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 |
|---|---|---|---|---|
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $351.60 | $879.00 | $215.00 – $232.20 | 5 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $52.05 – $4,545.55 | 14 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $488.74 – $1,920.11 | 12 |
| Injection, cangrelor HCPCS C9460 | not published | not published | $19.62 – $404.48 | 14 |
| Injection, caplacizumab-yhdp HCPCS C9047 | $1,062.68 | $2,656.70 | $785.24 – $14,171.81 | 15 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $1,593.60 | $3,984.00 | $170.76 – $1,473.43 | 15 |
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $162.88 – $768.86 | 11 |
| Injection, daratumumab 10 mg HCPCS J9145 | not published | not published | $69.36 – $3,428.99 | 14 |
| Injection, delafloxacin HCPCS C9462 | not published | not published | $0.61 – $3.46 | 3 |
| Injection during cath supravalvular aortography CPT 93567 | $2,247.20 | $5,618.00 | $215.00 – $232.20 | 5 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $14.87 – $99.13 | 12 |
| Injection epidural blood patch or clot CPT 62273 | $1,072.80 | $2,682.00 | $607.22 – $3,388.40 | 15 |
| Injection estrone per 1 mg HCPCS J1435 | not published | not published | $0.34 – $1.23 | 2 |
| Injection eye drug CPT 67028 | $1,643.60 | $4,109.00 | $223.72 – $1,585.54 | 15 |
| Injection for arthrography wrist (both sides) CPT 25246 | $306.80 | $767.00 | $215.00 – $232.20 | 5 |
| Injection for bladder x-ray CPT 51600 | $430.00 | $1,075.00 | $215.00 – $232.20 | 5 |
| Injection for hip x-ray CPT 27095 | $1,824.80 | $4,562.00 | $215.00 – $232.20 | 5 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $336.00 | $840.00 | $215.00 – $232.20 | 5 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $215.00 – $232.20 | 5 |
| Injection for tear sac x-ray CPT 68850 | $225.20 | $563.00 | $215.00 – $232.20 | 5 |
| Injection for ureter x-ray CPT 50684 | $141.60 | $354.00 | $215.00 – $232.20 | 5 |
| Injection for ureter x-ray CPT 50690 | $261.20 | $653.00 | $215.00 – $232.20 | 5 |
| Injection, fulvestrant HCPCS J9395 | not published | not published | $9.32 – $618.68 | 10 |
| Injection glatiramer acetate HCPCS J1595 | not published | not published | $59.42 – $652.51 | 9 |
| Injection, glucarpidase HCPCS C9293 | not published | not published | $440.12 – $14,171.81 | 12 |
| Injection, inclisiran, 1 mg HCPCS J1306 | not published | not published | $12.36 – $2,018.91 | 13 |
| Injection into brain canal CPT 61026 | not published | not published | $807.33 – $3,388.40 | 14 |
| Injection into brain canal CPT 61055 | $1,319.20 | $3,298.00 | $309.03 – $1,473.43 | 15 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $1,045.71 – $4,464.03 | 14 |
| Injection into spinal artery CPT 62294 | not published | not published | $607.22 – $4,245.66 | 14 |
| Injection into vocal cord CPT 31513 | not published | not published | $447.33 – $1,877.47 | 14 |
| Injection intraop add-on CPT 48400 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Injection, isavuconazonium HCPCS J1833 | not published | not published | $0.99 – $275.57 | 14 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $215.00 – $232.20 | 5 |
| Injection jugular CPT 36299 | $169.20 | $423.00 | $401.84 – $433.99 | 5 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $2.45 – $404.48 | 8 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $5.62 – $4,545.55 | 14 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $31.36 – $345.63 | 12 |
| Injection of sinus tract CPT 20500 | $2,261.60 | $5,654.00 | $652.16 – $7,447.96 | 15 |
| Injection,onabotulinumtoxina HCPCS J0585 | $11.02 | $27.54 | $6.38 – $404.48 | 15 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.64 – $1,272.76 | 14 |
| Injection px peyronie ds CPT 54200 | not published | not published | $51.14 – $1,199.32 | 14 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $231.20 | $578.00 | $272.41 – $1,919.01 | 15 |
| Injection, renflexis HCPCS Q5104 | $96.59 | $241.46 | $26.27 – $1,272.76 | 15 |
| Injection, ruconest HCPCS J0596 | not published | not published | $35.94 – $146.35 | 12 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | not published | not published | $349.64 – $3,388.40 | 14 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $1,231.60 | $3,079.00 | $309.03 – $3,388.40 | 15 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $1,074.00 | $2,685.00 | $309.03 – $3,388.40 | 15 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $2,119.60 | $5,299.00 | $607.22 – $4,245.66 | 15 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $712.40 | $1,781.00 | $607.22 – $655.80 | 5 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $2,038.00 | $5,095.00 | $607.22 – $4,245.66 | 15 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $712.40 | $1,781.00 | $607.22 – $655.80 | 5 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $896.80 | $2,242.00 | $607.22 – $4,245.66 | 15 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,879.20 | $4,698.00 | $607.22 – $3,388.40 | 15 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,874.80 | $4,687.00 | $607.22 – $3,388.40 | 15 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $170.59 – $7,001.18 | 14 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $868.00 | $2,170.00 | $170.76 – $1,473.43 | 15 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $678.40 | $1,696.00 | $170.76 – $1,473.43 | 15 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $545.60 | $1,364.00 | $170.76 – $1,473.43 | 15 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $109.60 | $274.00 | $31.36 – $224.76 | 15 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $127.60 | $319.00 | $31.36 – $33.87 | 5 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $527.60 | $1,319.00 | $31.36 – $1,021.03 | 15 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $162.40 | $406.00 | $31.36 – $345.63 | 15 |
| Injection torsemide 10 mg/ml HCPCS J3265 | not published | not published | $3.07 – $3.07 | 1 |
| Injection treatment of eye CPT 66020 | not published | not published | $652.61 – $11,078.09 | 14 |
| Injection treatment of eye CPT 66030 | not published | not published | $652.61 – $11,078.09 | 14 |
| Injection treatment of nerve CPT 64605 | $6,866.40 | $17,166.00 | $823.46 – $9,373.54 | 15 |
| Injection treatment of nerve CPT 64610 | $6,866.40 | $17,166.00 | $823.46 – $9,373.54 | 15 |
| Injection treatment of nerve CPT 64681 | not published | not published | $823.46 – $4,245.66 | 14 |
| Injection treatment of nose CPT 30200 | not published | not published | $616.84 – $2,588.91 | 14 |
| Inject sacroiliac joint CPT 27096 | $2,087.20 | $5,218.00 | not published | 0 |
| Inject/treat eye socket CPT 67500 | not published | not published | $223.72 – $1,523.60 | 14 |
| Inject/treat eye socket CPT 67505 | not published | not published | $223.72 – $1,523.60 | 14 |
| Inject/treat eye socket CPT 67515 | not published | not published | $223.72 – $1,523.60 | 14 |
| Inj, eculizumab-aagh, 2 mg HCPCS Q5151 | not published | not published | $31.29 – $145.15 | 10 |
| Inj, eculizumab-aeeb, 2 mg HCPCS Q5152 | not published | not published | $40.95 – $192.10 | 10 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $33.64 – $153.58 | 11 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $31.00 – $3,428.99 | 13 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $376.45 – $1,750.70 | 12 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $54.53 – $21,879.71 | 14 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $1,879.20 | $4,698.00 | $607.22 – $3,388.40 | 15 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,879.20 | $4,698.00 | $607.22 – $4,245.66 | 15 |
| Inj, epinephrine (belcher) HCPCS J0173 | not published | not published | $2.86 – $7.92 | 2 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $1.26 – $404.48 | 14 |
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $14.20 – $79.40 | 10 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | not published | not published | $2.30 – $64.17 | 14 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $164.16 – $774.83 | 12 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $193.68 – $4,545.55 | 13 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $19.04 – $4,545.55 | 14 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $2,285,360.00 – $5,363,600.00 | 10 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $9.75 – $21,879.71 | 14 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $32.21 – $1,272.76 | 13 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $21.49 – $404.48 | 13 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $137.89 – $860.72 | 13 |
| Inj ferric pyrophosphate cit HCPCS J1443 | not published | not published | $0.06 – $0.22 | 2 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.21 – $1,272.76 | 14 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $10.77 – $16.90 | 3 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $2.50 – $14.54 | 11 |
| Inj for ext venography CPT 36005 | $280.40 | $701.00 | $451.14 – $487.23 | 5 |
| Inj for mammo ductogram CPT 19030 | $576.00 | $1,440.00 | $215.00 – $232.20 | 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.