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 |
|---|---|---|---|---|
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $99.60 | $249.00 | $19.51 – $83.97 | 15 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $87.20 | $218.00 | $30.75 – $141.49 | 15 |
| Mayo infliximab therapeutic drug level CPT 80230 | $53.60 | $134.00 | $7.45 – $75.60 | 15 |
| Mayo inhab inhibin a CPT 86336 | $32.00 | $80.00 | $7.40 – $30.56 | 15 |
| Mayo insft insulin free CPT 83527 | $30.40 | $76.00 | $8.93 – $25.38 | 15 |
| Mayo insulin antibodies CPT 86337 | $53.60 | $134.00 | $7.40 – $41.96 | 15 |
| Mayo iodine CPT 83789 | $49.20 | $123.00 | $8.63 – $47.26 | 15 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $35.20 | $88.00 | $7.45 – $53.14 | 14 |
| Mayo lacosamide therapeutic drug level CPT 80235 | not published | not published | $7.45 – $53.14 | 14 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $21.60 | $54.00 | $7.45 – $25.97 | 15 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $32.00 | $80.00 | $8.63 – $25.07 | 15 |
| Mayo legionella antibody CPT 86713 | $38.00 | $95.00 | $7.40 – $29.99 | 15 |
| Mayo leptospira antibody igm CPT 86720 | $33.60 | $84.00 | $7.40 – $31.75 | 15 |
| Mayo lipoprotein electrophoresis CPT 83700 | $28.40 | $71.00 | $8.63 – $22.07 | 15 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $42.40 | $106.00 | $7.40 – $30.36 | 15 |
| Mayo manganese CPT 83785 | $72.00 | $180.00 | $7.79 – $52.23 | 15 |
| Mayo metanephrines plasma CPT 83835 | $42.40 | $106.00 | $8.93 – $33.20 | 15 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $28.00 | $70.00 | not published | 0 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $26.00 | $65.00 | $7.40 – $23.62 | 14 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $34.40 | $86.00 | $7.40 – $36.06 | 14 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $36.40 | $91.00 | $7.40 – $28.52 | 15 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $37.60 | $94.00 | $7.45 – $36.53 | 15 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $249.20 | $623.00 | $134.26 – $268.52 | 13 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $339.20 | $848.00 | $84.33 – $362.99 | 14 |
| Mayo muramidase CPT 85549 | $45.20 | $113.00 | $4.01 – $36.75 | 15 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $34.40 | $86.00 | $7.40 – $36.06 | 14 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $28.00 | $70.00 | $7.45 – $35.38 | 15 |
| Mayo myoglobin CPT 83874 | $32.40 | $81.00 | $8.63 – $25.32 | 15 |
| Mayo nickel CPT 83885 | $62.00 | $155.00 | $7.79 – $48.04 | 15 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $27.60 | $69.00 | not published | 0 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $56.00 | $140.00 | not published | 0 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $27.60 | $69.00 | not published | 0 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $44.00 | $110.00 | $8.63 – $41.57 | 15 |
| Mayo organic acids qualitative each specimen CPT 83919 | $48.00 | $120.00 | $8.63 – $32.24 | 15 |
| Mayo oxalate 24 hour urine CPT 83945 | $32.40 | $81.00 | $8.63 – $28.32 | 15 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $29.60 | $74.00 | $11.30 – $22.60 | 13 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $37.60 | $94.00 | $7.40 – $29.46 | 15 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $31.20 | $78.00 | $7.40 – $23.62 | 15 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $88.40 | $221.00 | $19.51 – $68.78 | 15 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $45.20 | $113.00 | $17.62 – $35.24 | 13 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $34.00 | $85.00 | $7.45 – $26.97 | 15 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $21.20 | $53.00 | $3.47 – $16.54 | 15 |
| Mayo pregnenolone CPT 84140 | $52.40 | $131.00 | $8.93 – $40.51 | 15 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $41.60 | $104.00 | $7.45 – $32.52 | 15 |
| Mayo proinsulin CPT 84206 | $53.60 | $134.00 | $8.93 – $52.31 | 15 |
| Mayo psaft prostate specific antigen free CPT 84154 | $46.00 | $115.00 | $8.63 – $36.04 | 15 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $53.20 | $133.00 | $8.63 – $36.06 | 15 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $33.60 | $84.00 | $4.01 – $26.19 | 15 |
| Mayo receptor assay transferrin soluble CPT 84238 | $85.20 | $213.00 | $22.70 – $71.68 | 15 |
| Mayo renin CPT 84244 | $54.40 | $136.00 | $8.93 – $43.10 | 15 |
| Mayo repu protein electrophoresis urine CPT 84166 | $44.40 | $111.00 | $8.63 – $34.95 | 15 |
| Mayo selenium CPT 84255 | $59.20 | $148.00 | $8.63 – $50.04 | 15 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $15.19 – $30.38 | 12 |
| Mayo serotonin CPT 84260 | $71.60 | $179.00 | $8.93 – $60.72 | 15 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $53.20 | $133.00 | $7.40 – $37.93 | 15 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $34.00 | $85.00 | $7.45 – $26.91 | 15 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $40.40 | $101.00 | $21.50 – $180.38 | 11 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $11.20 | $28.00 | $4.18 – $8.37 | 15 |
| Mayo tau phosphorylated 217 each CPT 84393 | $663.20 | $1,658.00 | $126.34 – $252.68 | 9 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $363.60 | $909.00 | $204.74 – $409.48 | 13 |
| Mayo tgrp testosterone free CPT 84402 | $59.20 | $148.00 | $8.93 – $49.92 | 15 |
| Mayo tgrp testosterone total CPT 84403 | $59.60 | $149.00 | $8.93 – $50.59 | 15 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $60.00 | $150.00 | $8.63 – $43.45 | 14 |
| Mayo thyroglobulin CPT 84432 | $40.00 | $100.00 | $8.93 – $31.48 | 15 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $28.40 | $71.00 | $7.40 – $19.95 | 15 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $32.00 | $80.00 | $7.40 – $24.28 | 15 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $78.00 | $195.00 | not published | 0 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $64.40 | $161.00 | $22.98 – $100.51 | 15 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $29.60 | $74.00 | $7.40 – $27.75 | 15 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $32.40 | $81.00 | $13.27 – $26.54 | 13 |
| Mayo vasoactive intestinal peptide CPT 84586 | $82.00 | $205.00 | $8.93 – $69.25 | 15 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $23.60 | $59.00 | $8.63 – $39.67 | 15 |
| Mayo vitamin b3 (niacin) CPT 84591 | $34.40 | $86.00 | $8.63 – $33.44 | 15 |
| Mayo vitamin k CPT 84597 | $34.00 | $85.00 | $8.63 – $26.89 | 15 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $21.60 | $54.00 | $7.45 – $25.97 | 15 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Mcoln1 gene CPT 81290 | $69.20 | $173.00 | $30.75 – $77.05 | 15 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $1,586.95 – $15,706.36 | 14 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $1,586.95 – $15,706.36 | 14 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $1,586.95 – $7,718.72 | 14 |
| Mcrscp xm hair pluck/clipped CPT 96902 | not published | not published | $20.49 – $22.13 | 5 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $1,390.20 – $17,010.70 | 14 |
| Md inr test revie inter mgmt HCPCS G0250 | not published | not published | $20.86 – $20.86 | 1 |
| Md service required for pmd HCPCS G0372 | not published | not published | $20.89 – $20.89 | 1 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $72.64 – $2,238.28 | 14 |
| Measure kidney pressure CPT 50396 | not published | not published | $269.75 – $3,347.17 | 14 |
| Measurement post void urine by ultrasound CPT 51798 | $158.00 | $395.00 | $51.14 – $283.18 | 15 |
| Measure ureter pressure CPT 50686 | not published | not published | $51.14 – $673.34 | 14 |
| Mecasermin injection HCPCS J2170 | not published | not published | $374.52 – $404.48 | 5 |
| Mech hip extension assist HCPCS L5855 | not published | not published | $490.05 – $2,178.04 | 12 |
| Mechlorethamine hcl inj HCPCS J9230 | not published | not published | $112.16 – $856.05 | 6 |
| #mec-opiates CPT 80356 | $28.00 | $70.00 | not published | 0 |
| Mecp2 gene dup/delet variant CPT 81304 | $315.20 | $788.00 | $30.75 – $294.00 | 15 |
| Mecp2 gene full seq CPT 81302 | $636.00 | $1,590.00 | $286.81 – $1,034.63 | 15 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $30.75 – $235.20 | 14 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | $49.20 | $123.00 | not published | 0 |
| Medial canthopexy CPT 21280 | not published | not published | $2,064.79 – $15,914.98 | 14 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $1,592.15 – $29,019.93 | 14 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $1,592.15 – $29,019.93 | 14 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $426.79 – $2,238.28 | 11 |
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.