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MULTICARE GOOD SAMARITAN HOSPITAL

Hospital

401 15TH AVENUE SE

PUYALLUP, WA, 98372

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Procedure Prices at MULTICARE GOOD SAMARITAN HOSPITAL

Blood Draw From Vein Using Needle

CPT 36415

$3

Lab Test - Complete Blood Cell Count With White Blood Cell Percentage

CPT 85025

$5

Lab Test - Comprehensive Metabolic Panel

CPT 80053

$7.9

Therapeutic Exercises

CPT 97110

$16.9

Chest X-Ray (2 views)

CPT 71046

$18.13

EKG

CPT 93000

$18.92

EKG Tracing

CPT 93005

$20.11

Therapeutic Activities

CPT 97530

$21.59

Chest X-Ray (1 view)

CPT 71045

$42.81

Outpatient Clinic Visit Established Patient Level III

CPT 99213

$50

Abdominal Ultrasound — Limited

CPT 76705

$52.27

OB Ultrasound

CPT 76805

$76.47

Abdominal Ultrasound

CPT 76700

$97.14

Retroperitoneal Ultrasound

CPT 76770

$111.26

Diagnostic Mammogram (unilateral)

CPT 77065

$114.28

CT Chest

CPT 71250

$118.91

ER Visit — Low-Moderate Complexity

CPT 99283

$119.96

Screening Mammogram (bilateral)

CPT 77067

$120.81

Individual Psychotherapy Session 60 Minutes

CPT 90837

$123.2

Thoracic Spine X-Ray

CPT 72072

$128.51

Diagnostic Mammogram (bilateral)

CPT 77066

$146.11

ER Visit — Moderate Complexity

CPT 99284

$165.95

MRI Joint of Lower Extremity

CPT 73721

$199.43

ER Visit — High Complexity

CPT 99285

$240.35

MRI Brain w/o Contrast

CPT 70551

$251.12

CT Abdomen & Pelvis

CPT 74177

$253.8

MRI Brain w/ Contrast

CPT 70553

$311.07

Echocardiogram w/ Doppler

CPT 93306

$330.92

Upper GI Endoscopy w/ Biopsy

CPT 43239

$351.8

Colonoscopy

CPT 45378

$406.88

Colonoscopy w/ Biopsy

CPT 45380

$432.2

Injection of Drug Into Lower Spinal Nerve Root With Imaging Guidance

CPT 64483

$622.77

Knee Arthroscopy

CPT 29881

$1,149.64

Cataract Surgery

CPT 66984

$1,210.4

Repair of Shoulder Rotator Cuff Using Arthroscope

CPT 29827

$2,079.37

Tonsillectomy & Adenoidectomy (under 12)

CPT 42820

$2,159.45

Inguinal Hernia Repair

CPT 49505

$2,617.73

Laparoscopic Hernia Repair

CPT 49650

$2,682.61

Laparoscopic Cholecystectomy

CPT 47562

$2,903.31

Recurrent Inguinal Hernia Repair

CPT 49520

$3,040.28

Knee Replacement

CPT 27447

$6,609.34

Hip Replacement

CPT 27130

$6,623.13

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Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.