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 |
|---|---|---|---|---|
| Inj, pasireotide long acting HCPCS J2502 | not published | not published | $584.37 – $4,545.55 | 14 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | not published | not published | $98.88 – $14,171.81 | 14 |
| Inj, pedmark, 100 mg HCPCS J0208 | not published | not published | $93.54 – $4,545.55 | 13 |
| Inj, pegcetacoplan, 1mg HCPCS J2781 | not published | not published | $144.85 – $1,272.76 | 13 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | not published | not published | $34.59 – $3,428.99 | 14 |
| Inj, pegulicianine, 1 mg HCPCS A9615 | not published | not published | $36.76 – $173.67 | 11 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | not published | not published | $7.83 – $4,545.55 | 13 |
| Inj pemetrexed (accord) 10mg HCPCS J9296 | not published | not published | $9.46 – $1,272.76 | 13 |
| Inj, pemetrexed (avyxa) 10mg HCPCS J9292 | not published | not published | $80.38 – $376.74 | 10 |
| Inj pemetrexed (bluepoint) HCPCS J9322 | not published | not published | $10.39 – $1,272.76 | 13 |
| Inj pemetrexed ditromethamin HCPCS J9323 | not published | not published | $12.01 – $1,272.76 | 8 |
| Inj pemetrexed, hospira 10mg HCPCS J9294 | not published | not published | $3.60 – $1,272.76 | 13 |
| Inj pemetrexed (sandoz) 10mg HCPCS J9297 | not published | not published | $14.65 – $1,272.76 | 7 |
| Inj pemetrexed (teva) 10mg HCPCS J9314 | not published | not published | $10.00 – $62.04 | 11 |
| Inj, pemivibart, 4500 mg HCPCS Q0224 | not published | not published | $7,636.86 – $30,481.61 | 3 |
| Inj, pemrydi rtu, 10 mg HCPCS J9324 | not published | not published | $69.07 – $392.11 | 11 |
| Inj peritoneal venous shunt CPT 49427 | not published | not published | $215.00 – $232.20 | 5 |
| Inj., perseris, 0.5 mg HCPCS J2798 | not published | not published | $11.93 – $404.48 | 14 |
| Inj plasminogen tvmh 1mg HCPCS J2998 | not published | not published | $37.63 – $140.38 | 11 |
| Inj., plazomicin, 5 mg HCPCS J0291 | not published | not published | $3.44 – $404.48 | 14 |
| Inj pozelimab-bbfg, 1 mg HCPCS J9376 | not published | not published | $89.90 – $424.71 | 10 |
| Inj proc ankle arthr CPT 27648 | $224.40 | $561.00 | $215.00 – $232.20 | 5 |
| Inj proc elbow arthro CPT 24220 | $442.80 | $1,107.00 | $215.00 – $232.20 | 5 |
| Inj proc for lymphang CPT 38790 | $254.80 | $637.00 | $215.00 – $232.20 | 5 |
| Inj proc lumbr disk ea lvl CPT 62290 | $832.40 | $2,081.00 | $215.00 – $232.20 | 5 |
| Inj proc myelogram lumbar CPT 62284 | $548.40 | $1,371.00 | $215.00 – $232.20 | 5 |
| Inj proc sialogram CPT 42550 | $258.00 | $645.00 | $215.00 – $232.20 | 5 |
| Inj protirelin per 250 mcg HCPCS J2725 | not published | not published | $30.49 – $157.39 | 2 |
| Inj recombin esperoct per iu HCPCS J7204 | not published | not published | $2.18 – $9.58 | 12 |
| Inj, releuko 1 mcg HCPCS Q5125 | $0.94 | $2.35 | $0.31 – $122.32 | 14 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | $8.93 | $22.32 | $0.82 – $64.17 | 12 |
| Inj retro urethrocysto CPT 51610 | $500.40 | $1,251.00 | $215.00 – $232.20 | 5 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | not published | not published | $13.02 – $404.48 | 14 |
| Inj roctavian ml 2x10^13vc g HCPCS J1412 | not published | not published | $12,302.64 – $55,596.16 | 11 |
| Inj., rolapitant, 0.5 mg HCPCS J2797 | not published | not published | $1.26 – $122.32 | 7 |
| Inj romidepsin non-lyo 0.1mg HCPCS J9318 | not published | not published | $27.95 – $157.00 | 11 |
| Inj, rykindo, 0.5 mg HCPCS J2801 | not published | not published | $12.77 – $404.48 | 13 |
| Inj scleros sol mult veins CPT 36471 | $1,014.40 | $2,536.00 | $401.84 – $1,951.35 | 15 |
| Inj scleros sol sgl vein CPT 36470 | $1,064.00 | $2,660.00 | $401.84 – $1,951.35 | 15 |
| Inj, sculptra, 0.5mg HCPCS Q2028 | not published | not published | $1.40 – $8.32 | 12 |
| Inj sebelipase alfa 1 mg HCPCS J2840 | not published | not published | $529.37 – $2,497.33 | 12 |
| Inj secretin synthetic human HCPCS J2850 | not published | not published | $39.42 – $404.48 | 14 |
| Inj secukinumab intrav 1mg HCPCS J3247 | not published | not published | $17.68 – $1,272.76 | 13 |
| Inj, sezaby, 1 mg HCPCS J2561 | not published | not published | $0.91 – $3.25 | 10 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | not published | not published | $64.41 – $21,879.71 | 13 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | not published | not published | $401.84 – $1,951.35 | 14 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | $54.79 | $136.97 | not published | 0 |
| Inj, susvimo 0.1 mg HCPCS J2779 | not published | not published | $74.68 – $379.34 | 11 |
| Inj, sutimlimab-jome, 10 mg HCPCS J1302 | not published | not published | $19.25 – $78.76 | 11 |
| Inj. tagraxofusp-erzs 10 mcg HCPCS J9269 | not published | not published | $350.13 – $14,171.81 | 14 |
| Inj, taliglucerace alfa 10 u HCPCS J3060 | not published | not published | $39.84 – $14,171.81 | 14 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | not published | not published | $33.81 – $3,428.99 | 13 |
| Inj tedizolid phosphate HCPCS J3090 | not published | not published | $1.92 – $122.32 | 14 |
| Inj teplizumab mzwv 5 mcg HCPCS J9381 | not published | not published | $37.63 – $167.93 | 11 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | not published | not published | $360.55 – $14,171.81 | 14 |
| Inj, testosterone, azmiro HCPCS J1072 | not published | not published | $0.13 – $5.97 | 10 |
| Inj testosterone cypionate HCPCS J1071 | $0.63 | $1.56 | not published | 0 |
| Inj theophylline per 40 mg HCPCS J2810 | not published | not published | $0.57 – $2.88 | 2 |
| Inj thiotepa nos 1 mg HCPCS J9342 | not published | not published | $5.62 – $56.67 | 10 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | not published | not published | $823.46 – $889.33 | 5 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | not published | not published | $309.03 – $333.75 | 5 |
| Inj. tigecycline (accord) HCPCS J3244 | not published | not published | $4.25 – $12.27 | 2 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | not published | not published | $115.84 – $638.15 | 12 |
| Inj, tislelizumab-jsgr HCPCS J9329 | not published | not published | $57.10 – $1,268.74 | 10 |
| Inj tofersen intrathec 1 mg HCPCS J1304 | not published | not published | $156.81 – $678.62 | 11 |
| Inj, tofidence, 1 mg HCPCS Q5133 | not published | not published | $5.15 – $26.48 | 11 |
| Inj travoprost intra impl HCPCS J7355 | not published | not published | $192.94 – $887.02 | 13 |
| Inj triamcinolone ace X-ray 1mg HCPCS J3304 | not published | not published | $18.26 – $404.48 | 14 |
| Inj triferic avnu 0.1mg iron HCPCS J1445 | not published | not published | $0.34 – $1.30 | 2 |
| Inj., triluron, 1 mg HCPCS J7332 | not published | not published | $10.33 – $67.58 | 11 |
| Inj., triptorelin X-ray 3.75 mg HCPCS J3316 | not published | not published | $3,649.28 – $14,535.51 | 14 |
| Inj, trivisc 1 mg HCPCS J7329 | not published | not published | $3.21 – $44.77 | 12 |
| Inj, tyenne, 1 mg HCPCS Q5135 | $7.79 | $19.46 | $4.35 – $275.57 | 13 |
| Inj ustekinumab-aekn, 1 mg HCPCS Q9998 | not published | not published | $11.52 – $221.31 | 10 |
| Inj ustekinumab-kfce, 1 mg HCPCS Q5100 | not published | not published | $3.29 – $24.68 | 10 |
| Inj ustekinumab-stba, 1 mg HCPCS Q5099 | not published | not published | $3.14 – $11.16 | 9 |
| Inj, uzedy, 1 mg HCPCS J2799 | not published | not published | $24.65 – $860.72 | 13 |
| Inj, vancomycin hcl (mylan) HCPCS J3371 | not published | not published | $9.56 – $28.94 | 2 |
| Inj, vancomycin hcl (xellia) HCPCS J3372 | not published | not published | $10.52 – $30.05 | 2 |
| Inj vasopressin (am reg) 1 u HCPCS J2599 | not published | not published | $0.74 – $2.59 | 2 |
| Inj, vasopressin (baxter) HCPCS J2601 | not published | not published | $1.50 – $17.46 | 11 |
| Inj, vegzelma, 10 mg HCPCS Q5129 | not published | not published | $33.96 – $860.72 | 12 |
| Inj velmanase alfa-tycv 1 mg HCPCS J0217 | not published | not published | $455.93 – $1,963.12 | 11 |
| Inj., vestronidase alfa-vjbk HCPCS J3397 | not published | not published | $274.55 – $14,171.81 | 14 |
| Inj. viltolarsen HCPCS J1427 | not published | not published | $94.09 – $272.29 | 2 |
| Inj vocal cord bulking agent HCPCS L8607 | $1,902.80 | $4,757.00 | $61.84 – $61.84 | 1 |
| Inj w/fluor eval cv device CPT 36598 | $628.40 | $1,571.00 | $215.00 – $1,021.03 | 15 |
| Inj. xembify, 100 mg HCPCS J1558 | not published | not published | $15.06 – $678.35 | 14 |
| Inj xipere 1 mg HCPCS J3299 | not published | not published | $46.82 – $220.43 | 13 |
| Inj., yutiq, 0.01 mg HCPCS J7314 | not published | not published | $519.29 – $4,545.55 | 14 |
| Inj zanidatamab-hrii, 2 mg HCPCS J9276 | not published | not published | $24.50 – $116.12 | 10 |
| Inj zenocutuzumab-zbco 1 mg HCPCS J9382 | not published | not published | $32.90 – $151.03 | 10 |
| Inner skull vessel surgery CPT 61702 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln HCPCS J9229 | not published | not published | $2,760.43 – $14,171.81 | 14 |
| Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy HCPCS G0459 | not published | not published | $146.50 – $146.50 | 1 |
| Inpt/ed teleconsult30 HCPCS G0425 | not published | not published | $308.49 – $308.49 | 1 |
| Inpt/ed teleconsult50 HCPCS G0426 | not published | not published | $437.31 – $437.31 | 1 |
| Inpt/ed teleconsult70 HCPCS G0427 | not published | not published | $621.97 – $621.97 | 1 |
| Inpt/tele follow up 15 HCPCS G0406 | not published | not published | $137.09 – $137.09 | 1 |
| Inpt/tele follow up 25 HCPCS G0407 | not published | not published | $242.82 – $242.82 | 1 |
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.