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 |
|---|---|---|---|---|
| Intrm oph exam est patient CPT 92012 | not published | not published | $152.27 – $639.07 | 12 |
| Intro cath dialysis circuit CPT 36901 | $1,292.00 | $3,230.00 | $1,296.35 – $7,556.28 | 15 |
| Intro cath dialysis circuit w/pta CPT 36902 | $3,998.00 | $9,995.00 | $2,538.67 – $27,320.79 | 15 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $7,905.60 | $19,764.00 | $7,787.45 – $55,414.74 | 15 |
| Intro catheter aorta CPT 36200 | $1,110.00 | $2,775.00 | $451.14 – $487.23 | 5 |
| Intro cath svc/ivc CPT 36010 | $637.20 | $1,593.00 | $451.14 – $487.23 | 5 |
| Intro long gi tube CPT 44500 | $650.40 | $1,626.00 | $477.34 – $4,353.73 | 15 |
| Intro long gi tube w/mult fluo CPT 74340 | $479.20 | $1,198.00 | $127.62 – $137.83 | 5 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $1,462.60 – $8,543.90 | 14 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $2,546.80 | $6,367.00 | $1,296.35 – $1,400.06 | 5 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $2,336.40 | $5,841.00 | $1,296.35 – $1,400.06 | 5 |
| Intubation endotracheal emergency procedure CPT 31500 | $460.40 | $1,151.00 | $270.89 – $1,136.96 | 15 |
| Io anal gast n-stim init CPT 95980 | not published | not published | $104.03 – $112.35 | 5 |
| Io anal gast n-stim subsq CPT 95981 | $298.00 | $745.00 | $27.35 – $537.59 | 15 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $16.55 – $1,862.10 | 14 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | not published | not published | $512.19 – $1,526.60 | 3 |
| Io ga n-stim subsq w/reprog CPT 95982 | $336.40 | $841.00 | $27.35 – $179.15 | 15 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $32.16 | $80.40 | not published | 0 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $31.94 | $79.85 | not published | 0 |
| Io radiation tx management CPT 77469 | not published | not published | $224.34 – $242.28 | 5 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $1,023.57 – $35,607.34 | 14 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $1,023.57 – $35,607.34 | 14 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | $0.40 | $1.00 | not published | 0 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | not published | not published | $183.42 – $7,001.18 | 14 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | not published | not published | not published | 0 |
| Ip/obs consltj new/est hi 80 CPT 99255 | not published | not published | not published | 0 |
| Ipratropium bromide non-comp HCPCS J7644 | not published | not published | $0.90 – $0.90 | 1 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $65.05 – $3,428.99 | 14 |
| Iron CPT 83540 | $16.00 | $40.00 | $3.47 – $12.68 | 15 |
| Iron binding capacity CPT 83550 | $22.00 | $55.00 | $8.57 – $17.13 | 15 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | not published | not published | $17.74 – $76.72 | 14 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $4.01 – $13.48 | 14 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $0.76 | $1.88 | not published | 0 |
| Irradiation of blood product each unit reference CPT 86945 | $121.20 | $303.00 | $18.88 – $179.28 | 15 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $158.00 | $395.00 | $31.36 – $283.18 | 15 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $652.16 – $7,447.96 | 14 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | $227.60 | $569.00 | $67.47 – $283.18 | 15 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $81.91 – $3,428.99 | 14 |
| Island pedicle flap graft CPT 15740 | not published | not published | $1,390.20 – $9,904.20 | 14 |
| IV cipaglucosidase alfa-atga HCPCS G0138 | not published | not published | $650.50 – $3,011.82 | 11 |
| Ivc venogram s&i CPT 75825 | $7,811.20 | $19,528.00 | $1,296.35 – $15,156.63 | 15 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $796.96 – $860.72 | 5 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $162.40 | $406.00 | $82.35 – $345.63 | 15 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $127.60 | $319.00 | $215.09 – $232.30 | 5 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $109.60 | $274.00 | $53.56 – $393.17 | 15 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $527.60 | $1,319.00 | $215.09 – $1,021.03 | 15 |
| IV inj ra drug dx study CPT 78808 | $321.60 | $804.00 | $215.00 – $1,919.01 | 15 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $215.00 – $2,144.37 | 14 |
| Ivp w/nephrotomography CPT 74415 | $662.00 | $1,655.00 | $85.70 – $841.97 | 15 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $662.00 | $1,655.00 | $85.70 – $841.97 | 15 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $136.95 – $2,018.91 | 14 |
| Jak2 targeted sequence analysis CPT 81279 | $2,091.20 | $5,228.00 | $84.33 – $362.99 | 14 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $1,586.95 – $15,706.36 | 14 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $1,586.95 – $15,706.36 | 14 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $679.03 – $9,211.19 | 14 |
| John cunningham antibody CPT 86711 | $32.40 | $81.00 | $7.40 – $33.10 | 15 |
| J-tube placement CPT 44015 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | not published | not published | $1,739.12 – $7,729.51 | 12 |
| Kafo dbl solid stirrup without j HCPCS L2030 | not published | not published | $1,497.76 – $6,656.74 | 12 |
| Kafo fem fx cast molded to p HCPCS L2128 | not published | not published | $2,553.95 – $11,351.00 | 12 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | $592.40 | $1,481.00 | $973.66 – $5,021.47 | 13 |
| Kafo fem fx cast thermoplas HCPCS L2126 | not published | not published | $1,337.64 – $5,945.11 | 12 |
| Kafo femoral fx cast rigid HCPCS L2136 | $692.80 | $1,732.00 | $1,138.45 – $5,871.35 | 13 |
| Kafo femoral fx cast soft HCPCS L2132 | $472.40 | $1,181.00 | $776.57 – $4,005.00 | 13 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | $1,240.00 | $3,100.00 | $2,037.74 – $10,509.27 | 13 |
| Kafo plas sing free knee mol HCPCS L2037 | $1,156.80 | $2,892.00 | $1,900.87 – $9,803.42 | 13 |
| Kafo plastic pediatric size HCPCS L2035 | $110.00 | $275.00 | $180.81 – $932.48 | 13 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | not published | not published | $1,510.69 – $6,714.29 | 12 |
| Kafo sng/dbl mechanical act HCPCS L2005 | not published | not published | $4,778.09 – $21,236.14 | 12 |
| Kafo sng solid stirrup without j HCPCS L2010 | not published | not published | $1,363.73 – $6,061.13 | 12 |
| Kafo without joint multi-axis an HCPCS L2038 | $974.40 | $2,436.00 | $1,601.30 – $8,258.44 | 13 |
| Keratoprosthesis CPT 65770 | not published | not published | $2,306.23 – $69,632.63 | 14 |
| Kerecis marigen shld sq cm HCPCS A2019 | not published | not published | $142.33 – $597.36 | 10 |
| Ketamine and metabolite screen - quest CPT 80357 | $157.20 | $393.00 | not published | 0 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $8.93 – $30.32 | 14 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $20.40 | $51.00 | $3.47 – $16.01 | 15 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $31.16 | $77.90 | $0.33 – $1.57 | 10 |
| Kidney endoscopy CPT 50551 | not published | not published | $2,088.63 – $25,737.83 | 14 |
| Kidney endoscopy CPT 50553 | not published | not published | $2,088.63 – $25,737.83 | 14 |
| Kidney endoscopy CPT 50570 | not published | not published | $2,088.63 – $16,920.72 | 14 |
| Kidney endoscopy CPT 50575 | not published | not published | $2,088.63 – $25,737.83 | 14 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $2,088.63 – $45,441.17 | 14 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $2,088.63 – $16,920.72 | 14 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $2,088.63 – $45,441.17 | 14 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $2,088.63 – $25,737.83 | 14 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $2,088.63 – $45,441.17 | 14 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $2,088.63 – $25,737.83 | 14 |
| Kidney function study CPT 78725 | not published | not published | $272.41 – $1,919.01 | 14 |
| Kidney imaging morphology CPT 78700 | $817.60 | $2,044.00 | $272.41 – $1,919.01 | 15 |
| Kidney imag w/bld flow multi CPT 78709 | $1,601.60 | $4,004.00 | $272.41 – $2,606.40 | 15 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,394.00 | $3,485.00 | $272.41 – $2,606.40 | 15 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $422.00 | $1,055.00 | $119.20 – $501.84 | 15 |
| Kit case 4.2mm spinejack HCPCS C1062 | $7,177.60 | $17,944.00 | not published | 0 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | $335.60 | $839.00 | $62.98 – $178.02 | 3 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | $4.80 | $12.00 | $11.99 – $11.99 | 1 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $8,624.00 | $21,560.00 | not published | 0 |
| Kit gene analys d816 variant CPT 81273 | $172.00 | $430.00 | $122.37 – $244.75 | 13 |
| Kit hfx iq ipg bundle HCPCS C1822 | $34,160.00 | $85,400.00 | not published | 0 |
| Kit lead specify 5-6-5 HCPCS C1778 | $39,404.00 | $98,510.00 | not published | 0 |
| Kit monitr cath camino icp w/integratd licox bolt fitting HCPCS A9279 | $2,504.80 | $6,262.00 | not published | 0 |
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.