS J1632 | not published | not published | $113.89 – $4,545.55 | 8 |
| Inj, brixadi, 7 days or less HCPCS J0577 | not published | not published | $408.87 – $1,870.94 | 11 |
| Inj brixadi, more than 7 day HCPCS J0578 | not published | not published | $1,635.46 – $7,483.70 | 11 |
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | not published | not published | $346.01 – $1,457.80 | 14 |
| Inj, bupivacaine liposome HCPCS J0666 | $3.77 | $9.41 | $1.38 – $6.71 | 11 |
| Inj, bupivacaine (posimir) HCPCS C9144 | not published | not published | $0.70 – $2.36 | 3 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | not published | not published | $69.49 – $1,033.28 | 13 |
| Inj, carmustine (accord) HCPCS J9052 | not published | not published | $0.07 – $2,750.59 | 8 |
| Inj cefazolin sodium, baxter HCPCS J0689 | $12.14 | $30.35 | $1.52 – $5.60 | 4 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $6.28 | $15.68 | $1.40 – $2.26 | 3 |
| Inj cefazolin (wg crit care) HCPCS J0687 | $6.28 | $15.68 | $1.30 – $5.00 | 6 |
| Inj. cefepime hcl (baxter) HCPCS J0701 | not published | not published | $9.02 – $26.34 | 2 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | not published | not published | $8.43 – $23.57 | 2 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $3.75 | $9.36 | $2.37 – $122.32 | 14 |
| Inj ceftolozane tazobactam HCPCS J0695 | $14.40 | $35.99 | $8.66 – $122.32 | 15 |
| Inj., cerliponase alfa 1 mg HCPCS J0567 | not published | not published | $118.75 – $557.27 | 12 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | not published | not published | $16.58 – $69.91 | 14 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | not published | not published | $81.81 – $1,033.28 | 13 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $90.55 – $405.36 | 11 |
| Inj, clevidipine butyrate HCPCS C9248 | not published | not published | $6.52 – $64.17 | 7 |
| Inj, clindamycin (baxter) HCPCS J0737 | not published | not published | $2.80 – $10.14 | 2 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $262.80 | $657.00 | $215.00 – $232.20 | 5 |
| Inj., copanlisib, 1 mg HCPCS J9057 | not published | not published | $124.82 – $3,428.99 | 9 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | not published | not published | $1,438.04 – $7,001.18 | 10 |
| Inj, crovalimab-akkz, 10 mg HCPCS J1307 | not published | not published | $540.48 – $2,481.22 | 11 |
| Inj cutaquig 100 mg HCPCS J1551 | not published | not published | $13.65 – $2,018.91 | 13 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $17.23 – $2,018.91 | 14 |
| Inj, cyclophos (baxter) 5mg HCPCS J9076 | not published | not published | $3.65 – $121.13 | 12 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | not published | not published | $6.02 – $121.13 | 13 |
| Inj cyclophosphamd auromedic HCPCS J9071 | not published | not published | $0.51 – $121.13 | 13 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | not published | not published | $0.49 – $121.13 | 13 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | not published | not published | $3.58 – $121.13 | 13 |
| Inj, daptomycin (baxter) HCPCS J0874 | not published | not published | $0.10 – $0.50 | 3 |
| Inj, daptomycin (hospira) HCPCS J0877 | not published | not published | $0.10 – $0.28 | 2 |
| Inj daptomycin (xellia) HCPCS J0873 | not published | not published | $0.06 – $0.09 | 3 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | not published | not published | $3.03 – $20.05 | 11 |
| Inj, decitabine (sun pharma) HCPCS J0893 | not published | not published | $1.24 – $55.13 | 7 |
| Inj delandistrogene mox rokl HCPCS J1413 | not published | not published | $3,254,948.85 – $6,509,897.70 | 10 |
| Inj. denosumab-bbdz, 1 mg HCPCS Q5136 | not published | not published | $27.36 – $127.51 | 10 |
| Inj disk cerv-thor ea lev CPT 62291 | $1,009.20 | $2,523.00 | $215.00 – $232.20 | 5 |
| Inj, docetaxel (beizray) 1mg HCPCS J9174 | not published | not published | $45.17 – $242.94 | 10 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $4.06 – $18.94 | 11 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $170.76 – $1,473.43 | 14 |
| Inj, durolane 1 mg HCPCS J7318 | not published | not published | $6.60 – $37.80 | 12 |
| Inj dx for sinogram CPT 20501 | $200.00 | $500.00 | $215.00 – $232.20 | 5 |
| Inject for sacroiliac joint HCPCS G0259 | not published | not published | $349.64 – $377.61 | 5 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $2,027.60 | $5,069.00 | $807.33 – $3,388.40 | 13 |
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.