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 |
|---|---|---|---|---|
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $9,556.40 | $23,891.00 | $142.33 – $597.36 | 10 |
| M.avium-intra dna amp prob CPT 87561 | $88.40 | $221.00 | $19.51 – $68.78 | 15 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $5.12 – $53.49 | 14 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $19.51 – $83.97 | 14 |
| Maxillofacial fixation CPT 21100 | not published | not published | $2,005.86 – $28,416.55 | 14 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $33.60 | $84.00 | $8.63 – $28.34 | 15 |
| Mayo aathr protein s free CPT 85306 | $38.00 | $95.00 | $2.64 – $30.03 | 15 |
| Mayo activated protein c resistance assay CPT 85307 | $38.00 | $95.00 | $8.60 – $30.03 | 15 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $74.40 | $186.00 | $7.45 – $75.60 | 15 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $27.60 | $69.00 | not published | 0 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $49.20 | $123.00 | not published | 0 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $37.20 | $93.00 | $8.63 – $28.97 | 15 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $78.00 | $195.00 | not published | 0 |
| Mayo alpha 1 antitrypsin CPT 82103 | $33.60 | $84.00 | $8.63 – $26.34 | 15 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $37.60 | $94.00 | $7.45 – $29.56 | 15 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $28.00 | $70.00 | not published | 0 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $40.40 | $101.00 | not published | 0 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $257.20 | $643.00 | $119.20 – $238.39 | 13 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $160.00 | $400.00 | $30.75 – $179.65 | 15 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $188.40 | $471.00 | $30.75 – $268.52 | 15 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,398.00 | $3,495.00 | $286.81 – $2,273.60 | 15 |
| Mayo androstenedione CPT 82157 | $68.40 | $171.00 | $8.93 – $57.39 | 15 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $36.40 | $91.00 | $8.63 – $28.62 | 15 |
| Mayo antithrombin iii antigen CPT 85301 | $27.60 | $69.00 | $2.64 – $21.19 | 15 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $37.60 | $94.00 | $7.40 – $29.50 | 15 |
| Mayo avwpr vw factor activity CPT 85397 | $57.60 | $144.00 | $30.24 – $60.49 | 13 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $62.40 | $156.00 | $19.51 – $68.78 | 14 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $40.40 | $101.00 | not published | 0 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $26.00 | $65.00 | $7.40 – $19.95 | 15 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $259.60 | $649.00 | $30.75 – $283.89 | 15 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $406.40 | $1,016.00 | $84.33 – $420.66 | 15 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $35.20 | $88.00 | $7.40 – $25.28 | 15 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $122.00 | $305.00 | not published | 0 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $32.40 | $81.00 | $7.40 – $25.85 | 15 |
| Mayo brcmg brucella antibody igm CPT 86622 | $25.60 | $64.00 | $7.40 – $17.50 | 15 |
| Mayo c1 esterase inhibitor CPT 83883 | $34.00 | $85.00 | $7.40 – $26.66 | 15 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $28.00 | $70.00 | not published | 0 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $51.60 | $129.00 | $8.63 – $33.07 | 15 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $54.00 | $135.00 | $7.40 – $52.49 | 15 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $219.60 | $549.00 | $30.75 – $239.55 | 15 |
| Mayo ceruloplasmin CPT 82390 | $27.20 | $68.00 | $8.63 – $21.05 | 15 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $33.60 | $84.00 | $8.63 – $27.68 | 15 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $32.40 | $81.00 | $7.40 – $25.24 | 15 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $30.40 | $76.00 | $7.40 – $23.17 | 15 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $32.00 | $80.00 | $7.40 – $24.85 | 15 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $261.60 | $654.00 | $28.17 – $228.32 | 15 |
| Mayo chromium CPT 82495 | $42.00 | $105.00 | $7.79 – $39.75 | 15 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $28.00 | $70.00 | not published | 0 |
| Mayo coccidioides antibody CPT 86635 | $29.60 | $74.00 | $7.40 – $22.48 | 15 |
| Mayo cocou cortisone urine CPT 82542 | $49.20 | $123.00 | $8.63 – $47.22 | 15 |
| Mayo cortisol free CPT 82530 | $42.00 | $105.00 | $8.63 – $32.75 | 15 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $43.60 | $109.00 | $7.40 – $82.57 | 14 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $31.20 | $78.00 | $7.40 – $23.76 | 15 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $50.00 | $125.00 | not published | 0 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $122.00 | $305.00 | not published | 0 |
| Mayo cyanide CPT 82600 | $49.20 | $123.00 | $7.79 – $38.02 | 15 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $507.20 | $1,268.00 | $194.86 – $817.83 | 13 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $31.60 | $79.00 | $7.40 – $25.97 | 15 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $58.40 | $146.00 | $8.63 – $49.53 | 15 |
| Mayo dihydrotestosterone CPT 82642 | $61.20 | $153.00 | $28.69 – $57.39 | 13 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | $20.40 | $51.00 | $8.63 – $18.89 | 15 |
| Mayo efpo chloride stool CPT 82438 | $11.20 | $28.00 | $3.47 – $9.80 | 15 |
| Mayo estriol CPT 82677 | $50.40 | $126.00 | $8.93 – $47.39 | 15 |
| Mayo estrone CPT 82679 | $51.20 | $128.00 | $8.93 – $48.90 | 15 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $40.40 | $101.00 | $7.45 – $32.03 | 15 |
| Mayo everolimus therapeutic drug level CPT 80169 | $53.20 | $133.00 | $7.45 – $26.91 | 15 |
| Mayo factor ii CPT 85210 | $21.20 | $53.00 | $2.64 – $25.44 | 15 |
| Mayo factor v CPT 85220 | $42.40 | $106.00 | $2.64 – $34.59 | 15 |
| Mayo factor vii CPT 85230 | $38.00 | $95.00 | $2.64 – $35.08 | 15 |
| Mayo factor viii vw factor antigen CPT 85246 | $53.20 | $133.00 | $2.64 – $44.96 | 15 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $53.20 | $133.00 | $2.64 – $44.96 | 15 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $53.20 | $133.00 | $2.64 – $44.96 | 15 |
| Mayo factor x CPT 85260 | $45.20 | $113.00 | $2.64 – $35.08 | 15 |
| Mayo factor xi CPT 85270 | $42.40 | $106.00 | $2.64 – $35.08 | 15 |
| Mayo fat/lipids feces quantitative CPT 82710 | $42.00 | $105.00 | $8.63 – $32.93 | 15 |
| Mayo fbl culture fungi blood CPT 87103 | $41.20 | $103.00 | $5.12 – $40.10 | 15 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $12.84 – $157.70 | 14 |
| Mayo ffspg allergen clam igg CPT 86001 | $12.40 | $31.00 | $7.40 – $15.33 | 15 |
| Mayo fibrinogen antigen CPT 85385 | $24.00 | $60.00 | $2.64 – $28.34 | 15 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $25.60 | $64.00 | $7.45 – $42.47 | 15 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $114.40 | $286.00 | $30.75 – $33.21 | 5 |
| Mayo hemosiderin qualitative urine CPT 83070 | $12.00 | $30.00 | $3.47 – $9.31 | 15 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $81.60 | $204.00 | $19.51 – $68.78 | 15 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $90.40 | $226.00 | $19.51 – $68.78 | 15 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $32.00 | $80.00 | $7.40 – $27.03 | 15 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $59.60 | $149.00 | $3.05 – $50.59 | 15 |
| Mayo hvdip HIV 1 antibody CPT 86701 | not published | not published | $7.40 – $17.42 | 14 |
| Mayo hvdip HIV 2 antibody CPT 86702 | not published | not published | $7.40 – $26.50 | 14 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $124.00 | $310.00 | $8.93 – $53.25 | 15 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $35.20 | $88.00 | $8.63 – $33.85 | 15 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $35.20 | $88.00 | $7.40 – $29.38 | 15 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $53.20 | $133.00 | $7.40 – $40.79 | 15 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $53.20 | $133.00 | $7.40 – $40.79 | 15 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | $98.00 | $245.00 | $19.51 – $68.78 | 13 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $33.60 | $84.00 | $5.12 – $31.50 | 15 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $31.20 | $78.00 | $5.12 – $23.48 | 15 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $81.60 | $204.00 | $19.51 – $68.78 | 15 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $61.60 | $154.00 | $19.51 – $68.78 | 15 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $81.60 | $204.00 | $19.51 – $68.78 | 15 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $65.60 | $164.00 | $19.51 – $68.78 | 13 |
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.