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 |
|---|---|---|---|---|
| Mopath procedure level 6 CPT 81405 | $673.60 | $1,684.00 | $84.33 – $590.65 | 15 |
| Mopath procedure level 7 CPT 81406 | $673.60 | $1,684.00 | $84.33 – $554.44 | 15 |
| Mopath procedure level 8 CPT 81407 | $760.00 | $1,900.00 | $286.81 – $1,658.69 | 15 |
| Mopath procedure level 9 CPT 81408 | $1,343.20 | $3,358.00 | $286.81 – $3,920.00 | 15 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $50.00 | $125.00 | not published | 0 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $50.00 | $125.00 | $11.89 – $32.73 | 2 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $50.00 | $125.00 | not published | 0 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $515.20 | $1,288.00 | $28.69 – $817.83 | 15 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $154.40 | $386.00 | $28.69 – $1,720.62 | 15 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $248.40 | $621.00 | $28.69 – $817.83 | 15 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $641.45 – $21,879.71 | 13 |
| Motion analysis video/3d CPT 96000 | $855.60 | $2,139.00 | $426.79 – $2,238.28 | 13 |
| Motion test w/ft press meas CPT 96001 | $855.60 | $2,139.00 | $982.16 – $4,326.18 | 13 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $96.84 – $2,144.37 | 14 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $2,064.79 – $15,914.98 | 14 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $28.69 – $30.98 | 5 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $515.20 | $1,288.00 | $28.69 – $817.83 | 15 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $28.69 – $30.98 | 5 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $28.69 – $817.83 | 14 |
| Mpl gene analysis common variants CPT 81338 | $300.40 | $751.00 | $30.75 – $294.65 | 14 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $5.12 – $39.30 | 14 |
| M.pneumon dna quant CPT 87582 | not published | not published | $76.91 – $593.14 | 14 |
| Mpsv4 vaccine subq CPT 90733 | not published | not published | $77.90 – $193.13 | 6 |
| MRA abdomen post contrast CPT 74185 | $1,241.20 | $3,103.00 | not published | 0 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $1,241.20 | $3,103.00 | not published | 0 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $354.42 – $1,705.83 | 14 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $272.89 – $1,145.33 | 14 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $354.42 – $1,705.83 | 14 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $1,182.00 | $2,955.00 | not published | 0 |
| MRA pelvis CPT 72198 | $1,205.60 | $3,014.00 | not published | 0 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $354.42 – $1,705.83 | 14 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $272.89 – $1,145.33 | 14 |
| MRA spinal canal CPT 72159 | $1,603.60 | $4,009.00 | not published | 0 |
| MRA upper extremity post contrast-bil CPT 73225 | $1,496.40 | $3,741.00 | not published | 0 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $354.42 – $1,705.83 | 14 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $354.42 – $1,705.83 | 14 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $354.42 – $1,705.83 | 14 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $354.42 – $1,705.83 | 14 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $272.89 – $1,145.33 | 14 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $272.89 – $1,145.33 | 14 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $272.89 – $1,145.33 | 14 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $272.89 – $1,145.33 | 14 |
| MRA without fol w/cont, abd HCPCS C8902 | not published | not published | $354.42 – $1,705.83 | 14 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $354.42 – $1,705.83 | 14 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $354.42 – $1,705.83 | 14 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $354.42 – $1,705.83 | 14 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $354.42 – $1,705.83 | 14 |
| Mr elastography CPT 76391 | not published | not published | $272.89 – $1,145.33 | 12 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $12,744.13 – $57,737.54 | 11 |
| MRI brain w/dye CPT 70558 | not published | not published | $200.61 – $841.97 | 14 |
| MRI brain without dye CPT 70557 | not published | not published | $180.77 – $2,622.93 | 14 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $200.61 – $841.97 | 14 |
| MRI breast c- unilateral CPT 77046 | $1,809.20 | $4,523.00 | $180.77 – $1,145.33 | 15 |
| MRI breast c-+ w/cad uni CPT 77048 | $2,220.00 | $5,550.00 | $316.75 – $342.09 | 5 |
| MRI breast without cont bi CPT 77047 | $1,448.00 | $3,620.00 | $180.77 – $1,145.33 | 15 |
| MRI breast w IV cont bi CPT 77049 | $2,220.00 | $5,550.00 | $316.75 – $342.09 | 5 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $1,753.60 | $4,384.00 | $180.77 – $1,145.33 | 15 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $1,928.40 | $4,821.00 | $316.75 – $1,705.83 | 15 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $2,586.00 | $6,465.00 | $316.75 – $3,762.98 | 15 |
| MRI chest without contrast CPT 71550 | $1,753.60 | $4,384.00 | $180.77 – $1,145.33 | 15 |
| MRI chest without & w/contrast CPT 71552 | $1,987.60 | $4,969.00 | $316.75 – $1,705.83 | 15 |
| MRI chest w IV cont CPT 71551 | $2,117.60 | $5,294.00 | $316.75 – $3,762.98 | 15 |
| MRI compatible system HCPCS L0859 | not published | not published | $1,360.85 – $6,048.22 | 12 |
| MRI fetal ea addl gestation CPT 74713 | $953.60 | $2,384.00 | $180.77 – $195.23 | 5 |
| MRI fetal sngl/1st gestation CPT 74712 | $1,671.20 | $4,178.00 | $180.77 – $1,145.33 | 15 |
| MRI guid ndl plc s&i CPT 77021 | $1,523.20 | $3,808.00 | $179.97 – $194.37 | 5 |
| MRI guid parenchymal tiss ablation CPT 77022 | $2,231.60 | $5,579.00 | $179.97 – $194.37 | 5 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $1,250.50 – $5,789.82 | 11 |
| MRI loex nonjt w IV cont CPT 73719 | $1,871.60 | $4,679.00 | $316.75 – $1,705.83 | 15 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,753.60 | $4,384.00 | $180.77 – $1,145.33 | 15 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $1,928.40 | $4,821.00 | $316.75 – $1,705.83 | 15 |
| MRI orbit/face/neck without contrast CPT 70540 | $1,753.60 | $4,384.00 | $180.77 – $1,145.33 | 15 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $1,928.40 | $4,821.00 | $316.75 – $1,705.83 | 15 |
| MRI orbit fac&nck w IV cont CPT 70542 | $1,815.60 | $4,539.00 | $316.75 – $1,705.83 | 15 |
| MRI tmj CPT 70336 | $1,614.00 | $4,035.00 | $180.77 – $1,145.33 | 15 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,753.60 | $4,384.00 | $180.77 – $1,145.33 | 15 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $1,987.60 | $4,969.00 | $316.75 – $1,705.83 | 15 |
| MRI upper extremity w/dye CPT 73219 | $1,871.60 | $4,679.00 | $316.75 – $1,705.83 | 15 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $316.75 – $1,705.83 | 14 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $200.61 – $841.97 | 14 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $316.75 – $1,705.83 | 14 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $316.75 – $1,705.83 | 14 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $99.53 – $417.74 | 11 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $108.73 – $456.35 | 11 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $49.60 | $124.00 | not published | 0 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $67.47 – $283.18 | 11 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $66.00 | $165.00 | $33.08 – $138.82 | 11 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $272.89 – $1,145.33 | 11 |
| Mr spectroscopy CPT 76390 | $1,074.00 | $2,685.00 | $99.53 – $417.74 | 14 |
| Msh2 gene dup/delete variant CPT 81297 | $170.00 | $425.00 | $84.33 – $418.07 | 15 |
| Msh2 gene full seq CPT 81295 | $306.40 | $766.00 | $84.33 – $748.13 | 15 |
| Msh2 gene known variants CPT 81296 | not published | not published | $84.33 – $661.95 | 14 |
| Msh6 gene dup/delete variant CPT 81300 | $276.40 | $691.00 | $84.33 – $466.48 | 15 |
| Msh6 gene full seq CPT 81298 | $463.20 | $1,158.00 | $286.81 – $1,258.03 | 15 |
| Msh6 gene known variants CPT 81299 | $245.20 | $613.00 | $84.33 – $603.68 | 15 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $3,712.68 – $34,831.50 | 12 |
| Mthfr gene analy common variants CPT 81291 | $110.40 | $276.00 | $58.15 – $128.07 | 15 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $5.12 – $52.68 | 14 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $19.51 – $83.97 | 14 |
| Mucin synovial fluid CPT 83872 | $14.40 | $36.00 | $3.47 – $11.49 | 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.