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 |
|---|---|---|---|---|
| Optx complicated mndblr fx CPT 21470 | not published | not published | $5,085.38 – $28,416.55 | 14 |
| Optx cranfcl sep comp mlt CPT 21433 | not published | not published | $6,770.63 – $28,416.55 | 10 |
| Optx cranfcl sep w/wiring CPT 21432 | not published | not published | $6,770.63 – $28,416.55 | 10 |
| Optx crnfcl sep comp mlt int CPT 21436 | not published | not published | $6,770.63 – $28,416.55 | 10 |
| Optx crnfc sep comp int&/xtr CPT 21435 | not published | not published | $6,770.63 – $28,416.55 | 10 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $3,742.25 – $15,706.36 | 14 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $3,771.01 – $34,831.50 | 14 |
| Optx lunate dislocation CPT 25695 | not published | not published | $3,771.01 – $34,831.50 | 14 |
| Optx medial ankle fx CPT 27766 | not published | not published | $3,771.01 – $34,831.50 | 14 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $5,085.38 – $28,416.55 | 14 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $5,085.38 – $28,416.55 | 14 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $5,085.38 – $28,416.55 | 14 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $2,005.86 – $28,416.55 | 14 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $2,803.36 – $28,416.55 | 13 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $6,770.63 – $28,416.55 | 10 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $3,771.01 – $61,628.63 | 14 |
| Optx post ankle fx CPT 27769 | not published | not published | $3,771.01 – $34,831.50 | 14 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $3,771.01 – $61,628.63 | 14 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $3,771.01 – $101,386.03 | 14 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $3,771.01 – $34,831.50 | 14 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $3,771.01 – $34,831.50 | 14 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $3,771.01 – $34,831.50 | 14 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $3,771.01 – $34,831.50 | 14 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $3,771.01 – $34,831.50 | 14 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $3,771.01 – $34,831.50 | 14 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $3,771.01 – $34,831.50 | 14 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $3,771.01 – $34,831.50 | 14 |
| Optx sho dislc fx CPT 23670 | not published | not published | $3,771.01 – $34,831.50 | 14 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $3,771.01 – $61,628.63 | 14 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $3,771.01 – $34,831.50 | 14 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $3,771.01 – $34,831.50 | 14 |
| Optx thigh fx CPT 27269 | not published | not published | $226.42 – $34,831.50 | 12 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $2,803.36 – $15,914.98 | 14 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $3,771.01 – $34,831.50 | 14 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $3,771.01 – $34,831.50 | 14 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $3,771.01 – $34,831.50 | 14 |
| Oral busulfan HCPCS J8510 | not published | not published | $9.92 – $193.68 | 12 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $11.74 – $23.48 | 12 |
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $18.34 – $89.64 | 11 |
| Oral methotrexate (xatmep) HCPCS J8612 | not published | not published | $21.85 – $93.80 | 11 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $113.26 – $2,046.97 | 14 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Orchiectomy partial CPT 54522 | not published | not published | $1,393.78 – $16,920.72 | 14 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $1,393.78 – $17,186.76 | 14 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $1,461.60 – $17,186.76 | 14 |
| Organic acids total quant ea spec CPT 83918 | $45.20 | $113.00 | $7.79 – $46.26 | 15 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $42.84 – $1,272.76 | 13 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | not published | not published | $28.00 – $1,272.76 | 14 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $652.16 – $7,447.96 | 14 |
| Ortho dvc repair per 15 min HCPCS L4205 | not published | not published | $43.02 – $86.04 | 10 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $160.80 | $402.00 | $264.07 – $1,361.87 | 13 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $419.20 | $1,048.00 | $457.33 – $2,358.61 | 13 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | $713.60 | $1,784.00 | $1,172.63 – $6,047.66 | 13 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $18.40 | $46.00 | $676.12 – $3,486.99 | 13 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $150.80 | $377.00 | $247.69 – $1,277.42 | 13 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | not published | not published | $340.86 – $1,514.98 | 12 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | $174.40 | $436.00 | $96.65 – $498.47 | 13 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $150.80 | $377.00 | $247.69 – $1,277.42 | 13 |
| Orthopantogram CPT 70355 | not published | not published | $40.64 – $417.74 | 14 |
| Orthopedic shoe add rub insl HCPCS L3510 | not published | not published | $34.11 – $151.59 | 12 |
| Orthop traing pfrmd phys/qhp CPT 92065 | not published | not published | $113.42 – $185.43 | 6 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $67.47 – $283.18 | 11 |
| Ortho shoe add full sole HCPCS L3540 | not published | not published | $59.34 – $263.72 | 12 |
| Ortho shoe add half sole HCPCS L3530 | not published | not published | $37.04 – $164.64 | 12 |
| Ortho shoe add leather insol HCPCS L3500 | not published | not published | $34.11 – $151.59 | 12 |
| Ortho shoe add march bar HCPCS L3595 | not published | not published | $48.92 – $217.42 | 12 |
| Ortho sidebar disconnect HCPCS L2768 | $79.60 | $199.00 | $130.91 – $675.15 | 13 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $282.80 | $707.00 | $464.63 – $2,396.26 | 13 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $106.91 – $622.55 | 12 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $200.40 | $501.00 | $329.54 – $1,699.58 | 13 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | not published | not published | $1,052.39 – $4,677.41 | 12 |
| Oscillation chest wall mechanical per session CPT 94669 | $165.60 | $414.00 | $250.45 – $1,051.14 | 13 |
| O shoe add felt w leath insl HCPCS L3520 | not published | not published | $37.04 – $164.64 | 12 |
| O shoe add horseshoe toe tap HCPCS L3560 | not published | not published | $26.72 – $118.71 | 12 |
| O shoe add instep extension HCPCS L3570 | not published | not published | $99.39 – $441.79 | 12 |
| O shoe add instep velcro clo HCPCS L3580 | not published | not published | $75.63 – $336.14 | 12 |
| O shoe add standard toe tap HCPCS L3550 | not published | not published | $10.35 – $46.02 | 12 |
| O shoe convert to sof counte HCPCS L3590 | not published | not published | $62.28 – $276.83 | 12 |
| Osmolality blood CPT 83930 | $16.40 | $41.00 | $3.47 – $12.96 | 15 |
| Osmolality urine CPT 83935 | $16.40 | $41.00 | $3.47 – $13.37 | 15 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $1,531.31 – $15,706.36 | 14 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $3,167.51 – $15,706.36 | 14 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $1,390.20 – $1,501.41 | 5 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $3,969.53 – $61,628.63 | 14 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $4,956.46 – $34,831.50 | 14 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $3,712.68 – $34,831.50 | 14 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $72.40 | $181.00 | $24.70 – $115.66 | 15 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | $75.20 | $188.00 | $24.70 – $115.66 | 15 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | $75.20 | $188.00 | $24.70 – $115.66 | 15 |
| Osteoplasty humerus CPT 24420 | not published | not published | $3,167.51 – $34,831.50 | 14 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $8,299.08 – $34,831.50 | 10 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $8,299.08 – $34,831.50 | 10 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $3,303.62 – $34,831.50 | 12 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $3,167.51 – $34,831.50 | 14 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $14,683.87 – $61,628.63 | 10 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $3,712.68 – $34,831.50 | 14 |
| Ostomy clamp, replacement HCPCS A4363 | not published | not published | $5.04 – $13.55 | 2 |
| Ot evaluation high complexity patient/family CPT 97167 | $167.20 | $418.00 | $59.12 – $470.73 | 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.