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 |
|---|---|---|---|---|
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $1,902.80 | $4,757.00 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | not published | not published | $142.33 – $597.36 | 10 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $8,213.60 | $20,534.00 | $1,733.89 – $8,942.24 | 13 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $3,396.00 | $8,490.00 | not published | 0 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $1,586.95 – $15,706.36 | 14 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $1,586.95 – $15,706.36 | 14 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $1,586.95 – $15,706.36 | 14 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $1,586.95 – $15,706.36 | 14 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $1,586.95 – $7,718.72 | 14 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $1,586.95 – $7,718.72 | 14 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $1,586.95 – $15,706.36 | 14 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $1,586.95 – $15,706.36 | 14 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $1,586.95 – $15,706.36 | 14 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $1,586.95 – $15,706.36 | 14 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $1,586.95 – $15,706.36 | 14 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $1,586.95 – $15,706.36 | 14 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $1,586.95 – $15,706.36 | 14 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $1,586.95 – $15,706.36 | 14 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $1,586.95 – $15,706.36 | 14 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $1,586.95 – $15,706.36 | 14 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $3,969.53 – $34,831.50 | 14 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $3,969.53 – $34,831.50 | 14 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $3,969.53 – $61,628.63 | 14 |
| Knee cap medial or lateral p HCPCS L2800 | $71.60 | $179.00 | $117.71 – $607.04 | 13 |
| Knee control condylar pad HCPCS L2810 | $45.60 | $114.00 | $75.19 – $387.76 | 13 |
| Knee control full kneecap HCPCS L2795 | not published | not published | $117.66 – $522.96 | 12 |
| Knee disart expand wall sock HCPCS L5653 | not published | not published | $851.27 – $3,783.45 | 12 |
| Knee disarticulat leather so HCPCS L5640 | not published | not published | $996.00 – $4,426.70 | 12 |
| Knee disc/dial lock/adj flex HCPCS L2425 | $87.60 | $219.00 | $144.03 – $742.84 | 13 |
| Knee jnt ratchet lock ea jnt HCPCS L2430 | $87.60 | $219.00 | $144.03 – $742.84 | 13 |
| Knee joint cam lock each joi HCPCS L2415 | $74.40 | $186.00 | $122.05 – $629.45 | 13 |
| Knee joint drop lock ea jnt HCPCS L2405 | $53.20 | $133.00 | $87.61 – $451.80 | 13 |
| Knee lift loop drop lock rin HCPCS L2492 | $60.40 | $151.00 | $101.78 – $524.90 | 13 |
| Knee MRI (with and without contrast) CPT 73723 | $1,928.40 | $4,821.00 | $316.75 – $1,705.83 | 15 |
| Knee MRI (with contrast) CPT 73722 | $2,182.40 | $5,456.00 | $316.75 – $3,762.98 | 15 |
| Knee MRI (without contrast) CPT 73721 | $1,531.60 | $3,829.00 | $180.77 – $1,145.33 | 15 |
| Knee orth pos locking joint HCPCS L1831 | not published | not published | $343.18 – $1,525.31 | 12 |
| Knee-shin exo fluid swing ph HCPCS L5724 | not published | not published | $1,911.43 – $8,495.40 | 12 |
| Knee-shin exo frct swg & sta HCPCS L5718 | not published | not published | $1,084.14 – $4,818.44 | 12 |
| Knee-shin exo frict swg & st HCPCS L5712 | not published | not published | $658.09 – $2,924.86 | 12 |
| Knee-shin exo mech stance ph HCPCS L5716 | not published | not published | $867.38 – $3,855.08 | 12 |
| Knee-shin exo mnl lock ultra HCPCS L5711 | not published | not published | $733.05 – $3,258.04 | 12 |
| Knee-shin exo variable frict HCPCS L5714 | not published | not published | $497.77 – $2,212.40 | 12 |
| Knee-shin ext jnts fld swg e HCPCS L5726 | not published | not published | $2,313.26 – $10,281.29 | 12 |
| Knee-shin fluid swg & stance HCPCS L5728 | not published | not published | $3,078.63 – $13,682.95 | 12 |
| Knee-shin pneum/hydra pneum HCPCS L5780 | not published | not published | $1,362.55 – $6,055.81 | 12 |
| Knee-shin pneum swg frct exo HCPCS L5722 | not published | not published | $1,262.32 – $5,610.36 | 12 |
| Knee-shin pro flex/ext cont HCPCS L5859 | not published | not published | $17,963.53 – $79,838.89 | 12 |
| Knee-shin sys hydraul stance HCPCS L5848 | not published | not published | $1,256.31 – $5,583.69 | 12 |
| Knee-shin sys stance flexion HCPCS L5845 | not published | not published | $2,094.04 – $9,306.99 | 12 |
| Knee X-ray CPT 73564 | $374.40 | $936.00 | $40.64 – $501.84 | 15 |
| Kne-shin exo sng axi mnl loc HCPCS L5710 | not published | not published | $541.49 – $2,406.63 | 12 |
| Kne sing axis fric shin sach HCPCS L5200 | not published | not published | $4,847.77 – $21,545.89 | 12 |
| Ko dbl upright w/air pre cst HCPCS L1847 | not published | not published | $670.67 – $2,980.79 | 12 |
| Ko dbl upright w/air pre ots HCPCS L1848 | not published | not published | $670.67 – $2,980.79 | 12 |
| Ko derot ant cruciate custom HCPCS L1840 | $623.20 | $1,558.00 | $1,023.90 – $5,280.61 | 13 |
| Ko elastic w/joints pre ots HCPCS L1812 | $1,010.00 | $2,525.00 | $58.00 – $371.70 | 13 |
| Ko rigid without joints pre ots HCPCS L1836 | $45.20 | $113.00 | $73.90 – $466.19 | 13 |
| Ko single upright pre cst HCPCS L1843 | $548.80 | $1,372.00 | $901.63 – $4,650.00 | 13 |
| Ko single upright prefab ots HCPCS L1851 | not published | not published | $588.76 – $3,134.70 | 12 |
| Ko supracondylar socket mold HCPCS L1860 | not published | not published | $1,465.52 – $6,513.53 | 12 |
| Ko swedish type pre ots HCPCS L1850 | $104.00 | $260.00 | $170.21 – $1,074.48 | 13 |
| Ko w/0 joint rigid molded to HCPCS L1834 | $454.80 | $1,137.00 | $747.28 – $3,853.97 | 13 |
| Ko w adj flex/ext rotat mold HCPCS L1846 | $748.80 | $1,872.00 | $1,230.79 – $6,347.59 | 13 |
| Ko w/adj jt rot cntrl molded HCPCS L1844 | $1,232.40 | $3,081.00 | $2,025.37 – $10,445.51 | 13 |
| Kras gene addl variants CPT 81276 | $266.00 | $665.00 | $189.39 – $378.77 | 13 |
| Kras gene variants exon 2 CPT 81275 | $266.00 | $665.00 | $84.33 – $378.77 | 15 |
| Kyleena, 19.5 mg HCPCS J7296 | $1,138.10 | $2,845.25 | $374.52 – $8,757.48 | 10 |
| Kyphectomy 1-2 segments CPT 22818 | not published | not published | $20,053.79 – $84,166.35 | 10 |
| Kyphectomy 3 or more CPT 22819 | not published | not published | $20,053.79 – $84,166.35 | 10 |
| Kyphosis pad HCPCS L1020 | $59.60 | $149.00 | $98.23 – $506.61 | 13 |
| Kyphosis pad floating HCPCS L1025 | not published | not published | $139.30 – $619.08 | 12 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | not published | not published | $1.66 – $1.79 | 5 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | not published | not published | $1.66 – $1.79 | 5 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $32.60 | $81.50 | $0.20 – $0.83 | 4 |
| Labioplasty 56800 CPT 56800 | not published | not published | $1,728.07 – $15,538.94 | 14 |
| Lab pathology consultation CPT 80500 | not published | not published | $166.75 – $166.75 | 1 |
| Lab pathology consultation CPT 80502 | not published | not published | $166.75 – $166.75 | 1 |
| Lacer molded to patient mode HCPCS L2330 | not published | not published | $518.94 – $2,306.43 | 12 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $1.00 | $2.50 | not published | 0 |
| Lactate dehydrogenase (ldh) CPT 83615 | $15.20 | $38.00 | $3.47 – $11.84 | 15 |
| Lactated ringers intravenous solution HCPCS J7120 | $20.00 | $50.00 | not published | 0 |
| Lactation class HCPCS S9443 | $40.80 | $102.00 | not published | 0 |
| Lactic acid CPT 83605 | $27.20 | $68.00 | $8.63 – $22.68 | 15 |
| Lactoferrin fecal qualitative CPT 83630 | $49.60 | $124.00 | $8.63 – $38.61 | 15 |
| Lactoferrin fecal quant CPT 83631 | $40.40 | $101.00 | $8.63 – $38.47 | 15 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | not published | not published | $7,277.63 – $7,859.84 | 5 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | $3,303.62 – $34,831.50 | 14 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $3,303.62 – $34,831.50 | 14 |
| Lam facetec & foramot thrc CPT 63046 | not published | not published | $3,303.62 – $34,831.50 | 14 |
| Lam factc/frmt arthrd lum ea CPT 63053 | not published | not published | $7,277.63 – $7,859.84 | 5 |
| Lamie bx/exc idrl spine lesn lmbr 63282 CPT 63282 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Lamie bx/exc idrl spine lesn thrc 63281 CPT 63281 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Lamie excise intrspinl lesion thrc 63266 CPT 63266 | not published | not published | $8,299.08 – $34,831.50 | 12 |
| Lamination collar with couplin HCPCS L6629 | not published | not published | $174.43 – $775.20 | 12 |
| Laminotomy single cervical CPT 63040 | not published | not published | $3,303.62 – $34,831.50 | 14 |
| Laminotomy single lumbar CPT 63042 | not published | not published | $3,303.62 – $34,831.50 | 14 |
| Lamiotoiotiotinotomy addl cervical 63043 CPT 63043 | not published | not published | $3,303.62 – $3,567.91 | 5 |
| Lam w/cordotomy 1stg thrc CPT 63197 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | not published | not published | $35.01 – $4,545.55 | 14 |
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.