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 |
|---|---|---|---|---|
| Partial removal of liver CPT 47125 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Partial removal of liver CPT 47130 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Partial removal of lung 32480 CPT 32480 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Partial removal of nose CPT 30150 | not published | not published | $2,476.42 – $28,416.55 | 14 |
| Partial removal of pancreas CPT 48145 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Partial removal of pancreas CPT 48150 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Partial removal of penis CPT 54120 | not published | not published | $2,266.00 – $16,920.72 | 14 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $2,476.42 – $28,416.55 | 14 |
| Partial removal of radius CPT 25151 | not published | not published | $1,227.92 – $15,706.36 | 14 |
| Partial removal of radius CPT 25230 | not published | not published | $1,227.92 – $15,706.36 | 14 |
| Partial removal of rectum CPT 45111 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Partial removal of rectum CPT 45114 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Partial removal of rectum CPT 45116 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Partial removal of rib CPT 21600 | not published | not published | $1,592.15 – $34,831.50 | 14 |
| Partial removal of sternum CPT 21620 | not published | not published | $3,742.25 – $15,706.36 | 10 |
| Partial removal of thyroid CPT 60220 | not published | not published | $2,999.77 – $29,019.93 | 14 |
| Partial removal of thyroid CPT 60225 | not published | not published | $2,999.77 – $29,019.93 | 14 |
| Partial removal of tibia CPT 27640 | not published | not published | $3,742.25 – $15,706.36 | 14 |
| Partial removal of toe CPT 28160 | not published | not published | $1,531.31 – $15,706.36 | 14 |
| Partial removal of tongue CPT 41120 | not published | not published | $2,476.42 – $28,416.55 | 14 |
| Partial removal of tongue CPT 41130 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Partial removal of ulna CPT 25119 | not published | not published | $1,227.92 – $15,706.36 | 14 |
| Partial removal of ulna CPT 25150 | not published | not published | $1,227.92 – $15,706.36 | 14 |
| Partial removal of ulna CPT 25240 | not published | not published | $1,227.92 – $15,706.36 | 14 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $1,728.07 – $15,538.94 | 14 |
| Partial removal tear gland CPT 68505 | not published | not published | $1,175.19 – $18,871.60 | 14 |
| Partial thyroid excision CPT 60210 | not published | not published | $2,999.77 – $29,019.93 | 14 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $2,999.77 – $29,019.93 | 14 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $5,674.00 | $14,185.00 | not published | 0 |
| Part removal hip bone deep CPT 27071 | not published | not published | $3,742.25 – $15,706.36 | 10 |
| Part removal of metatarsal CPT 28110 | not published | not published | $3,712.68 – $15,706.36 | 14 |
| Part removal of metatarsal CPT 28113 | not published | not published | $1,531.31 – $15,706.36 | 14 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $1,531.31 – $15,706.36 | 14 |
| Part remove hip bone super CPT 27070 | not published | not published | $3,742.25 – $15,706.36 | 10 |
| Passy muir valve metal trach HCPCS L8501 | $1,136.40 | $2,841.00 | $123.89 – $638.94 | 13 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $26.14 – $817.83 | 13 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $26.14 – $817.83 | 13 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $26.14 – $28.23 | 5 |
| Path clin consltj sf 5-20 CPT 80503 | $149.60 | $374.00 | $26.14 – $250.15 | 14 |
| Pathogen reduced plasma pool HCPCS P9070 | not published | not published | $62.44 – $338.04 | 12 |
| Pathogen reduced plasma sing HCPCS P9071 | not published | not published | $160.49 – $1,383.58 | 12 |
| Patient recorded spirometry CPT 94014 | not published | not published | $72.64 – $2,144.37 | 14 |
| Patient recorded spirometry CPT 94015 | not published | not published | $72.64 – $1,296.68 | 14 |
| Patten bottom HCPCS L2370 | not published | not published | $306.42 – $1,361.87 | 12 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $84.33 – $499.90 | 14 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $451.19 – $451.19 | 1 |
| Pdgfra gene CPT 81314 | $624.40 | $1,561.00 | $322.92 – $645.84 | 13 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | $27.60 | $69.00 | $23.02 – $118.71 | 13 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $116.08 – $963.09 | 14 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $1,390.20 – $9,904.20 | 14 |
| Ped crit care age 2-5 init CPT 99475 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Ped crit care age 2-5 subsq CPT 99476 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Ped critical care initial CPT 99471 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Ped critical care subsq CPT 99472 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $147.17 – $673.34 | 12 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $147.17 – $673.34 | 12 |
| Pediatric electric hand HCPCS L7008 | not published | not published | $7,191.19 – $31,961.21 | 12 |
| Pediatric electric hook HCPCS L7045 | not published | not published | $1,923.57 – $8,549.34 | 12 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $1,390.20 – $9,904.20 | 14 |
| Ped term dev, hand, vol clos HCPCS L6714 | not published | not published | $1,546.00 – $6,871.20 | 12 |
| Ped term dev, hand, vol open HCPCS L6713 | not published | not published | $1,825.28 – $8,112.45 | 12 |
| Ped term dev, hook, vol clos HCPCS L6712 | not published | not published | $1,446.19 – $6,427.60 | 12 |
| Ped term dev, hook, vol open HCPCS L6711 | not published | not published | $785.48 – $3,491.07 | 12 |
| Pegademase bovine, 25 iu HCPCS J2504 | not published | not published | $255.16 – $3,837.98 | 7 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $796.96 – $5,449.75 | 7 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $13,122.04 – $109,161.56 | 14 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $27.97 – $2,018.91 | 13 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $130.64 – $3,428.99 | 13 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | not published | not published | $133.17 – $3,428.99 | 14 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $155.09 – $2,018.91 | 13 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | not published | not published | $77.91 – $3,428.99 | 14 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $109.89 – $1,272.76 | 13 |
| Peginesatide injection HCPCS J0890 | not published | not published | $11.48 – $11.48 | 1 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,748.03 – $14,824.61 | 14 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $218.93 – $1,014.71 | 11 |
| Pelv band/spread bar thigh c HCPCS L1640 | $282.80 | $707.00 | $464.68 – $2,396.49 | 13 |
| Pelvic band & belt thigh fla HCPCS L2192 | $204.00 | $510.00 | $343.25 – $1,770.23 | 13 |
| Pelvic control band & belt b HCPCS L2640 | $238.80 | $597.00 | $392.45 – $2,023.96 | 13 |
| Pelvic control band & belt u HCPCS L2630 | $153.20 | $383.00 | $251.80 – $1,298.62 | 13 |
| Pelvic control hip heavy dut HCPCS L2620 | not published | not published | $351.32 – $1,561.47 | 12 |
| Pelvic control pelvic sling HCPCS L2580 | $321.20 | $803.00 | $528.02 – $2,723.18 | 13 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,405.20 | $3,513.00 | $200.61 – $841.97 | 15 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,083.20 | $2,708.00 | $200.61 – $841.97 | 15 |
| Pelvic CT scan (without contrast) CPT 72192 | $831.20 | $2,078.00 | $82.80 – $501.84 | 15 |
| Pelvic exenteration CPT 45126 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Pelvic & hip control thigh c HCPCS L1680 | not published | not published | $1,814.73 – $8,065.60 | 12 |
| Pelvic MRI (with and without contrast) CPT 72197 | $1,928.40 | $4,821.00 | $316.75 – $1,705.83 | 15 |
| Pelvic MRI (with contrast) CPT 72196 | $1,815.60 | $4,539.00 | $316.75 – $1,705.83 | 15 |
| Pelvic MRI (without contrast) CPT 72195 | $1,753.60 | $4,384.00 | $180.77 – $1,145.33 | 15 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $3,771.01 – $34,831.50 | 14 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $3,771.01 – $34,831.50 | 13 |
| Pelvic Ultrasound (complete) CPT 76856 | $420.00 | $1,050.00 | $119.20 – $501.84 | 15 |
| Pelvic Ultrasound (limited) CPT 76857 | $358.40 | $896.00 | $78.52 – $501.84 | 15 |
| Pelv & thor control gluteal HCPCS L2650 | not published | not published | $178.73 – $794.37 | 12 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $53.91 – $7,001.18 | 14 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | not published | not published | $3.96 – $2,018.91 | 14 |
| Pemivibart infusion HCPCS M0224 | not published | not published | $450.50 – $2,085.82 | 11 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $19.13 – $66.76 | 14 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $55.94 | $139.85 | $28.76 – $86.07 | 15 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $7.88 | $19.68 | not published | 0 |
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.