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 |
|---|---|---|---|---|
| Revision of ileostomy complicated 44314 CPT 44314 | not published | not published | $4,053.03 – $17,010.70 | 10 |
| Revision of ileostomy; simple 44312 CPT 44312 | not published | not published | $1,418.42 – $17,010.70 | 14 |
| Revision of infusion pump CPT 36261 | not published | not published | $1,206.27 – $17,938.27 | 14 |
| Revision of iris CPT 66761 | not published | not published | $629.04 – $2,640.11 | 14 |
| Revision of iris CPT 66762 | not published | not published | $629.04 – $2,640.11 | 14 |
| Revision of jaw muscle/bone CPT 21295 | not published | not published | $1,774.58 – $7,447.96 | 14 |
| Revision of jaw muscle/bone CPT 21296 | not published | not published | $2,064.79 – $15,914.98 | 14 |
| Revision of kidney/ureter CPT 50400 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Revision of kidney/ureter CPT 50405 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Revision of knee joint CPT 27440 | not published | not published | $6,618.18 – $61,628.63 | 14 |
| Revision of knee joint CPT 27441 | not published | not published | $6,618.18 – $61,628.63 | 14 |
| Revision of knee joint CPT 27442 | not published | not published | $6,618.18 – $61,628.63 | 14 |
| Revision of knee joint CPT 27443 | not published | not published | $6,618.18 – $61,628.63 | 14 |
| Revision of knee joint CPT 27446 | not published | not published | $6,618.18 – $61,628.63 | 14 |
| Revision of knee joint CPT 27445 | not published | not published | $22,915.81 – $22,915.81 | 1 |
| Revision of larynx CPT 31400 | not published | not published | $3,243.71 – $28,416.55 | 14 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $1,814.19 – $15,156.63 | 14 |
| Revision of lung CPT 32940 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Revision of mitral valve CPT 33420 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Revision of mitral valve CPT 33422 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Revision of neck muscle CPT 21700 | not published | not published | $3,303.62 – $34,831.50 | 14 |
| Revision of neck muscle CPT 21720 | not published | not published | $1,592.15 – $15,706.36 | 14 |
| Revision of neck muscle CPT 21725 | not published | not published | $809.91 – $3,567.91 | 14 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $8,299.08 – $34,831.50 | 10 |
| Revision of nose CPT 30120 | not published | not published | $2,064.79 – $15,914.98 | 14 |
| Revision of nose CPT 30430 | not published | not published | $6,770.63 – $28,416.55 | 12 |
| Revision of nose CPT 30435 | not published | not published | $6,770.63 – $28,416.55 | 12 |
| Revision of nose CPT 30450 | not published | not published | $6,770.63 – $28,416.55 | 12 |
| Revision of nose CPT 30460 | not published | not published | $2,476.42 – $28,416.55 | 14 |
| Revision of nose CPT 30462 | not published | not published | $3,243.71 – $28,416.55 | 14 |
| Revision of pelvis CPT 27158 | not published | not published | $8,299.08 – $34,831.50 | 10 |
| Revision of penis CPT 54300 | not published | not published | $1,393.78 – $16,920.72 | 14 |
| Revision of penis CPT 54304 | not published | not published | $1,393.78 – $16,920.72 | 14 |
| Revision of penis CPT 54420 | not published | not published | $1,393.78 – $16,920.72 | 14 |
| Revision of penis CPT 54430 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Revision of penis CPT 54435 | not published | not published | $1,393.78 – $16,920.72 | 14 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $2,476.42 – $28,416.55 | 14 |
| Revision of pharyngeal walls CPT 42894 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Revision of pulmonary artery CPT 33788 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Revision of pulmonary valve CPT 33474 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Revision of radius CPT 25350 | not published | not published | $4,029.46 – $34,831.50 | 14 |
| Revision of radius CPT 25355 | not published | not published | $1,227.92 – $15,706.36 | 14 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $2,233.37 – $9,373.54 | 14 |
| Revision of scrotum CPT 55175 | not published | not published | $1,461.60 – $16,920.72 | 14 |
| Revision of scrotum CPT 55180 | not published | not published | $1,393.78 – $25,737.83 | 14 |
| Revision of spinal shunt CPT 63744 | not published | not published | $3,907.12 – $28,607.15 | 14 |
| Revision of testis CPT 54660 | not published | not published | $1,393.78 – $25,737.83 | 14 |
| Revision of thigh muscles CPT 27430 | not published | not published | $2,429.81 – $34,831.50 | 14 |
| Revision of toe CPT 28312 | not published | not published | $1,531.31 – $15,706.36 | 14 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Revision of ulna CPT 25360 | not published | not published | $4,029.46 – $34,831.50 | 14 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $4,956.46 – $34,831.50 | 14 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $4,956.46 – $34,831.50 | 14 |
| Revision of upper arm CPT 24940 | not published | not published | $14,683.87 – $61,628.63 | 10 |
| Revision of ureter CPT 50700 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Revision of urethra CPT 53450 | not published | not published | $2,085.40 – $16,920.72 | 14 |
| Revision of urethra CPT 53460 | not published | not published | $2,085.40 – $16,920.72 | 14 |
| Revision of urethra CPT 57220 | not published | not published | $2,085.40 – $24,012.92 | 14 |
| Revision of urinary tract CPT 51820 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Revision open av fistula without thromb CPT 36832 | $9,300.80 | $23,252.00 | $2,504.45 – $26,710.80 | 15 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $3,162.51 – $28,416.55 | 14 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $4,956.46 – $34,831.50 | 14 |
| Revision tips CPT 37183 | $6,168.80 | $15,422.00 | $4,184.04 – $27,320.79 | 15 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $6,618.18 – $61,628.63 | 14 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $14,683.87 – $61,628.63 | 10 |
| Revitalon 1 square cm HCPCS Q4157 | not published | not published | $142.33 – $597.36 | 10 |
| Revita, per sq cm HCPCS Q4180 | not published | not published | $142.33 – $597.36 | 10 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $3,498.13 – $26,710.80 | 14 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $3,498.13 – $26,710.80 | 14 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $3,243.71 – $28,416.55 | 14 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $3,243.71 – $28,416.55 | 14 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $2,266.00 – $25,737.83 | 14 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $3,998.57 – $16,782.12 | 11 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $3,243.71 – $28,416.55 | 14 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $2,664.55 – $16,782.12 | 14 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $2,664.55 – $16,782.12 | 14 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $2,664.55 – $16,782.12 | 14 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $20,053.79 – $84,166.35 | 10 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $20,053.79 – $84,166.35 | 10 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $35,292.59 – $148,124.04 | 11 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $20,053.79 – $84,166.35 | 10 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $12,744.13 – $55,340.49 | 11 |
| Revsc opn/prq tib/pero stent CPT 37234 | not published | not published | $7,787.45 – $8,410.44 | 5 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $10.57 – $46.49 | 11 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $5,069.20 | $12,673.00 | $2,233.37 – $9,373.54 | 13 |
| Rheumatoid factor qualitative CPT 86430 | $15.60 | $39.00 | $6.02 – $12.03 | 15 |
| Rheumatoid factor quantitative CPT 86431 | $14.00 | $35.00 | $5.56 – $11.11 | 15 |
| Rh ig IV CPT 90386 | not published | not published | $15.69 – $18.66 | 2 |
| Rh ig minidose im CPT 90385 | not published | not published | $78.40 – $370.40 | 10 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $2,476.42 – $28,416.55 | 14 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $24.86 | $62.13 | $59.42 – $64.17 | 5 |
| Rho d immune globulin 50 mcg HCPCS J2788 | $51.20 | $128.00 | not published | 0 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $33.57 – $3,428.99 | 14 |
| Rho d immune globulin inj HCPCS J2790 | $92.80 | $232.00 | $59.42 – $64.17 | 5 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $129.88 – $147.01 | 2 |
| R hrt cath chd abnl nt cnj CPT 93594 | $8,566.40 | $21,416.00 | $1,671.14 – $15,562.01 | 14 |
| R hrt cath chd nml nt cnj CPT 93593 | $5,501.20 | $13,753.00 | $1,671.14 – $15,562.01 | 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.