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 |
|---|---|---|---|---|
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $0.29 | $0.72 | not published | 0 |
| Meg evoked each addl CPT 95967 | not published | not published | $1,769.51 – $1,911.07 | 5 |
| Meg evoked single CPT 95966 | not published | not published | $982.16 – $4,326.18 | 14 |
| Meg spontaneous CPT 95965 | not published | not published | $982.16 – $4,326.18 | 14 |
| Melphalan oral 2 mg HCPCS J8600 | not published | not published | $13.08 – $67.34 | 3 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | not published | not published | $142.33 – $597.36 | 10 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | $12,880.00 | $32,200.00 | $142.33 – $597.36 | 10 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | not published | not published | $142.33 – $597.36 | 10 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | not published | not published | $142.33 – $597.36 | 10 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $142.33 – $597.36 | 10 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | not published | not published | $142.33 – $597.36 | 10 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $77.90 – $361.82 | 6 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $3,969.53 – $34,831.50 | 14 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $50.00 | $125.00 | not published | 0 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | not published | not published | $31.19 – $2,018.91 | 14 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $12.51 | $31.26 | not published | 0 |
| Mesh ez derm 7x18 xenograft porcine -cost per sq cm HCPCS Q4136 | $391.60 | $979.00 | $142.33 – $597.36 | 10 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $3,796.07 – $4,099.76 | 5 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | $6,737.60 | $16,844.00 | not published | 0 |
| Metabolic Blood Panel (Basic) CPT 80048 | $24.00 | $60.00 | $5.88 – $16.58 | 15 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $33.20 | $83.00 | $5.88 – $20.70 | 15 |
| Metabolic panel ionized ca CPT 80047 | $18.00 | $45.00 | $5.88 – $26.91 | 15 |
| Metal frame recipro hip & ca HCPCS L2628 | $1,308.80 | $3,272.00 | $2,150.44 – $11,090.56 | 13 |
| Metatarsal joint implant HCPCS L8641 | $6,789.20 | $16,973.00 | $685.68 – $685.68 | 1 |
| Methadone injection HCPCS J1230 | $50.00 | $125.00 | not published | 0 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $1.39 | $3.46 | not published | 0 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $513.30 | $1,283.25 | not published | 0 |
| Methotrexate therapeutic drug level CPT 80204 | $28.00 | $70.00 | $7.45 – $75.60 | 14 |
| Methyl aminolevulinate, top HCPCS J7309 | not published | not published | $255.16 – $275.57 | 5 |
| Methyldopate hcl injection HCPCS J0210 | not published | not published | $59.36 – $294.17 | 7 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $8.22 | $20.55 | $10.08 – $34.26 | 13 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $59.46 | $148.65 | not published | 0 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $2.48 | $6.19 | $1.42 – $5.32 | 4 |
| Methylphenidate CPT 80360 | $124.00 | $310.00 | not published | 0 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $1.63 | $4.07 | not published | 0 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $1.64 | $4.10 | $0.17 – $0.27 | 3 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $30.72 | $76.80 | $0.38 – $0.70 | 3 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $31.84 | $79.60 | not published | 0 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $30.18 | $75.45 | not published | 0 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $0.68 | $1.70 | $0.04 – $0.09 | 4 |
| Metyrapone panel CPT 80436 | not published | not published | $22.98 – $178.67 | 14 |
| Mgmt promoter methylation analysis CPT 81287 | $122.00 | $305.00 | $122.15 – $244.29 | 13 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $0.87 | $2.16 | $59.42 – $64.17 | 5 |
| Microalbumin urine screen CPT 82044 | $12.40 | $31.00 | $1.95 – $12.21 | 15 |
| Microbe susceptible mlc CPT 87187 | $25.60 | $64.00 | $19.51 – $78.73 | 15 |
| Microdissection laser CPT 88380 | not published | not published | $15.70 – $16.96 | 5 |
| Microdissection manual CPT 88381 | $198.00 | $495.00 | $15.70 – $16.96 | 5 |
| Microfluid analy tears CPT 83861 | not published | not published | $22.03 – $44.06 | 12 |
| Microprcsr cu combo vad, rep HCPCS Q0482 | not published | not published | $5,317.38 – $23,633.05 | 12 |
| Microsatellite instability CPT 81301 | $529.20 | $1,323.00 | $341.59 – $683.18 | 13 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $147.17 – $673.34 | 12 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $7,025.97 – $27,810.79 | 3 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $50.00 | $125.00 | not published | 0 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | not published | not published | $0.45 – $1.34 | 2 |
| Middle cerebral artery echo CPT 76821 | $359.20 | $898.00 | $72.18 – $501.84 | 15 |
| Mifepristone 200 mg ta HCPCS S0190 | not published | not published | $59.42 – $64.17 | 5 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $10.90 | $27.25 | not published | 0 |
| Milwaukee type superstructur HCPCS L1230 | not published | not published | $634.99 – $2,822.22 | 12 |
| Minocycline hydrochloride HCPCS J2265 | not published | not published | $2.61 – $10.88 | 12 |
| Miroderm HCPCS Q4175 | not published | not published | $142.33 – $597.36 | 10 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | not published | not published | $69.71 – $14,171.81 | 13 |
| Mitochondrial gene CPT 81440 | $2,398.40 | $5,996.00 | $286.81 – $6,515.04 | 15 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | not published | not published | $27.89 – $275.57 | 14 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $316.71 – $14,171.81 | 13 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $37.84 – $228.40 | 14 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Mlh1 gene CPT 81288 | $235.60 | $589.00 | $84.33 – $376.95 | 15 |
| Mlh1 gene dup/delete variant CPT 81294 | $162.40 | $406.00 | $84.33 – $396.70 | 15 |
| Mlh1 gene full seq CPT 81292 | $543.20 | $1,358.00 | $286.81 – $1,323.78 | 15 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $84.33 – $648.76 | 14 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $17.27 – $42.55 | 10 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $4.92 – $10.19 | 10 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $3,167.51 – $61,628.63 | 14 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $99.53 – $417.74 | 12 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $700.79 – $7,718.72 | 14 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $700.79 – $7,718.72 | 14 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $1,364.93 – $7,447.96 | 14 |
| Mnt subs tx for change dx HCPCS G0270 | $67.60 | $169.00 | $22.06 – $127.09 | 13 |
| Mobility cart pneum vad, rep HCPCS Q0502 | not published | not published | $759.60 – $3,376.01 | 12 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Modification of contact lens CPT 92325 | not published | not published | $152.17 – $638.68 | 12 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $28.40 | $71.00 | $7.40 – $73.95 | 14 |
| Molded inner boot HCPCS L2280 | $265.60 | $664.00 | $436.57 – $2,251.57 | 13 |
| Molded socket shin sach foot HCPCS L5100 | not published | not published | $3,325.13 – $14,778.54 | 12 |
| Mold sckt ext knee shin sach HCPCS L5150 | not published | not published | $4,852.43 – $21,566.59 | 12 |
| Mold socket ank hgt with toe f HCPCS L5010 | not published | not published | $1,448.88 – $6,439.50 | 12 |
| Mold socket bent knee shin s HCPCS L5160 | not published | not published | $5,920.11 – $26,311.87 | 12 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $11.38 – $11.38 | 1 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $11.12 – $860.72 | 13 |
| Mon cable elec/pneum vad rep HCPCS Q0486 | not published | not published | $341.84 – $1,519.29 | 12 |
| Monitor cable elec vad, rep HCPCS Q0485 | not published | not published | $410.69 – $1,825.28 | 12 |
| Monitor elec vad, rep HCPCS Q0483 | not published | not published | $21,905.22 – $97,357.70 | 12 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $8,844.40 | $22,111.00 | not published | 0 |
| Monovisc inj per dose HCPCS J7327 | not published | not published | $642.23 – $3,330.50 | 12 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $152.27 – $639.07 | 11 |
| Mopath procedure level 1 CPT 81400 | $121.60 | $304.00 | $62.68 – $125.36 | 13 |
| Mopath procedure level 3 CPT 81402 | $172.40 | $431.00 | $147.32 – $294.65 | 13 |
| Mopath procedure level 5 CPT 81404 | $331.20 | $828.00 | $84.33 – $538.67 | 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.