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 |
|---|---|---|---|---|
| Ins mark abd/pel for right perq CPT 49411 | $1,809.20 | $4,523.00 | $1,243.00 – $6,644.13 | 15 |
| Ins mark thor for right perq CPT 32553 | $1,917.20 | $4,793.00 | $1,243.00 – $6,644.13 | 15 |
| Insole orthotic freedom sz6 6816 HCPCS L3060 | $60.80 | $152.00 | $74.10 – $382.16 | 13 |
| Ins picad w subq port 5yr> CPT 36571 | $3,500.40 | $8,751.00 | $798.34 – $15,156.63 | 15 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | $3,470.40 | $8,676.00 | $717.46 – $3,011.21 | 15 |
| Ins pm gen exist dual lead CPT 33230 | $19,095.20 | $47,738.00 | $17,664.49 – $106,774.25 | 15 |
| Ins pm gen w/exist mlt leads CPT 33221 | $13,456.80 | $33,642.00 | $5,891.52 – $92,460.53 | 15 |
| Ins pq tunnld ip cath w/img CPT 49418 | $4,324.00 | $10,810.00 | $2,643.73 – $17,186.76 | 15 |
| Ins/rplcmt prq eltrd ra pn 1 CPT 64596 | not published | not published | $12,744.13 – $60,155.09 | 11 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | not published | not published | $14,662.92 – $148,124.04 | 14 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $32,654.40 | $81,636.00 | $5,891.52 – $92,460.53 | 15 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $9,031.20 | $22,578.00 | $5,891.52 – $50,171.97 | 15 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $7,872.40 | $19,681.00 | $9,464.74 – $39,723.75 | 13 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $8,300.80 | $20,752.00 | $5,891.52 – $50,171.97 | 15 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | not published | not published | $14,662.92 – $99,616.12 | 14 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | $19,196.00 | $47,990.00 | $32,805.75 – $137,686.69 | 13 |
| Insrt/redo neurostim 1 array CPT 61885 | not published | not published | $14,662.92 – $148,124.04 | 14 |
| Ins sk-mnt crnl nstm pg/rcvr CPT 61889 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Ins subq extnsn pertneal cath CPT 49435 | not published | not published | $524.65 – $566.62 | 5 |
| Install spinal shunt CPT 63740 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Install spinal shunt 63741 CPT 63741 | not published | not published | $3,973.45 – $42,126.08 | 14 |
| Inst fibrinolysis agent ini day CPT 32561 | $1,882.40 | $4,706.00 | $676.23 – $3,011.21 | 15 |
| Inst fibrinolysis agent sbsq d CPT 32562 | not published | not published | $676.23 – $3,011.21 | 14 |
| Insti hexaminolevulinate hcl HCPCS A9589 | $2,121.20 | $5,303.00 | not published | 0 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $1,708.00 | $4,270.00 | $269.75 – $3,347.17 | 15 |
| Instill, bupivac and meloxic HCPCS C9088 | $1.42 | $3.55 | $0.92 – $3.19 | 4 |
| Instill pharm renal pelvis HCPCS C9789 | not published | not published | $269.75 – $10,419.82 | 13 |
| Instll rx agnt into rnal tub CPT 50391 | $1,554.00 | $3,885.00 | $269.75 – $1,199.32 | 15 |
| Inst tauro 1.35mg/hep 100u HCPCS J0911 | not published | not published | $1.97 – $122.32 | 13 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | not published | not published | $1,559.34 – $26,710.80 | 14 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | $3,868.40 | $9,671.00 | $1,559.34 – $26,710.80 | 15 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $3,868.40 | $9,671.00 | $1,559.34 – $15,156.63 | 15 |
| Ins tun intraperit dia cath CPT 49421 | $2,983.60 | $7,459.00 | $2,643.73 – $17,186.76 | 15 |
| Inst via cath agent pleurds CPT 32560 | $369.60 | $924.00 | $676.23 – $3,011.21 | 15 |
| Insulin suppression panel CPT 80432 | not published | not published | $22.98 – $324.60 | 14 |
| Insulin tolerance panel CPT 80434 | not published | not published | $22.98 – $558.66 | 14 |
| Insulin tolerance panel CPT 80435 | not published | not published | $22.98 – $201.88 | 14 |
| Insulin total CPT 83525 | $29.20 | $73.00 | $8.93 – $22.40 | 15 |
| Ins vag brachytx device CPT 57156 | $950.00 | $2,375.00 | $348.53 – $1,462.78 | 15 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | $8,683.20 | $21,708.00 | not published | 0 |
| Integra meshed bil wound mat HCPCS C9363 | $15,188.80 | $37,972.00 | $142.33 – $597.36 | 10 |
| Integra os putty 2.5cc - cost per 0.5cc HCPCS C9359 | $2,312.00 | $5,780.00 | not published | 0 |
| Intens behave ther cardio dx HCPCS G0446 | not published | not published | $42.85 – $179.84 | 12 |
| Intens cardiac rehab no exer HCPCS G0423 | not published | not published | $74.41 – $618.80 | 14 |
| Intens cardiac rehab w/exerc HCPCS G0422 | not published | not published | $74.41 – $618.80 | 14 |
| Intercalary algrft compl CPT 20934 | not published | not published | $1,390.20 – $1,501.41 | 5 |
| Interdental fixation CPT 21110 | not published | not published | $1,364.93 – $7,447.96 | 14 |
| Interdental wirg oth/thn fx CPT 21497 | not published | not published | $1,774.58 – $7,447.96 | 14 |
| Interdiscal perq aspir dx CPT 62267 | $1,463.60 | $3,659.00 | $607.22 – $3,399.19 | 15 |
| Interferon alfa-2a inj HCPCS J9213 | not published | not published | $40.42 – $1,061.92 | 8 |
| Interferon alfa-2b inj HCPCS J9214 | not published | not published | $52.12 – $796.31 | 8 |
| Interferon alfacon-1 inj HCPCS J9212 | not published | not published | $62.58 – $62.58 | 1 |
| Interferon alfa-n3 inj HCPCS J9215 | not published | not published | $43.01 – $221.49 | 3 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | not published | not published | $77.87 – $860.72 | 10 |
| Interferon beta-1a inj HCPCS J1826 | not published | not published | $796.96 – $8,425.26 | 9 |
| Interferon beta-1b / .25 mg HCPCS J1830 | not published | not published | $59.42 – $5,123.21 | 9 |
| Interferon gamma 1-b inj HCPCS J9216 | not published | not published | $11,626.92 – $59,878.62 | 3 |
| Interfyl, 1 mg HCPCS Q4171 | $4,656.80 | $11,642.00 | not published | 0 |
| Intermediate visual field xm CPT 92082 | not published | not published | $51.65 – $283.18 | 14 |
| Internal nerve revision 64727 CPT 64727 | not published | not published | $3,344.86 – $3,612.45 | 5 |
| Interrogate subq defib CPT 93261 | $102.40 | $256.00 | $27.35 – $179.15 | 15 |
| Interrogation vad in person CPT 93750 | $336.40 | $841.00 | $27.35 – $462.12 | 15 |
| Interrog dev eval icpms ip CPT 93290 | not published | not published | $27.35 – $179.15 | 14 |
| Interrog dev eval scrms ip CPT 93291 | $103.60 | $259.00 | $27.35 – $138.82 | 15 |
| Interrog device eval heart CPT 93289 | $146.40 | $366.00 | $27.35 – $179.15 | 15 |
| Interrog evl pm/ldls pm ip CPT 93288 | $104.00 | $260.00 | $27.35 – $179.15 | 15 |
| Interrog&prgrmg ipnss CPT 93151 | not published | not published | $108.73 – $456.35 | 11 |
| Interrog&prgrmg ipnss polysm CPT 93152 | not published | not published | $351.28 – $1,474.34 | 11 |
| Interrog without prgrmg ipnss CPT 93153 | not published | not published | $108.73 – $456.35 | 11 |
| Interscap-thor myoelectronic HCPCS L6975 | not published | not published | $19,018.18 – $84,526.21 | 12 |
| Interscapular-thor switch CT HCPCS L6970 | not published | not published | $17,357.37 – $77,144.78 | 12 |
| Interstitial brachy inter CPT 77799 | not published | not published | $116.69 – $566.67 | 14 |
| Interthoracoscplr amputation CPT 23900 | not published | not published | $14,683.87 – $61,628.63 | 10 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Intestine transplnt cadaver CPT 44135 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $1,045.71 – $13,323.79 | 14 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $1,045.71 – $13,323.79 | 14 |
| Intl custm cong/latyp insert HCPCS L5681 | $806.00 | $2,015.00 | $1,324.37 – $6,830.22 | 13 |
| Intra-atrial pacing CPT 93610 | $10,026.80 | $25,067.00 | $4,399.22 – $37,440.17 | 15 |
| Intra-atrial recording CPT 93602 | not published | not published | $4,399.22 – $37,440.17 | 14 |
| Intracard echo interv w/s&i CPT 93662 | $3,436.00 | $8,590.00 | $11,601.67 – $12,529.81 | 5 |
| Intracran angioplsty w/stent CPT 61635 | $3,672.00 | $9,180.00 | $2,500.00 – $2,500.00 | 1 |
| Intracranial angioplasty CPT 61630 | $3,024.00 | $7,560.00 | $2,500.00 – $2,500.00 | 1 |
| Intracranial complete study CPT 93886 | $744.40 | $1,861.00 | $119.20 – $1,145.33 | 15 |
| Intracranial limited study CPT 93888 | $380.40 | $951.00 | $78.52 – $501.84 | 15 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Intracranial vessel surgery CPT 61682 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Intracranial vessel surgery CPT 61684 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $652.16 – $7,447.96 | 14 |
| Intranasal reconstruction CPT 30620 | not published | not published | $2,476.42 – $28,416.55 | 14 |
| Intraop colon lavage add-on CPT 44701 | not published | not published | $3,582.27 – $3,868.85 | 5 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $4,399.22 – $4,751.15 | 5 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $616.84 – $2,588.91 | 14 |
| Intrapul surf admin endo tube CPT 94610 | $215.20 | $538.00 | $250.45 – $1,051.14 | 13 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $326.78 – $2,117.74 | 14 |
| Intraventricular pacing CPT 93612 | $4,063.20 | $10,158.00 | $4,399.22 – $37,440.17 | 15 |
| Intrinsic factor antibody CPT 86340 | $34.40 | $86.00 | $7.40 – $29.56 | 15 |
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.