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 |
|---|---|---|---|---|
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $2,787.20 | $6,968.00 | $621.01 – $6,145.26 | 15 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | not published | not published | $684.51 – $6,214.62 | 14 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,470.00 | $3,675.00 | $621.01 – $6,145.26 | 15 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,211.60 | $3,029.00 | $457.23 – $1,919.01 | 15 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $272.41 – $294.20 | 5 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $3,167.51 – $34,831.50 | 14 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $3,167.51 – $13,943.31 | 14 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $3,167.51 – $13,943.31 | 14 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $3,167.51 – $13,943.31 | 14 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $3,322.18 – $13,943.31 | 14 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $1,238.45 – $13,943.31 | 14 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $1,559.13 – $13,943.31 | 14 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $1,559.13 – $13,943.31 | 14 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $4,029.46 – $34,831.50 | 14 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $1,592.15 – $13,943.31 | 14 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | not published | not published | $73.96 – $3,428.99 | 14 |
| Range of motion measurements CPT 95852 | not published | not published | $4.93 – $28.67 | 12 |
| Ranibizumab injection HCPCS J2778 | not published | not published | $66.50 – $1,272.76 | 14 |
| Rapid desensitization CPT 95180 | not published | not published | $30.21 – $2,144.37 | 14 |
| Rapid Strep Test CPT 87880 | $33.20 | $83.00 | $5.12 – $32.40 | 15 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $827.66 | $2,069.14 | $374.54 – $2,018.91 | 15 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | not published | not published | $219.20 – $1,029.34 | 12 |
| Rbc count only automated CPT 85041 | $7.60 | $19.00 | $2.96 – $5.92 | 15 |
| Rbc deglycerolized each unit HCPCS P9039 | $1,830.00 | $4,575.00 | $105.59 – $1,913.25 | 15 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $326.78 – $2,117.74 | 14 |
| Rbc irradiated each unit HCPCS P9038 | $626.40 | $1,566.00 | $105.59 – $908.41 | 15 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $4.01 – $16.86 | 14 |
| Rbc o2 co2 reduced HCPCS P9027 | not published | not published | $572.71 – $2,403.71 | 11 |
| Rbc osmotic fragility CPT 85555 | not published | not published | $4.01 – $14.64 | 14 |
| Rbc serum pretx incubj drugs CPT 86975 | not published | not published | $18.88 – $2,144.37 | 14 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $3,243.71 – $28,416.55 | 14 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $6,770.63 – $28,416.55 | 10 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $6,770.63 – $28,416.55 | 10 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $3,162.51 – $28,416.55 | 12 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $3,162.51 – $28,416.55 | 12 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $6,770.63 – $28,416.55 | 10 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $6,770.63 – $28,416.55 | 10 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $6,770.63 – $28,416.55 | 10 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $6,770.63 – $28,416.55 | 10 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $6,770.63 – $28,416.55 | 10 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $3,162.51 – $15,914.98 | 14 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $3,243.71 – $28,416.55 | 14 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $2,125.78 – $28,416.55 | 14 |
| Realignment of knee CPT 27457 | not published | not published | $4,956.46 – $34,831.50 | 12 |
| Realignment of knee CPT 27455 | not published | not published | $4,956.46 – $34,831.50 | 12 |
| Realignment of tendons CPT 26437 | not published | not published | $940.20 – $15,706.36 | 14 |
| Realignment of thigh bone CPT 27454 | not published | not published | $8,299.08 – $34,831.50 | 10 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $3,243.71 – $28,416.55 | 14 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $3,243.71 – $28,416.55 | 14 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $3,243.71 – $28,416.55 | 14 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $2,476.42 – $28,416.55 | 14 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $3,243.71 – $28,416.55 | 14 |
| Rechanneling of artery CPT 35361 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Rechanneling of artery CPT 35306 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Rechanneling of artery CPT 35311 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Rechanneling of artery CPT 35363 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | $11,538.00 | $28,845.00 | $6,364.22 – $26,710.80 | 11 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Recipient nephrectomy CPT 50340 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $5,085.38 – $28,416.55 | 13 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $6,770.63 – $28,416.55 | 11 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $5,085.38 – $28,416.55 | 14 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $5,085.38 – $28,416.55 | 14 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $8,299.08 – $34,831.50 | 10 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $2,803.36 – $28,416.55 | 14 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $5,085.38 – $28,416.55 | 14 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $6,618.18 – $130,249.51 | 13 |
| Reconstruct bronchus CPT 31775 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $3,712.68 – $34,831.50 | 14 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $1,863.42 – $28,416.55 | 14 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $1,863.42 – $15,914.98 | 14 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $1,863.42 – $28,416.55 | 14 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $1,863.42 – $28,416.55 | 14 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $1,863.42 – $28,416.55 | 14 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $1,863.42 – $28,416.55 | 14 |
| Reconstruct cranial bone CPT 21182 | not published | not published | $6,770.63 – $28,416.55 | 10 |
| Reconstruct cranial bone CPT 21183 | not published | not published | $6,770.63 – $28,416.55 | 10 |
| Reconstruct cranial bone CPT 21184 | not published | not published | $6,770.63 – $28,416.55 | 10 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $2,465.23 – $34,831.50 | 14 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $6,618.18 – $101,386.03 | 14 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $6,618.18 – $61,628.63 | 14 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $4,029.46 – $34,831.50 | 14 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $4,029.46 – $61,628.63 | 14 |
| Reconstruct extra finger CPT 26587 | not published | not published | $1,559.13 – $15,706.36 | 14 |
| Reconstruct finger joint CPT 26545 | not published | not published | $1,559.13 – $15,706.36 | 14 |
| Reconstruct finger joint CPT 26548 | not published | not published | $1,559.13 – $15,706.36 | 14 |
| Reconstruct head of radius CPT 24365 | not published | not published | $6,618.18 – $61,628.63 | 14 |
| Reconstruct head of radius CPT 24366 | not published | not published | $6,618.18 – $61,628.63 | 14 |
| Reconstruction ankle joint CPT 27703 | not published | not published | $20,053.79 – $84,166.35 | 10 |
| Reconstruction knee CPT 27427 | not published | not published | $4,956.46 – $34,831.50 | 14 |
| Reconstruction knee CPT 27428 | not published | not published | $4,956.46 – $61,628.63 | 14 |
| Reconstruction knee CPT 27429 | not published | not published | $4,956.46 – $61,628.63 | 14 |
| Reconstruction of anus CPT 46753 | not published | not published | $1,594.99 – $13,323.79 | 14 |
| Reconstruction of bile ducts 47800 CPT 47800 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Reconstruction of eyelid CPT 67971 | not published | not published | $1,175.19 – $11,412.47 | 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.