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 |
|---|---|---|---|---|
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Onc breast mrna 12 genes CPT 81522 | not published | not published | $286.81 – $7,591.08 | 14 |
| Onc breast mrna 58 genes CPT 81520 | not published | not published | $286.81 – $4,920.01 | 14 |
| Onc breast mrna 70 genes CPT 81521 | not published | not published | $286.81 – $7,591.08 | 14 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $286.81 – $7,591.08 | 14 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | not published | not published | $286.81 – $7,591.08 | 13 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | not published | not published | $7,049.14 – $14,098.28 | 11 |
| Oncology colon mrna CPT 81525 | not published | not published | $3,053.68 – $6,107.36 | 12 |
| Oncology colorectal scr CPT 81528 | not published | not published | $498.69 – $997.39 | 12 |
| Oncology gynecologic CPT 81535 | not published | not published | $567.87 – $1,135.74 | 12 |
| Oncology gynecologic CPT 81536 | not published | not published | $174.01 – $348.02 | 12 |
| Oncology lung CPT 81538 | not published | not published | $2,813.58 – $5,627.16 | 12 |
| Oncology prostate prob score CPT 81539 | $952.00 | $2,380.00 | $744.80 – $1,489.60 | 13 |
| Oncology thyroid CPT 81545 | not published | not published | $4,293.00 – $4,293.00 | 1 |
| Oncology tissue of origin CPT 81504 | not published | not published | $509.60 – $1,019.20 | 12 |
| Oncology tum unknown origin CPT 81540 | $3,936.00 | $9,840.00 | $3,675.00 – $7,350.00 | 13 |
| Onco (ovar) five proteins CPT 81503 | $902.40 | $2,256.00 | $879.06 – $1,758.12 | 13 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $255.29 – $510.58 | 11 |
| Oncoprotein dcp CPT 83951 | $149.60 | $374.00 | $63.12 – $126.24 | 13 |
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $28.17 – $126.24 | 14 |
| Onc prostate 3 genes CPT 81551 | not published | not published | $1,989.40 – $3,978.80 | 12 |
| Onc prostate mrna 22 cnt gen CPT 81542 | not published | not published | $286.81 – $7,591.08 | 13 |
| Onc prostate mrna 46 genes CPT 81541 | not published | not published | $286.81 – $7,591.08 | 14 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $286.81 – $7,056.00 | 13 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | not published | not published | $30.75 – $15,240.96 | 13 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $0.37 | $0.92 | not published | 0 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $30.18 | $75.45 | not published | 0 |
| One-way allow prorated trip HCPCS P9604 | $5.20 | $13.00 | $11.10 – $48.66 | 5 |
| Oocyte identification CPT 89254 | not published | not published | $194.86 – $817.83 | 12 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Open ablate liver tumor cryo CPT 47381 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Open aortofemor prosth repr CPT 34832 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Open bx/exc inguinofem nodes CPT 38531 | $8,245.20 | $20,613.00 | $2,051.91 – $18,794.97 | 15 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $3,162.51 – $28,416.55 | 14 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $3,162.51 – $28,416.55 | 14 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $2,298.80 – $18,794.97 | 14 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $1,531.31 – $7,718.72 | 14 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $2,504.45 – $26,710.80 | 14 |
| Open tx compl front sinus fx CPT 21344 | not published | not published | $6,770.63 – $28,416.55 | 10 |
| Open tx iliac spine uni/bil HCPCS G0412 | not published | not published | $3,320.52 – $34,831.50 | 11 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $2,125.78 – $28,416.55 | 14 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $2,125.78 – $15,914.98 | 14 |
| Open tx post pelvic fxcture HCPCS G0415 | not published | not published | $3,742.25 – $22,915.81 | 13 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $3,771.01 – $34,831.50 | 14 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $3,771.01 – $34,831.50 | 14 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $1,839.09 – $7,718.72 | 14 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $3,771.01 – $34,831.50 | 12 |
| Open wedge/bx lung infiltr CPT 32096 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Ophthalmic biometry CPT 92136 | not published | not published | $40.65 – $638.68 | 14 |
| Ophthalmic mitomycin HCPCS J7315 | not published | not published | $59.42 – $64.17 | 5 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $40.65 – $179.28 | 14 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $78.52 – $638.68 | 14 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $78.52 – $501.84 | 14 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $78.52 – $501.84 | 14 |
| Opioids & opiate analogs 3/4 CPT 80363 | $124.00 | $310.00 | not published | 0 |
| Opn abltj 1/> rnl mas crysrg CPT 50250 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Opn exc/dst ntra-abd CPT 49189 | not published | not published | $2,500.00 – $2,855.23 | 6 |
| Opn exc/dst ntra-abd 10.1-20 CPT 49188 | not published | not published | $2,500.00 – $2,855.23 | 6 |
| Opn exc/dstr ntra-abd >30 cm CPT 49190 | not published | not published | $2,500.00 – $2,855.23 | 6 |
| Opn exc/dstr ntra-abd 5.1-10 CPT 49187 | not published | not published | $2,500.00 – $2,855.23 | 6 |
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | not published | not published | $2,500.00 – $2,855.23 | 6 |
| Opn ilac art expos cndt crtj CPT 34833 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $14,662.92 – $135,929.76 | 14 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $14,662.92 – $99,616.12 | 14 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $12,744.13 – $55,340.49 | 14 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $4,211.31 – $30,591.85 | 14 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | not published | not published | $35,292.59 – $148,124.04 | 11 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $3,162.51 – $28,416.55 | 14 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $6,770.63 – $28,416.55 | 11 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $3,162.51 – $28,416.55 | 12 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $3,162.51 – $28,416.55 | 14 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $6,770.63 – $28,416.55 | 11 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $5,085.38 – $28,416.55 | 14 |
| Opn tx nasomax fx w/graft CPT 21348 | not published | not published | $6,770.63 – $28,416.55 | 10 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $3,162.51 – $28,416.55 | 14 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $3,162.51 – $28,416.55 | 14 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $3,162.51 – $28,416.55 | 14 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $2,125.78 – $28,416.55 | 14 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $2,125.78 – $28,416.55 | 14 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $2,125.78 – $28,416.55 | 14 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $3,162.51 – $28,416.55 | 14 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $3,162.51 – $28,416.55 | 14 |
| Opps service,sched team conf HCPCS G0175 | not published | not published | $73.56 – $1,865.50 | 14 |
| Oprelvekin injection HCPCS J2355 | not published | not published | $3.49 – $3,241.47 | 8 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $40.65 – $283.18 | 14 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $40.65 – $283.18 | 14 |
| Optokinetic nystagmus test CPT 92534 | not published | not published | $102.84 – $111.07 | 5 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $3,771.01 – $34,831.50 | 14 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $3,771.01 – $34,831.50 | 14 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $3,771.01 – $34,831.50 | 14 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $3,771.01 – $34,831.50 | 14 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $3,771.01 – $34,831.50 | 14 |
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.