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 |
|---|---|---|---|---|
| Resect tibia tumor CPT 27645 | not published | not published | $3,742.25 – $15,706.36 | 10 |
| Reslizumab 10 mg/ml intravenous solution HCPCS J2786 | not published | not published | $11.30 – $1,272.76 | 14 |
| Respirator motion mgmt simul CPT 77293 | $297.20 | $743.00 | $83.43 – $90.10 | 5 |
| #resp virpnl dfa-adenovirus CPT 87260 | $31.20 | $78.00 | $5.12 – $28.28 | 15 |
| #resp virpnl dfa-parainfluenza CPT 87279 | $33.20 | $83.00 | $5.12 – $32.20 | 15 |
| Resp virus 6-11 targets CPT 87632 | $217.60 | $544.00 | $76.91 – $427.40 | 15 |
| Restore/remodelventricle 33548 CPT 33548 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Restorigin 1 sq cm HCPCS Q4191 | not published | not published | $142.33 – $597.36 | 10 |
| Resuscitation cardiopulmonary CPT 92950 | $669.20 | $1,673.00 | $246.96 – $1,296.68 | 15 |
| Resuscitation delivery/birthing room CPT 99465 | $619.60 | $1,549.00 | $755.94 – $3,172.66 | 13 |
| Reteplase injection HCPCS J2993 | not published | not published | $2,846.48 – $12,667.40 | 13 |
| Reticulated platelet assay CPT 85055 | $49.20 | $123.00 | $12.84 – $70.05 | 15 |
| Reticulocyte automated CPT 85045 | $11.20 | $28.00 | $3.91 – $7.82 | 15 |
| Reticulocyte direct measurement automated CPT 85046 | $14.00 | $35.00 | $4.01 – $10.92 | 15 |
| Retifanlimab-dlwr 500 mg/20 ml intravenous solution HCPCS J9345 | not published | not published | $29.79 – $7,001.18 | 13 |
| Retr bone flap to fix skull CPT 62148 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Retrieval of oocyte CPT 58970 | not published | not published | $1,053.42 – $4,421.25 | 12 |
| Retrograde ejaculation anal CPT 89331 | not published | not published | $19.20 – $38.40 | 12 |
| Reusable nipple prosthesis HCPCS L8032 | not published | not published | $47.53 – $211.27 | 12 |
| Revasc evasc fpvt angio cplx 1st CPT 37265 | $9,798.80 | $24,497.00 | $6,509.56 – $27,320.79 | 10 |
| Revasc evasc fpvt angio sf 1st CPT 37263 | $7,839.20 | $19,598.00 | $6,509.56 – $27,320.79 | 10 |
| Revasc evasc fpvt athrec cplx 1st CPT 37273 | $16,363.20 | $40,908.00 | $20,966.27 – $87,996.08 | 10 |
| Revasc evasc fpvt athrec sf 1st CPT 37271 | $13,090.40 | $32,726.00 | $20,966.27 – $87,996.08 | 10 |
| Revasc evasc fpvt st athrec sf 1st CPT 37275 | $24,290.40 | $60,726.00 | $20,966.27 – $87,996.08 | 10 |
| Revasc evasc fpvt stent cplx 1st CPT 37269 | $24,346.80 | $60,867.00 | $13,203.33 – $55,414.74 | 10 |
| Revasc evasc fpvt stent sf 1st CPT 37267 | $19,477.60 | $48,694.00 | $13,203.33 – $55,414.74 | 10 |
| Revasc evasc imvt angio cplx 1st CPT 37298 | not published | not published | $13,203.33 – $55,414.74 | 10 |
| Revasc evasc imvt angio sf 1st CPT 37296 | $28,144.80 | $70,362.00 | $13,203.33 – $55,414.74 | 10 |
| Revasc evasc ivt angio cplx 1st CPT 37256 | $10,190.80 | $25,477.00 | $6,509.56 – $27,320.79 | 10 |
| Revasc evasc ivt stent cplx 1st CPT 37260 | $22,759.60 | $56,899.00 | $13,203.33 – $55,414.74 | 10 |
| Revasc evasc ivt stent sf 1st CPT 37258 | $18,207.60 | $45,519.00 | $13,203.33 – $55,414.74 | 10 |
| Revasc evasc tpvt angio cplx 1st CPT 37282 | $10,675.60 | $26,689.00 | $13,203.33 – $55,414.74 | 10 |
| Revasc evasc tpvt angio sf 1st CPT 37280 | $8,540.40 | $21,351.00 | $13,203.33 – $55,414.74 | 10 |
| Revasc evasc tpvt athrec cplx 1st CPT 37290 | $16,628.80 | $41,572.00 | $20,966.27 – $87,996.08 | 10 |
| Revasc evasc tpvt athrec sf 1st CPT 37288 | $13,303.20 | $33,258.00 | $20,966.27 – $87,996.08 | 10 |
| Revasc intra lithotrip-ather HCPCS C9766 | $25,554.40 | $63,886.00 | $16,542.21 – $87,996.08 | 13 |
| Revasc intra lithotrip-stent HCPCS C9765 | $26,770.80 | $66,927.00 | $16,542.21 – $87,996.08 | 13 |
| Revasc intravasc lithotripsy HCPCS C9764 | $13,166.80 | $32,917.00 | $8,270.55 – $55,414.74 | 13 |
| Revasc lithotr-ather tib/per HCPCS C9774 | $35,531.20 | $88,828.00 | $20,966.27 – $87,996.08 | 12 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $36,396.80 | $90,992.00 | $20,966.27 – $87,996.08 | 13 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $22,374.40 | $55,936.00 | $13,203.33 – $55,414.74 | 12 |
| Revasc lithotr-stent tib/per HCPCS C9773 | $35,531.20 | $88,828.00 | $20,966.27 – $87,996.08 | 12 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | $35,531.20 | $88,828.00 | $20,966.27 – $87,996.08 | 12 |
| Revascularization penis CPT 37788 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Revefenacin inh non-com 1mcg HCPCS J7677 | not published | not published | $0.48 – $0.48 | 1 |
| Revise abdomen-venous shunt CPT 49426 | not published | not published | $2,643.73 – $17,186.76 | 14 |
| Revise additional leg tendon CPT 27692 | not published | not published | $4,956.46 – $5,352.98 | 5 |
| Revise aqueous shunt eye CPT 66185 | not published | not published | $652.61 – $11,078.09 | 14 |
| Revise arm/leg nerve CPT 64708 | $4,592.80 | $11,482.00 | $976.42 – $9,373.54 | 15 |
| Revise bladder & ureter(s) CPT 51565 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Revise breast reconst 19380 CPT 19380 | not published | not published | $2,298.80 – $31,874.32 | 14 |
| Revise circulation to head CPT 61708 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Revise circulation to head CPT 61705 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Revise circulation to head CPT 61710 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Revise esophagus & stomach 43325 CPT 43325 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Revise eye CPT 65091 | not published | not published | $1,980.78 – $18,871.60 | 14 |
| Revise eyelashes CPT 67825 | not published | not published | $223.72 – $1,523.60 | 14 |
| Revise eyelashes CPT 67835 | not published | not published | $1,175.19 – $11,412.47 | 14 |
| Revise eyelid defect CPT 67909 | not published | not published | $1,175.19 – $11,412.47 | 14 |
| Revise eyelid defect CPT 67911 | not published | not published | $951.83 – $11,412.47 | 14 |
| Revise eyelid lining CPT 68330 | not published | not published | $951.83 – $11,078.09 | 14 |
| Revise eyelid lining CPT 68360 | not published | not published | $1,175.19 – $18,871.60 | 14 |
| Revise eyelid lining CPT 68362 | not published | not published | $1,175.19 – $11,412.47 | 14 |
| Revise eye muscle CPT 67311 | not published | not published | $1,557.94 – $11,412.47 | 14 |
| Revise eye muscle CPT 67314 | not published | not published | $1,557.94 – $11,412.47 | 14 |
| Revise eye muscle add-on CPT 67340 | not published | not published | $1,557.94 – $1,682.58 | 5 |
| Revise eye muscle(s) CPT 67318 | not published | not published | $1,557.94 – $11,412.47 | 14 |
| Revise eye muscle(s) add-on CPT 67320 | not published | not published | $1,557.94 – $1,682.58 | 5 |
| Revise eye muscle w/suture CPT 67334 | not published | not published | $1,557.94 – $1,682.58 | 5 |
| Revise eye socket implant CPT 67560 | not published | not published | $1,980.78 – $18,871.60 | 14 |
| Revise eye sockets CPT 21260 | not published | not published | $3,162.51 – $28,416.55 | 14 |
| Revise eye sockets CPT 21261 | not published | not published | $3,162.51 – $28,416.55 | 14 |
| Revise eye sockets CPT 21263 | not published | not published | $3,162.51 – $28,416.55 | 14 |
| Revise eye sockets CPT 21267 | not published | not published | $2,125.78 – $28,416.55 | 14 |
| Revise eye sockets CPT 21268 | not published | not published | $6,770.63 – $28,416.55 | 10 |
| Revise eye with implant CPT 65093 | not published | not published | $1,980.78 – $18,871.60 | 14 |
| Revise finger joint each CPT 26135 | not published | not published | $1,559.13 – $15,706.36 | 14 |
| Revise finger joint each CPT 26140 | not published | not published | $940.20 – $7,718.72 | 14 |
| Revise gastric port open 43886 CPT 43886 | not published | not published | $2,282.75 – $17,010.70 | 14 |
| Revise/graft eyelid lining CPT 68320 | not published | not published | $951.83 – $11,412.47 | 14 |
| Revise/graft eyelid lining CPT 68325 | not published | not published | $1,175.19 – $18,871.60 | 14 |
| Revise/graft eyelid lining CPT 68326 | not published | not published | $1,175.19 – $18,871.60 | 14 |
| Revise/graft eyelid lining CPT 68328 | not published | not published | $1,175.19 – $11,412.47 | 14 |
| Revise/graft eyelid lining CPT 68335 | not published | not published | $1,175.19 – $18,871.60 | 14 |
| Revise graft w/vein CPT 35879 | not published | not published | $3,498.13 – $26,710.80 | 14 |
| Revise graft w/vein 35881 CPT 35881 | not published | not published | $3,498.13 – $26,710.80 | 14 |
| Revise hand/finger tendon CPT 26390 | not published | not published | $1,559.13 – $34,831.50 | 14 |
| Revise head/neck of femur CPT 27179 | not published | not published | $2,429.81 – $34,831.50 | 14 |
| Revise hernia & sperm veins CPT 55540 | not published | not published | $1,393.78 – $17,186.76 | 14 |
| Revise hip joint replacement CPT 27134 | not published | not published | $14,683.87 – $61,628.63 | 10 |
| Revise hip joint replacement CPT 27138 | not published | not published | $14,683.87 – $61,628.63 | 10 |
| Revise hip joint replacement CPT 27137 | not published | not published | $14,683.87 – $61,628.63 | 10 |
| Revise/implant finger joint CPT 26536 | not published | not published | $2,465.23 – $34,831.50 | 14 |
| Revise kneecap CPT 27437 | not published | not published | $2,465.23 – $34,831.50 | 14 |
| Revise kneecap with implant CPT 27438 | not published | not published | $6,618.18 – $61,628.63 | 14 |
| Revise knuckle joint CPT 26530 | not published | not published | $2,465.23 – $34,831.50 | 14 |
| Revise knuckle with implant CPT 26531 | not published | not published | $2,465.23 – $34,831.50 | 14 |
| Revise low back nerve(s) CPT 64714 | not published | not published | $2,233.37 – $9,373.54 | 14 |
| Revise lower leg tendon CPT 27690 | not published | not published | $4,956.46 – $34,831.50 | 14 |
| Revise lower leg tendon CPT 27691 | not published | not published | $4,956.46 – $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.