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 |
|---|---|---|---|---|
| Psychoeducation 45 min + HCPCS G0177 | $85.60 | $214.00 | $122.50 – $132.29 | 5 |
| Psychotherapy group therapy CPT 90853 | not published | not published | $116.19 – $487.67 | 12 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $199.60 | $499.00 | $203.01 – $852.02 | 13 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $308.80 | $772.00 | $203.01 – $852.02 | 13 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $308.80 | $772.00 | $203.01 – $852.02 | 13 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $246.96 – $1,296.68 | 14 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | not published | not published | $411.05 – $443.93 | 5 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $77.49 – $2,144.37 | 14 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $77.49 – $638.68 | 14 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | not published | not published | $411.05 – $443.93 | 5 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | not published | not published | $411.05 – $443.93 | 5 |
| Psytx complex interactive CPT 90785 | $95.60 | $239.00 | not published | 0 |
| Psytx pt w/e&m 16-37 min CPT 90833 | $87.60 | $219.00 | not published | 0 |
| Psytx pt w/e&m 38-52 min CPT 90836 | $134.00 | $335.00 | not published | 0 |
| Psytx pt w/e&m 53+ min CPT 90838 | $138.40 | $346.00 | not published | 0 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $34.00 | $85.00 | $8.21 – $67.46 | 15 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $9.20 | $23.00 | $6.91 – $29.82 | 10 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $44.80 | $112.00 | $11.38 – $92.60 | 15 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $23.60 | $59.00 | $8.21 – $67.46 | 15 |
| Pt application of modality traction mechanical CPT 97012 | $28.80 | $72.00 | $8.02 – $67.46 | 15 |
| Pten gene dup/delet variant CPT 81323 | $152.00 | $380.00 | $84.33 – $588.00 | 15 |
| Pten gene full sequence CPT 81321 | $826.00 | $2,065.00 | $286.81 – $1,176.00 | 15 |
| Pten gene known fam variant CPT 81322 | not published | not published | $30.75 – $91.34 | 14 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $2,125.78 – $28,416.55 | 14 |
| Pt evaluation high complexity patient/family CPT 97163 | $150.40 | $376.00 | $58.37 – $470.73 | 15 |
| Pt evaluation low complexity patient/family CPT 97161 | $128.80 | $322.00 | $58.37 – $470.73 | 15 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $143.60 | $359.00 | $58.37 – $470.73 | 15 |
| Pt-focused hlth risk assmt CPT 96160 | not published | not published | $17.10 – $179.84 | 14 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $24.65 – $112.97 | 12 |
| Pt prgrm for implt neurostim HCPCS L8681 | not published | not published | $1,283.87 – $5,706.15 | 12 |
| Pt re-evaluation patient/family CPT 97164 | $78.40 | $196.00 | $40.66 – $326.37 | 15 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $75.60 | $189.00 | $27.41 – $167.88 | 15 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $34.00 | $85.00 | $11.11 – $56.49 | 13 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $44.80 | $112.00 | $17.16 – $138.07 | 15 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | not published | not published | $17.90 – $141.22 | 14 |
| Pt wheelchair management each 15 minutes CPT 97542 | $55.20 | $138.00 | $18.46 – $149.09 | 15 |
| Pul art balloon repr percut CPT 92997 | $7,389.20 | $18,473.00 | $6,105.02 – $55,414.74 | 15 |
| Pul art balloon repr percut CPT 92998 | $3,965.20 | $9,913.00 | $6,105.02 – $6,593.42 | 5 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $5,301.41 – $10,602.82 | 11 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Pulmonary vent imaging CPT 78579 | $1,113.20 | $2,783.00 | $457.23 – $1,919.01 | 15 |
| Pulse ox continuous overnight monitoring CPT 94762 | not published | not published | $36.95 – $673.34 | 14 |
| Pulse ox multiple CPT 94761 | $106.00 | $265.00 | not published | 0 |
| Pulse ox single CPT 94760 | $38.40 | $96.00 | not published | 0 |
| Punc of shunt for asp or inj CPT 61070 | $706.40 | $1,766.00 | $309.03 – $3,388.40 | 15 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $142.40 | $356.00 | $41.65 – $638.68 | 15 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $322.00 | $805.00 | $116.08 – $1,951.35 | 15 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $676.23 – $15,914.98 | 14 |
| Puncture spinal lumbar diagnostic CPT 62270 | $598.80 | $1,497.00 | $607.22 – $3,388.40 | 15 |
| Puraply 1 sq cm HCPCS Q4195 | $4,976.00 | $12,440.00 | $142.33 – $597.36 | 10 |
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $142.33 – $597.36 | 10 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $809.20 | $2,023.00 | not published | 0 |
| Pvb thoracic cont infusion CPT 64463 | $1,544.80 | $3,862.00 | $807.33 – $3,388.40 | 13 |
| Pvb thoracic single inj site CPT 64461 | $1,544.80 | $3,862.00 | $807.33 – $3,388.40 | 13 |
| Pwr adpt pneum vad, rep veh HCPCS Q0504 | not published | not published | $801.68 – $3,563.02 | 12 |
| Pwr pck base combo vad, rep HCPCS Q0489 | not published | not published | $18,990.63 – $84,403.79 | 12 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $41.46 | $103.65 | not published | 0 |
| Pyruvate CPT 84210 | $29.20 | $73.00 | $8.63 – $28.38 | 15 |
| Pyruvate kinase CPT 84220 | $23.60 | $59.00 | $3.47 – $18.50 | 15 |
| Quadrilateral brim HCPCS L2188 | $190.00 | $475.00 | $312.38 – $1,611.05 | 13 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | $288.40 | $721.00 | $152.17 – $638.68 | 12 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,542.40 | $3,856.00 | $621.01 – $2,606.40 | 15 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,196.40 | $2,991.00 | $457.23 – $1,919.01 | 15 |
| Quest t3 uptake CPT 84479 | $16.00 | $40.00 | $6.34 – $12.68 | 15 |
| Quick disconn hook adapter o HCPCS L6628 | not published | not published | $688.28 – $3,058.99 | 12 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $5.96 – $2,287.08 | 9 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $345.39 – $1,373.91 | 14 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $237.33 – $1,272.76 | 13 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $566.60 | $1,416.50 | $269.68 – $1,556.61 | 15 |
| Rabies vaccine id CPT 90676 | not published | not published | $77.90 – $1,181.30 | 14 |
| Radiation handling CPT 77790 | $207.20 | $518.00 | $83.43 – $90.10 | 5 |
| Radiation physics consult CPT 77336 | $345.60 | $864.00 | $83.43 – $645.21 | 15 |
| Radiation therapy dose plan CPT 77300 | $363.60 | $909.00 | $135.96 – $645.21 | 15 |
| Radiation treatment aid(s) CPT 77332 | $386.40 | $966.00 | $83.43 – $645.21 | 15 |
| Radiation treatment aid(s) CPT 77333 | $466.40 | $1,166.00 | $83.43 – $645.21 | 15 |
| Radiation treatment aid(s) CPT 77334 | $829.60 | $2,074.00 | $135.96 – $1,797.33 | 15 |
| Radiation treatment delivery CPT 77401 | not published | not published | $129.92 – $566.67 | 9 |
| Radiation treatment delivery CPT 77402 | $526.40 | $1,316.00 | $116.69 – $566.67 | 15 |
| Radiation treatment delivery CPT 77412 | $1,719.60 | $4,299.00 | $129.92 – $2,652.31 | 15 |
| Radiation tx management x5 CPT 77427 | not published | not published | not published | 0 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $8,299.08 – $34,831.50 | 10 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $8,299.08 – $34,831.50 | 10 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $8,299.08 – $34,831.50 | 10 |
| Radical resection of elbow CPT 24149 | not published | not published | $4,029.46 – $34,831.50 | 14 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $8,299.08 – $34,831.50 | 10 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $1,238.45 – $13,943.31 | 14 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $3,167.51 – $13,943.31 | 14 |
| Radiesse injection HCPCS Q2026 | not published | not published | $267.78 – $774.88 | 12 |
| Radiofq trsmtr for implt neu HCPCS L8683 | $6,040.00 | $15,100.00 | $5,488.53 – $28,306.20 | 13 |
| Radiof trsmtr implt scrl neu HCPCS L8684 | not published | not published | $942.62 – $4,189.46 | 12 |
| Radiology port images(s) CPT 77417 | $102.00 | $255.00 | $40.64 – $43.90 | 5 |
| Radiotherapy dose plan imrt CPT 77301 | $4,067.60 | $10,169.00 | $781.93 – $6,644.13 | 15 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $264.40 | $661.00 | $167.67 – $10,149.03 | 15 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $2,544.00 | $6,360.00 | $621.01 – $6,145.26 | 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.