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 |
|---|---|---|---|---|
| Lev 2 hosp type b ed visit HCPCS G0381 | not published | not published | $106.24 – $515.92 | 12 |
| Lev 3 hosp type b ed visit HCPCS G0382 | not published | not published | $196.59 – $901.51 | 12 |
| Lev 4 hosp type b ed visit HCPCS G0383 | not published | not published | $302.29 – $1,295.10 | 12 |
| Lev 5 hosp type b ed visit HCPCS G0384 | not published | not published | $469.75 – $1,971.58 | 12 |
| Levalbuterol non-comp con HCPCS J7612 | not published | not published | $0.72 – $0.72 | 1 |
| Levalbuterol non-comp unit HCPCS J7614 | not published | not published | $0.21 – $0.21 | 1 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $3.45 | $8.62 | not published | 0 |
| Levetiracetam therapeutic drug level CPT 80177 | $21.60 | $54.00 | $7.45 – $25.97 | 15 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $32.48 | $81.20 | not published | 0 |
| Levonorgestrel implant sys HCPCS J7306 | not published | not published | $447.33 – $3,110.25 | 2 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | not published | not published | $59.42 – $64.17 | 5 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | $7,559.20 | $18,898.00 | $1,671.14 – $15,562.01 | 14 |
| Liberta rc ipg HCPCS C1820 | $57,932.80 | $144,832.00 | not published | 0 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $30.02 | $75.05 | not published | 0 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $0.18 | $0.44 | $0.01 – $0.01 | 2 |
| Lidocaine therapeutic drug level CPT 80176 | $37.60 | $94.00 | $7.45 – $28.79 | 15 |
| Lift assist for elbow HCPCS L6635 | not published | not published | $224.87 – $999.48 | 12 |
| Lift heel adj small gl60404sm HCPCS L3332 | $29.60 | $74.00 | $74.10 – $382.16 | 13 |
| Lift heel adjustable med HCPCS L3334 | $23.20 | $58.00 | $38.35 – $197.79 | 13 |
| Lifts elevation metal extens HCPCS L3330 | $346.00 | $865.00 | $568.71 – $2,933.01 | 13 |
| Ligate esophagus veins CPT 43400 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Ligate leg veins open CPT 37761 | not published | not published | $1,814.19 – $15,156.63 | 14 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $1,814.19 – $15,156.63 | 14 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $1,814.19 – $15,156.63 | 14 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $1,814.19 – $15,156.63 | 14 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | $1,474.40 | $3,686.00 | $1,612.89 – $15,538.94 | 15 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $1,541.07 – $7,928.07 | 14 |
| Ligation common iliac vein CPT 37660 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $1,814.19 – $15,156.63 | 14 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $3,400.51 – $15,156.63 | 14 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $3,400.51 – $15,156.63 | 14 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $1,541.07 – $15,156.63 | 14 |
| Ligation major artery chest CPT 37616 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Ligation major artery neck CPT 37615 | not published | not published | $1,541.07 – $15,156.63 | 14 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $1,541.07 – $15,156.63 | 14 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $5,231.86 – $26,710.80 | 10 |
| Ligation of femoral vein CPT 37650 | not published | not published | $1,541.07 – $15,156.63 | 14 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $2,600.99 – $26,710.80 | 14 |
| Ligation of neck artery CPT 37606 | not published | not published | $3,400.51 – $15,156.63 | 14 |
| Ligation of salivary duct CPT 42665 | not published | not published | $2,064.79 – $15,914.98 | 14 |
| Ligation of shunt CPT 49428 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $1,541.07 – $15,156.63 | 14 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $1,814.19 – $15,156.63 | 14 |
| Lig/band angioaccess av fistula CPT 37607 | $5,440.80 | $13,602.00 | $1,541.07 – $15,156.63 | 15 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $1,814.19 – $15,156.63 | 14 |
| Liletta, 52 mg HCPCS J7297 | $544.00 | $1,360.00 | $374.52 – $6,397.87 | 10 |
| Limb exercise test CPT 95875 | not published | not published | $96.84 – $673.34 | 14 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $976.42 – $1,054.54 | 5 |
| Limited ankle motion ea jnt HCPCS L2200 | $37.20 | $93.00 | $61.02 – $314.70 | 13 |
| Limited motion knee joint HCPCS L2184 | $72.40 | $181.00 | $119.25 – $615.00 | 13 |
| Limited visual field xm CPT 92081 | not published | not published | $51.65 – $283.18 | 14 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $59.12 | $147.80 | not published | 0 |
| Lipase CPT 83690 | $17.20 | $43.00 | $3.47 – $13.50 | 15 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $2,064.79 – $15,914.98 | 14 |
| Lipoprotein blood high res frac & quant CPT 83701 | $25.60 | $64.00 | $22.70 – $66.37 | 15 |
| Lipoprotein blood quant CPT 83704 | $45.20 | $113.00 | $22.70 – $67.01 | 15 |
| Lipoprotein direct measurement hdl CPT 83718 | $21.20 | $53.00 | $3.47 – $16.05 | 15 |
| Lipoprotein direct measurement ldl CPT 83721 | $24.00 | $60.00 | $8.63 – $20.58 | 15 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | $29.60 | $74.00 | $22.70 – $67.01 | 15 |
| Lip surgery procedure CPT 40799 | not published | not published | $270.89 – $1,136.96 | 14 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $551,015.62 – $1,102,031.24 | 10 |
| Listeria monocytogenes CPT 86723 | not published | not published | $7.40 – $25.85 | 14 |
| Lith ion batt cid, ear level HCPCS L8624 | not published | not published | $188.42 – $837.43 | 12 |
| Lith ion batt cid,non-earlvl HCPCS L8623 | not published | not published | $75.57 – $335.91 | 12 |
| Lithium ion battery charger HCPCS L7368 | not published | not published | $589.63 – $2,620.63 | 12 |
| Lithium therapeutic drug level CPT 80178 | $16.40 | $41.00 | $6.48 – $12.96 | 15 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $3,222.80 | $8,057.00 | $6,105.02 – $6,593.42 | 5 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $867.60 | $2,169.00 | $172.67 – $345.33 | 12 |
| Liver elastography 91200 CPT 91200 | not published | not published | $78.52 – $673.34 | 14 |
| Liver Function Test CPT 80076 | $17.60 | $44.00 | $5.88 – $16.01 | 15 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Liver imaging CPT 78201 | $1,229.20 | $3,073.00 | $621.01 – $4,288.30 | 15 |
| Liver imag w/vasclr flow CPT 78202 | $1,404.40 | $3,511.00 | $621.01 – $4,288.30 | 15 |
| Liver/spleen imag static only CPT 78215 | $1,200.00 | $3,000.00 | $457.23 – $1,919.01 | 15 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $457.23 – $1,919.01 | 14 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $223.72 – $11,412.47 | 14 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $2,213.64 – $15,706.36 | 14 |
| Lockingelbow forearm cntrbal HCPCS L6693 | not published | not published | $3,316.84 – $14,741.69 | 12 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $1.60 | $4.00 | not published | 0 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $217.06 – $14,171.81 | 13 |
| Long tongue stirrup HCPCS L2265 | not published | not published | $131.56 – $584.68 | 12 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $50.00 | $125.00 | not published | 0 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | not published | not published | $26.14 – $188.53 | 12 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | $47.60 | $119.00 | $78.31 – $403.87 | 13 |
| Loudness balance test CPT 92562 | not published | not published | $246.96 – $1,036.49 | 12 |
| Low back disk surgery CPT 63030 | not published | not published | $3,303.62 – $34,831.50 | 14 |
| Low cost skin substitute app HCPCS C5271 | not published | not published | $1,088.32 – $2,855.76 | 4 |
| Low cost skin substitute app HCPCS C5273 | not published | not published | $3,233.13 – $8,533.91 | 4 |
| Low cost skin substitute app HCPCS C5275 | not published | not published | $1,088.32 – $2,855.76 | 4 |
| Low cost skin substitute app HCPCS C5277 | not published | not published | $1,088.32 – $2,855.76 | 4 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,429.20 | $3,573.00 | $200.61 – $841.97 | 15 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,316.00 | $3,290.00 | $224.34 – $1,705.83 | 15 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $884.00 | $2,210.00 | $82.80 – $501.84 | 15 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $1,928.40 | $4,821.00 | $316.75 – $1,705.83 | 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.