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 |
|---|---|---|---|---|
| Rib cartilage graft CPT 21230 | not published | not published | $3,162.51 – $28,416.55 | 14 |
| Rib gusset (elastic) each HCPCS L1280 | $52.40 | $131.00 | $86.40 – $445.59 | 13 |
| Right heart cath congenital CPT 93530 | not published | not published | $4,757.99 – $4,757.99 | 1 |
| Right ventric recording CPT 93603 | not published | not published | $1,392.52 – $5,844.47 | 14 |
| Rilonacept injection HCPCS J2793 | not published | not published | $38.70 – $404.48 | 8 |
| Ring flange plas/leather mol HCPCS L1110 | not published | not published | $333.89 – $1,483.96 | 12 |
| Ring flange plastic/leather HCPCS L1100 | not published | not published | $201.77 – $896.78 | 12 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $952.80 | $2,382.00 | $974.57 – $974.57 | 1 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | not published | not published | $14.31 – $4,545.55 | 13 |
| Risk ascvd tst once pr 12 mo HCPCS G0537 | not published | not published | $17.10 – $179.84 | 13 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | not published | not published | $10.58 – $404.48 | 14 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | not published | not published | $72.67 – $3,428.99 | 14 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | not published | not published | $35.56 – $4,545.55 | 14 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $158.66 | $396.64 | $30.65 – $4,545.55 | 15 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | not published | not published | $19.85 – $2,018.91 | 13 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | not published | not published | $13.41 – $4,545.55 | 14 |
| R & l heart cath congenital CPT 93531 | not published | not published | $4,757.99 – $4,757.99 | 1 |
| R & l heart cath congenital CPT 93532 | not published | not published | $4,757.99 – $4,757.99 | 1 |
| R & l heart cath congenital CPT 93533 | not published | not published | $4,757.99 – $4,757.99 | 1 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | $8,232.40 | $20,581.00 | $1,671.14 – $15,562.01 | 14 |
| R&l hrt cath chd nml nt cnj CPT 93596 | $8,352.40 | $20,881.00 | $1,671.14 – $15,562.01 | 14 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $3,303.62 – $34,831.50 | 12 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $316.31 – $3,399.19 | 14 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $6,914.40 – $29,019.93 | 12 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $1,708.81 – $7,718.72 | 14 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $1,238.45 – $13,943.31 | 14 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $2,470.40 | $6,176.00 | $1,045.71 – $5,744.14 | 15 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $1,238.45 – $7,928.07 | 14 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $3,907.12 – $28,607.15 | 11 |
| Rmvl icd by tv extr CPT 33244 | $3,326.40 | $8,316.00 | $1,206.27 – $17,938.27 | 15 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $19,380.80 | $48,452.00 | $17,664.49 – $106,774.25 | 15 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $26,037.20 | $65,093.00 | $17,664.49 – $150,673.74 | 15 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $19,380.80 | $48,452.00 | $17,664.49 – $106,774.25 | 15 |
| Rmvl icd pulse gen only CPT 33241 | $1,897.60 | $4,744.00 | $4,274.04 – $17,938.27 | 15 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $1,172.40 | $2,931.00 | $676.23 – $3,011.21 | 15 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | not published | $3,176.40 – $3,430.52 | 5 |
| Rmvl perm pm pulse gen CPT 33233 | $4,875.60 | $12,189.00 | $4,963.02 – $39,723.75 | 15 |
| Rmvl perq right heart vad CPT 33997 | $3,796.00 | $9,490.00 | $2,500.00 – $2,500.00 | 1 |
| Rmvl phrnc nrv stim pg only CPT 33280 | not published | not published | $3,998.57 – $16,782.12 | 11 |
| Rmvl phrnc nrv stim sys CPT 33278 | not published | not published | $3,998.57 – $16,782.12 | 11 |
| Rmvl phrnc nrv stim transvns CPT 33279 | not published | not published | $3,998.57 – $16,782.12 | 11 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $13,444.00 | $33,610.00 | $5,891.52 – $92,460.53 | 15 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $7,842.40 | $19,606.00 | $5,891.52 – $39,723.75 | 15 |
| Rmvl pq iabp CPT 33968 | $482.00 | $1,205.00 | $2,500.00 – $13,590.78 | 2 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $4,386.00 | $10,965.00 | $2,500.00 – $2,500.00 | 1 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $1,227.92 – $15,706.36 | 14 |
| Rmvl rplcmt hrt sys f/trnspl CPT 33929 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Rmvl & rplcmt tot hrt sys CPT 33928 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Rmvl sq defib electrode CPT 33272 | $3,366.00 | $8,415.00 | $1,206.27 – $17,938.27 | 15 |
| Rmvl subq card rhythm mntr CPT 33286 | $1,284.40 | $3,211.00 | $809.91 – $3,399.19 | 15 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $815.64 – $13,943.31 | 14 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $136.63 – $2,144.37 | 14 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $8,299.08 – $34,831.50 | 10 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $8,299.08 – $34,831.50 | 10 |
| Rmvl transplanted rnl algrft CPT 50370 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Rmvl tv pm lead dual CPT 33235 | $6,442.80 | $16,107.00 | $1,206.27 – $17,938.27 | 15 |
| Rmvl tv pm lead sgl CPT 33234 | $6,442.80 | $16,107.00 | $1,206.27 – $17,938.27 | 15 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $2,064.79 – $15,706.36 | 13 |
| Rmv ntr oi imp sk tc>=100 CPT 69728 | not published | not published | $2,064.79 – $15,706.36 | 13 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $2,064.79 – $15,706.36 | 13 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | not published | not published | $12,744.13 – $60,155.09 | 11 |
| Rmv&rplcmt phrnc nrv stim pg CPT 33287 | not published | not published | $35,292.59 – $148,124.04 | 11 |
| Rmv sk-mnt crnl nstm pg/rcvr CPT 61892 | not published | not published | $3,742.25 – $15,706.36 | 11 |
| Rmv suture/anesthesia/not local 15850 CPT 15850 | not published | not published | $1,675.36 – $1,675.36 | 1 |
| Rnl altrnsplj without rcp nfrct CPT 50360 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Rnl altrnsplj w/rcp nfrct CPT 50365 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Rnl autotrnsplj rimpltj kdn CPT 50380 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Rocker bottom, contact afo HCPCS L2232 | $59.60 | $149.00 | $100.01 – $515.78 | 13 |
| Rolapitant, oral, 1mg HCPCS J8670 | not published | not published | $2.27 – $8.33 | 5 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | not published | not published | $30.18 – $145.80 | 11 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $15.04 | $37.60 | $10.88 – $860.72 | 13 |
| Romiplostim injection HCPCS J2796 | not published | not published | $145.99 – $419.52 | 3 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | not published | not published | $11.94 – $860.72 | 14 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $5.25 | $13.11 | not published | 0 |
| Rotation wrst with cable lock HCPCS L6625 | not published | not published | $732.91 – $3,257.44 | 12 |
| Rotavirus antibody CPT 86759 | not published | not published | $7.40 – $35.73 | 14 |
| Round caliper and plate atta HCPCS L2240 | not published | not published | $94.30 – $419.15 | 12 |
| Routine footcare pt w lops HCPCS G0247 | not published | not published | $229.47 – $963.09 | 12 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | not published | not published | $22.93 – $106.03 | 11 |
| Rplcm oi implt sk tc esp<100 CPT 69719 | not published | not published | $3,243.71 – $61,628.63 | 13 |
| Rplcmt a-valve tlcj autol pv CPT 33440 | not published | not published | $2,500.00 – $2,500.00 | 1 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $3,243.71 – $34,831.50 | 14 |
| Rplc oi implt sk tc esp>=100 CPT 69730 | not published | not published | $3,243.71 – $61,628.63 | 13 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $848.00 | $2,120.00 | $798.34 – $7,556.28 | 15 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $1,249.20 | $3,123.00 | $457.23 – $1,919.01 | 15 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $3,597.20 | $8,993.00 | $684.51 – $6,214.62 | 15 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $4,148.00 | $10,370.00 | $684.51 – $6,895.69 | 15 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $897.20 | $2,243.00 | $798.34 – $7,556.28 | 15 |
| Rpl tun-cvad w subq port CPT 36582 | $2,779.60 | $6,949.00 | $1,559.34 – $15,156.63 | 15 |
| Rpl tun-cvad w subq pump CPT 36583 | not published | not published | $1,559.34 – $26,710.80 | 14 |
| Rpl tun cvc wo subq port CPT 36581 | $2,301.60 | $5,754.00 | $1,559.34 – $15,156.63 | 15 |
| Rpm tx mgmt 1st 20 min CPT 99457 | not published | not published | $48.48 – $52.36 | 5 |
| Rpm tx mgmt ea addl 20 min CPT 99458 | not published | not published | $48.48 – $52.36 | 5 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | not published | not published | $2,500.00 – $3,430.52 | 6 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | not published | not published | $3,176.40 – $31,075.82 | 13 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $3,176.40 – $29,019.93 | 13 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | $3,176.40 – $31,075.82 | 13 |
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.