MultiCare Good Samaritan Hospital

PuyallupPierce CountyAcute Care Hospitals

Sinus or face CT scan without contrast

Quality: 2 of 5 (CMS overall rating)Earliest available date: call (253) 697-2102

What you may pay

With insurance from an employer or private plan: $200 to $1,331Depends on your plan. Each plan’s price at this hospital:
Premera $200 Lower than typical
Community Health Plan of Washington: Cascade Care $202 Lower than typical
First Health: All Commercial Plans $1,331 Higher than typical
Multiplan/PHCS: All Commercial Plans $1,331 Higher than typical
The 2 lowest and 2 highest of 20 plans. Find yours in the table below.Typical at 30 hospitals we cover: $301 to $524 (each hospital’s middle plan price, hospital’s fee). Don’t see your plan? Ask your insurer for its rate here.
Paying yourself (cash price): $729 TypicalTypical hospital’s fee at 24 hospitals we cover: $729 to $1,601.

These are prices the hospital published, not a quote. With insurance you usually pay part of the rate (your deductible and coinsurance); the estimator on the procedure page works it out. A higher price does not mean better care.

Doctors usually bill separately. At most hospitals these are the hospital’s own charges. The surgeon, radiologist, anesthesiologist or pathologist usually sends a separate bill: ask each of them for an estimate too.

Source: MultiCare Good Samaritan Hospital’s own price file, dated 2026-08-27. CareNavIQ last refreshed prices on 2026-11-05.

Next step: ask the hospital for a Good Faith Estimate for this procedure (phone number above).

Bills to expect

A procedure usually brings several bills, each from whoever did that part of your care. Here is what to expect, with what Traditional Medicare allows for each doctor’s part in this area (Washington outside King County) and an estimate for private plans.

Separate bills for this procedure and their estimated amounts
Bill	Who sends it	How likely	Status	Traditional Medicare allows	Private plans (estimate)
Hospital's feeThe scan: equipment and technologist	The hospital	Expected	Published by the hospital: the prices above	—	—
RadiologistReading the scan and writing the report	The radiology group	Expected	Billed separately; amount estimated	$40	$48 to $72
Ordering doctor's visitThe visit where the CT scan is ordered or the results are explained	Your doctor	Possible	Billed separately; not priced	—	—

What you’d pay for these bills

Adds up your share of the hospital’s bill and the expected doctors’ bills above (not the possible ones). What you type stays in your browser.

Your coverage Insurance from an employer or a private plan Traditional Medicare Medicare Advantage Apple Health (Medicaid)

Your plan’s price at this hospitalDeductible you still have to pay this yearYour coinsurance after the deductibleOut-of-pocket maximum you have left this year (optional)

Your plan’s summary of benefits says how it charges for each kind of care. Leave these as they are if it uses the deductible and coinsurance.

The hospital's billHow your plan charges

The bill from the doctor doing the procedureHow your plan charges

You pay about $50 to $54 of about $248 to $272 billed to your plan.

Your share of the hospital's bill is about $40; the rest is your share of the doctors' bills. The doctors' bills are estimates. Enter your out-of-pocket maximum to see whether you'd reach it. Assumes everyone is in your network.

How each bill comes to you

Each provider sends a claim to your plan. It applies its allowed amount, then your deductible, copay and coinsurance, and sends you an Explanation of Benefits. Then the provider bills you the “You owe” line. Bills are in the order your plan is assumed to process them, the hospital first. The doctors' bills are estimates.

Show the bills at the lower estimate the higher estimate

Hospital's feeSent by the hospital
The provider's charge
$1,823
Insurance adjustmentWritten off by the provider: you don't owe it.
−$1,623
Allowed amountWhat the insurer counts for this bill.
$200
Your plan pays
$160
Your coinsurance
$40.04
You oweThe provider bills you this after the insurer pays.
$40.04
RadiologistSent by the radiology group
The provider's chargeDoctors don't publish their charges; in network it doesn't change what you owe.
Not published
Allowed amountWhat the insurer counts for this bill.
$47.51
Your plan pays
$38.01
Your coinsurance
$9.50
You oweThe provider bills you this after the insurer pays.
$9.50

All bills: allowed amounts: $248
Your plan pays: $198
You owe in all: $49.54

Who owes what, and when you might owe more

The insurance adjustment Written off
An in-network provider agrees to accept your plan's allowed amount. The difference between its charge and that amount is written off: you don't owe it, and it shouldn't appear on your bill.
Deductible You pay
What you pay each year before your plan starts sharing costs. It is applied to bills in the order your plan processes them, so the first bill can take all of it.
Copay You pay
A fixed amount for a kind of care, such as a hospital stay or a surgeon's visit. Your plan's summary of benefits says whether it applies before or after the deductible, and whether a stay's copay is per day.
Coinsurance You pay
Your percentage of the allowed amount after the deductible, such as 20%.
Out-of-pocket maximum Your plan pays
Once your deductible, copays and coinsurance for the year reach it, your plan pays 100% of covered in-network care for the rest of the plan year.
Each provider bills separately You pay
The hospital, surgeon, anesthesia group, radiologist and pathologist each send their own claim and their own bill. All of them count toward the same deductible and yearly maximum.
Out of network and surprise bills It depends
A provider outside your plan's network can bill you the difference between its charge and what your plan pays (a balance bill). It can't for emergency care, or when anesthesia, radiology, pathology, an assistant surgeon or a hospital doctor treats you at an in-network hospital: under federal law (the No Surprises Act) and, for Washington-regulated plans and self-funded plans that opt in, RCW 48.49, those groups cannot balance bill you. Your deductible and coinsurance still apply, at in-network amounts.
Not covered, or no prior authorization It depends
If your plan decides a service isn't covered, or it needed prior authorization that wasn't approved, the plan pays nothing for it and the provider may bill you. Ask the provider to get prior authorization before your care. If an in-network provider didn't get it, the provider's contract may stop it billing you: ask your plan before you pay.
A second insurance It depends
If you have a second plan, the first plan pays first and the second may then pay some or all of your share. These estimates use one plan only.
Wait for the Explanation of Benefits You pay
After each claim your insurer sends an Explanation of Benefits (EOB) with the allowed amount, what it paid and what you may owe. It is not a bill. Pay a provider's bill only when it matches the EOB's “you may owe” amount, and ask the provider or insurer about any difference.
Help from the hospital It depends
Washington hospitals must give free or discounted care based on income, including deductibles and coinsurance for insured patients: free up to 200% or 300% of the federal poverty level depending on the hospital, with discounts above that (RCW 70.170). You can apply after you get a bill. It covers the hospital's bill; doctor groups that bill separately have their own policies.
If you pay yourself instead You pay
You can choose not to use your insurance and pay the cash price; then nothing counts toward your deductible. Ask each provider for a Good Faith Estimate. If a bill is $400 or more above it, you can dispute it within 120 days.

Get it confirmed before your care

The hospital, each doctor’s group and your insurer can each confirm their part in writing. Here is a request for each one, ready to send from your own email, and what to say if you’d rather call. Nothing you do here is saved.

Coming: CareNavIQ will be able to send these for you, follow up, and tell you when everything is confirmed, with your permission.

How you’ll payWith insurancePaying myself, without insurance

MultiCare Good Samaritan Hospital

The largest bill.

Request to send

Subject: Estimate request: sinus or face ct scan without contrast at MultiCare Good Samaritan Hospital

Hello,

I am planning a sinus or face ct scan without contrast (billing code CPT 70486) at MultiCare Good Samaritan Hospital.

Under Washington law (RCW 70.01.030), I am asking for a written estimate of the hospital's charges, with the billing codes you plan to use.

Name: [YOUR NAME]
Date of birth: [DATE OF BIRTH]
Insurance: [PLAN NAME], member ID [MEMBER ID]
Planned date: [DATE, IF KNOWN]

Thank you.

Replace the words in [brackets] with your details before you send it.

Open in my email

If you call. Call (253) 697-2102 and ask for the price estimate or patient financial services line. Say: "I'd like a written estimate for my sinus or face ct scan without contrast."

I’ve sent this one

0 of 3 sent. Washington law gives you the right to these estimates but sets no deadline: if you haven't heard back in five business days, send it again or call.

How these are worked out. Medicare amounts are CMS’s 2026 physician fee schedule for this area, at the rate for care in a hospital. Private-plan estimates are 118% to 179% of Medicare for doctors (the range across 19 studies in KFF’s review of what private insurers pay) and 3 to 5 times Medicare for anesthesia (a published industry estimate). Anesthesia is paid by the minute, so its range assumes the time shown. Medicare pays an assistant at surgery 13.6% to 16% of the surgeon’s fee. Where we have your insurer’s own published rates for the doctors here (below), the estimator uses those for that insurer’s employer plans instead. Your plan’s own rates may be outside these ranges: ask each office for an estimate, and for its network status. At an in-network hospital, the anesthesia, radiology, pathology and assistant groups can’t charge you more than your in-network cost share, even if they are out of network (No Surprises Act).

114 published prices, grouped by who each price applies to.

Cash price 6 prices

The hospital's discounted price for patients paying without insurance.

Cash price prices for Sinus or face CT scan without contrast at MultiCare Good Samaritan Hospital
Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
$729	Hospital’s fee	HC CT MAXILLA/FACIAL W/O CONTRAST	—	Outpatient	2026-08-27
$729	Hospital’s fee	C CT SINUS LIMITED W/O CONTRAST	—	Outpatient	2026-08-27
$729	Hospital’s fee	C CT SINUSES W/O CONTRAST	—	Outpatient	2026-08-27
$912	Hospital’s fee	C CT SINUS LIMITED W/O CONTRAST	—	Inpatient	2026-08-27
$912	Hospital’s fee	C CT SINUSES W/O CONTRAST	—	Inpatient	2026-08-27
$912	Hospital’s fee	HC CT MAXILLA/FACIAL W/O CONTRAST	—	Inpatient	2026-08-27

List price (before discounts) 6 prices

The hospital's full chargemaster price. Few patients pay this amount.

List price (before discounts) prices for Sinus or face CT scan without contrast at MultiCare Good Samaritan Hospital
Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
$1,823	Hospital’s fee	C CT SINUSES W/O CONTRAST	—	Outpatient	2026-08-27
$1,823	Hospital’s fee	C CT SINUS LIMITED W/O CONTRAST	—	Outpatient	2026-08-27
$1,823	Hospital’s fee	HC CT MAXILLA/FACIAL W/O CONTRAST	—	Outpatient	2026-08-27
$2,279	Hospital’s fee	C CT SINUS LIMITED W/O CONTRAST	—	Inpatient	2026-08-27
$2,279	Hospital’s fee	HC CT MAXILLA/FACIAL W/O CONTRAST	—	Inpatient	2026-08-27
$2,279	Hospital’s fee	C CT SINUSES W/O CONTRAST	—	Inpatient	2026-08-27

Commercial insurance 66 prices

Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Commercial insurance prices for Sinus or face CT scan without contrast at MultiCare Good Samaritan Hospital
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
Aetna	All Commercial Plans	$496	Hospital’s fee	C CT SINUSES W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Aetna	All Commercial Plans	$496	Hospital’s fee	C CT SINUS LIMITED W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Aetna	All Commercial Plans	$496	Hospital’s fee	HC CT MAXILLA/FACIAL W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Ambetter	Coordinated Care Exchange	$239	Hospital’s fee	HC CT MAXILLA/FACIAL W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Ambetter	Coordinated Care Exchange	$239	Hospital’s fee	C CT SINUS LIMITED W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Ambetter	Coordinated Care Exchange	$239	Hospital’s fee	C CT SINUSES W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Cigna	All Commercial Plans	$502	Hospital’s fee	C CT SINUS LIMITED W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Cigna	All Commercial Plans	$502	Hospital’s fee	C CT SINUSES W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Cigna	All Commercial Plans	$502	Hospital’s fee	HC CT MAXILLA/FACIAL W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Community Health Plan of Washington	Cascade Care	$202	Hospital’s fee	HC CT MAXILLA/FACIAL W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Community Health Plan of Washington	Cascade Care	$202	Hospital’s fee	C CT SINUSES W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Community Health Plan of Washington	Cascade Care	$202	Hospital’s fee	C CT SINUS LIMITED W/O CONTRAST	fee schedule	Outpatient	2026-08-27
First Choice	MCC Wellfound Employee	$527	Hospital’s fee	C CT SINUS LIMITED W/O CONTRAST	fee schedule	Outpatient	2026-08-27
First Choice	MCC Wellfound Employee	$527	Hospital’s fee	C CT SINUSES W/O CONTRAST	fee schedule	Outpatient	2026-08-27
First Choice	MCC Wellfound Employee	$527	Hospital’s fee	HC CT MAXILLA/FACIAL W/O CONTRAST	fee schedule	Outpatient	2026-08-27
First Choice	MHS Employee MCC/PPO	$378	Hospital’s fee	C CT SINUSES W/O CONTRAST	fee schedule	Outpatient	2026-08-27
First Choice	MHS Employee MCC/PPO	$378	Hospital’s fee	C CT SINUS LIMITED W/O CONTRAST	fee schedule	Outpatient	2026-08-27
First Choice	MHS Employee MCC/PPO	$378	Hospital’s fee	HC CT MAXILLA/FACIAL W/O CONTRAST	fee schedule	Outpatient	2026-08-27
First Choice	PPO	$713	Hospital’s fee	C CT SINUS LIMITED W/O CONTRAST	fee schedule	Outpatient	2026-08-27
First Choice	PPO	$713	Hospital’s fee	HC CT MAXILLA/FACIAL W/O CONTRAST	fee schedule	Outpatient	2026-08-27
First Choice	PPO	$713	Hospital’s fee	C CT SINUSES W/O CONTRAST	fee schedule	Outpatient	2026-08-27
First Health	All Commercial Plans	$1,331	Hospital’s fee	HC CT MAXILLA/FACIAL W/O CONTRAST	percent of total billed charges	Outpatient	2026-08-27
First Health	All Commercial Plans	$1,331	Hospital’s fee	C CT SINUS LIMITED W/O CONTRAST	percent of total billed charges	Outpatient	2026-08-27
First Health	All Commercial Plans	$1,331	Hospital’s fee	C CT SINUSES W/O CONTRAST	percent of total billed charges	Outpatient	2026-08-27
First Health	All Commercial Plans	$1,664	Hospital’s fee	C CT SINUS LIMITED W/O CONTRAST	percent of total billed charges	Inpatient	2026-08-27
First Health	All Commercial Plans	$1,664	Hospital’s fee	HC CT MAXILLA/FACIAL W/O CONTRAST	percent of total billed charges	Inpatient	2026-08-27
First Health	All Commercial Plans	$1,664	Hospital’s fee	C CT SINUSES W/O CONTRAST	percent of total billed charges	Inpatient	2026-08-27
Kaiser	PPO	$495	Hospital’s fee	C CT SINUSES W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Kaiser	PPO	$495	Hospital’s fee	C CT SINUS LIMITED W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Kaiser	PPO	$495	Hospital’s fee	HC CT MAXILLA/FACIAL W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Multiplan/PHCS	All Commercial Plans	$1,331	Hospital’s fee	C CT SINUSES W/O CONTRAST	percent of total billed charges	Outpatient	2026-08-27
Multiplan/PHCS	All Commercial Plans	$1,331	Hospital’s fee	C CT SINUS LIMITED W/O CONTRAST	percent of total billed charges	Outpatient	2026-08-27
Multiplan/PHCS	All Commercial Plans	$1,331	Hospital’s fee	HC CT MAXILLA/FACIAL W/O CONTRAST	percent of total billed charges	Outpatient	2026-08-27
Multiplan/PHCS	All Commercial Plans	$1,664	Hospital’s fee	HC CT MAXILLA/FACIAL W/O CONTRAST	percent of total billed charges	Inpatient	2026-08-27
Multiplan/PHCS	All Commercial Plans	$1,664	Hospital’s fee	C CT SINUSES W/O CONTRAST	percent of total billed charges	Inpatient	2026-08-27
Multiplan/PHCS	All Commercial Plans	$1,664	Hospital’s fee	C CT SINUS LIMITED W/O CONTRAST	percent of total billed charges	Inpatient	2026-08-27
Premera	HMO	$200	Hospital’s fee	C CT SINUSES W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Premera	HMO	$200	Hospital’s fee	HC CT MAXILLA/FACIAL W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Premera	HMO	$200	Hospital’s fee	C CT SINUS LIMITED W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Premera	Other Commercial Plans	$505	Hospital’s fee	HC CT MAXILLA/FACIAL W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Premera	Other Commercial Plans	$505	Hospital’s fee	C CT SINUS LIMITED W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Premera	Other Commercial Plans	$505	Hospital’s fee	C CT SINUSES W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Premera	Prime	$411	Hospital’s fee	C CT SINUS LIMITED W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Premera	Prime	$411	Hospital’s fee	HC CT MAXILLA/FACIAL W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Premera	Prime	$411	Hospital’s fee	C CT SINUSES W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Premera	Signature	$402	Hospital’s fee	C CT SINUSES W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Premera	Signature	$402	Hospital’s fee	HC CT MAXILLA/FACIAL W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Premera	Signature	$402	Hospital’s fee	C CT SINUS LIMITED W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Regence	Blue High Performance	$361	Hospital’s fee	C CT SINUS LIMITED W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Regence	Blue High Performance	$361	Hospital’s fee	HC CT MAXILLA/FACIAL W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Regence	Blue High Performance	$361	Hospital’s fee	C CT SINUSES W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Regence	Commercial	$413	Hospital’s fee	C CT SINUS LIMITED W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Regence	Commercial	$413	Hospital’s fee	HC CT MAXILLA/FACIAL W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Regence	Commercial	$413	Hospital’s fee	C CT SINUSES W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Regence	MCC/AHN	$361	Hospital’s fee	C CT SINUS LIMITED W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Regence	MCC/AHN	$361	Hospital’s fee	HC CT MAXILLA/FACIAL W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Regence	MCC/AHN	$361	Hospital’s fee	C CT SINUSES W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Regence	RealValue	$371	Hospital’s fee	C CT SINUS LIMITED W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Regence	RealValue	$371	Hospital’s fee	HC CT MAXILLA/FACIAL W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Regence	RealValue	$371	Hospital’s fee	C CT SINUSES W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Uniform Medical	All Commercial Plans	$268	Hospital’s fee	C CT SINUSES W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Uniform Medical	All Commercial Plans	$268	Hospital’s fee	HC CT MAXILLA/FACIAL W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Uniform Medical	All Commercial Plans	$268	Hospital’s fee	C CT SINUS LIMITED W/O CONTRAST	fee schedule	Outpatient	2026-08-27
United Healthcare	All Commercial Plans	$533	Hospital’s fee	C CT SINUS LIMITED W/O CONTRAST	fee schedule	Outpatient	2026-08-27
United Healthcare	All Commercial Plans	$533	Hospital’s fee	HC CT MAXILLA/FACIAL W/O CONTRAST	fee schedule	Outpatient	2026-08-27
United Healthcare	All Commercial Plans	$533	Hospital’s fee	C CT SINUSES W/O CONTRAST	fee schedule	Outpatient	2026-08-27

Medicare Advantage 21 prices

Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Medicare Advantage prices for Sinus or face CT scan without contrast at MultiCare Good Samaritan Hospital
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
Aetna	MedAdvantage	$123	Hospital’s fee	C CT SINUS LIMITED W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Aetna	MedAdvantage	$123	Hospital’s fee	HC CT MAXILLA/FACIAL W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Aetna	MedAdvantage	$123	Hospital’s fee	C CT SINUSES W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Community Health Plan of Washington	MedAdvantage	$132	Hospital’s fee	C CT SINUSES W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Community Health Plan of Washington	MedAdvantage	$132	Hospital’s fee	C CT SINUS LIMITED W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Community Health Plan of Washington	MedAdvantage	$132	Hospital’s fee	HC CT MAXILLA/FACIAL W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Molina	MedAdvantage	$126	Hospital’s fee	C CT SINUSES W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Molina	MedAdvantage	$126	Hospital’s fee	HC CT MAXILLA/FACIAL W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Molina	MedAdvantage	$126	Hospital’s fee	C CT SINUS LIMITED W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Regence	MedAdvantage	$123	Hospital’s fee	HC CT MAXILLA/FACIAL W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Regence	MedAdvantage	$123	Hospital’s fee	C CT SINUS LIMITED W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Regence	MedAdvantage	$123	Hospital’s fee	C CT SINUSES W/O CONTRAST	fee schedule	Outpatient	2026-08-27
SCAN	MedAdvantage	$120	Hospital’s fee	C CT SINUS LIMITED W/O CONTRAST	fee schedule	Outpatient	2026-08-27
SCAN	MedAdvantage	$120	Hospital’s fee	C CT SINUSES W/O CONTRAST	fee schedule	Outpatient	2026-08-27
SCAN	MedAdvantage	$120	Hospital’s fee	HC CT MAXILLA/FACIAL W/O CONTRAST	fee schedule	Outpatient	2026-08-27
United Healthcare	MedAdvantage	$124	Hospital’s fee	HC CT MAXILLA/FACIAL W/O CONTRAST	fee schedule	Outpatient	2026-08-27
United Healthcare	MedAdvantage	$124	Hospital’s fee	C CT SINUSES W/O CONTRAST	fee schedule	Outpatient	2026-08-27
United Healthcare	MedAdvantage	$124	Hospital’s fee	C CT SINUS LIMITED W/O CONTRAST	fee schedule	Outpatient	2026-08-27
WellCare	MedAdvantage	$126	Hospital’s fee	HC CT MAXILLA/FACIAL W/O CONTRAST	fee schedule	Outpatient	2026-08-27
WellCare	MedAdvantage	$126	Hospital’s fee	C CT SINUSES W/O CONTRAST	fee schedule	Outpatient	2026-08-27
WellCare	MedAdvantage	$126	Hospital’s fee	C CT SINUS LIMITED W/O CONTRAST	fee schedule	Outpatient	2026-08-27

Medicaid managed care 15 prices

Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Medicaid managed care prices for Sinus or face CT scan without contrast at MultiCare Good Samaritan Hospital
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
Community Health Plan of Washington	Apple Health	$89.43	Hospital’s fee	C CT SINUS LIMITED W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Community Health Plan of Washington	Apple Health	$89.43	Hospital’s fee	C CT SINUSES W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Community Health Plan of Washington	Apple Health	$89.43	Hospital’s fee	HC CT MAXILLA/FACIAL W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Coordinated Care	Apple Health	$89.43	Hospital’s fee	HC CT MAXILLA/FACIAL W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Coordinated Care	Apple Health	$89.43	Hospital’s fee	C CT SINUS LIMITED W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Coordinated Care	Apple Health	$89.43	Hospital’s fee	C CT SINUSES W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Molina	Apple Health	$82.80	Hospital’s fee	C CT SINUS LIMITED W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Molina	Apple Health	$82.80	Hospital’s fee	HC CT MAXILLA/FACIAL W/O CONTRAST	fee schedule	Outpatient	2026-08-27
Molina	Apple Health	$82.80	Hospital’s fee	C CT SINUSES W/O CONTRAST	fee schedule	Outpatient	2026-08-27
United Healthcare	Apple Health	$89.43	Hospital’s fee	C CT SINUSES W/O CONTRAST	fee schedule	Outpatient	2026-08-27
United Healthcare	Apple Health	$89.43	Hospital’s fee	HC CT MAXILLA/FACIAL W/O CONTRAST	fee schedule	Outpatient	2026-08-27
United Healthcare	Apple Health	$89.43	Hospital’s fee	C CT SINUS LIMITED W/O CONTRAST	fee schedule	Outpatient	2026-08-27
WellPoint	Apple Health	$89.43	Hospital’s fee	C CT SINUSES W/O CONTRAST	fee schedule	Outpatient	2026-08-27
WellPoint	Apple Health	$89.43	Hospital’s fee	C CT SINUS LIMITED W/O CONTRAST	fee schedule	Outpatient	2026-08-27
WellPoint	Apple Health	$89.43	Hospital’s fee	HC CT MAXILLA/FACIAL W/O CONTRAST	fee schedule	Outpatient	2026-08-27

Doctors here who do this procedure

23 doctors affiliated with MultiCare Good Samaritan Hospital billed Traditional Medicare for Sinus or face CT scan without contrast in 2024, most Medicare services first. See all doctors and practices, including those with no hospital affiliation.

Doctors affiliated with MultiCare Good Samaritan Hospital who billed Traditional Medicare for Sinus or face CT scan without contrast
Doctor or practice	Practice	Medicare quality score	Times billed to Traditional Medicare (2024)	Traditional Medicare amount for their own service (2024)
Nicholas Krause, MDDiagnostic Radiology · Tacoma	Tra-Minw P SGroup of 155 clinicians	Not rated	99	$39.95 at a hospital or surgery center
Scott Walker, MDDiagnostic Radiology · Tacoma	Tra-Minw P SGroup of 155 clinicians	Not rated	87	$39.26 at a hospital or surgery center
Joon Song, MDDiagnostic Radiology · Tacoma	Tra-Minw P SGroup of 155 clinicians	Not rated	80	$38.35 at a hospital or surgery center
Brian Boldt, DODiagnostic Radiology · Tacoma	Tra-Minw P SGroup of 155 clinicians	Not rated	75	$38.27 at a hospital or surgery center
Jeremy Cardinal, MDDiagnostic Radiology · Tacoma	Tra-Minw P SGroup of 155 clinicians	Not rated	66	$38.28 at a hospital or surgery center
Scott Henneman, MDDiagnostic Radiology · Tacoma	Tra-Minw P SGroup of 155 clinicians	Not rated	62	$40.87 at a hospital or surgery center
Justin Waters, MDDiagnostic Radiology · Tacoma	Tra-Minw P SGroup of 155 clinicians	Not rated	51	$38.54 at a hospital or surgery center
Jonathan Kell, MDDiagnostic Radiology · Tacoma	Tra-Minw P SGroup of 155 clinicians	Not rated	50	$37.98 at a hospital or surgery center
Aaron Zima, MDDiagnostic Radiology · Tacoma	Tra-Minw P SGroup of 155 clinicians	Not rated	42	$38.73 at a hospital or surgery center
William Hwang, MDDiagnostic Radiology · Tacoma	Tra-Minw P SGroup of 155 clinicians	Not rated	40	$40.36 at a hospital or surgery center
Durga Sivacharan GaddamDiagnostic Radiology · Tacoma	Florida Hospital Physician Group IncGroup of 979 clinicians	Not rated	36	$38.27 at a hospital or surgery center
Charles Edmond, MDOtolaryngology · Puyallup	Proliance Surgeons Inc P SGroup of 397 clinicians	Not rated	26	$89.27 in the office (no hospital amount)
Bruce Lehnert, MDDiagnostic Radiology · Tacoma	Shannon ClinicGroup of 559 clinicians	Not rated	25	$37.86 at a hospital or surgery center
Ata Alijani, MDDiagnostic Radiology · Tacoma	Tra-Minw P SGroup of 155 clinicians	Not rated	24	$38.30 at a hospital or surgery center
Baiju Shah, MDDiagnostic Radiology · Tacoma	Tra-Minw P SGroup of 155 clinicians	Not rated	23	$39.06 at a hospital or surgery center
Christoph Prummer, MDOtolaryngology · Puyallup	Proliance Surgeons Inc P SGroup of 397 clinicians	Not rated	22	$93.12 in the office (no hospital amount)
Marcus LaceyDiagnostic Radiology · Seattle	Tra-Minw P SGroup of 155 clinicians	Not rated	21	$38.42 at a hospital or surgery center
Nicholas Conley, MDDiagnostic Radiology · Tacoma	Tra-Minw P SGroup of 155 clinicians	Not rated	21	$40.57 at a hospital or surgery center
Annie Chandrankunnel, MDDiagnostic Radiology · Seattle	Not on file	100 of 100CMS MIPS 2024, reported by their care program (APM)	17	$44.68 at a hospital or surgery center
Roger Liu, MDDiagnostic Radiology · Tacoma	Colorado Imaging Associates P CGroup of 62 clinicians	Not rated	16	$38.09 at a hospital or surgery center
John Kim, MDDiagnostic Radiology · Tacoma	Tra-Minw P SGroup of 155 clinicians	Not rated	13	$39.80 at a hospital or surgery center
Todd Jones, MDOtolaryngology · Puyallup	Proliance Surgeons Inc P SGroup of 397 clinicians	Not rated	12	$93.01 in the office (no hospital amount)
Eric Lindstrom, MDDiagnostic Radiology · Yakima	Yakima Valley Memorial PhysiciansGroup of 391 clinicians	Not rated	11	$38.39 at a hospital or surgery center

Reading the doctor list

A higher price doesn’t mean better care. The quality score and the price come from different CMS files and are shown separately on purpose.
The amount is what Traditional Medicare (original Medicare) approved for the doctor’s or lab’s own service: Medicare’s payment plus the patient’s share. It is not what commercial insurance or Medicare Advantage pays, and the hospital or surgery center bills separately (surgery centers aren’t in this list).
The Medicare quality score is CMS’s MIPS final score (0 to 100), based mostly on the doctor’s Medicare patients. About half of doctors aren’t scored, so Not rated says nothing bad about a doctor. A group’s score covers everyone in the group.
CMS doesn’t publish counts under 11 patients, so doctors who rarely bill Medicare for this aren’t listed, and No price published means CMS has no amount for that setting.
Medicare’s file doesn’t say where a doctor did the procedure, only that they billed it in Washington. Affiliations are the hospitals each doctor lists with Medicare.

See a price that looks wrong? Tell us about it.

MultiCare Good Samaritan Hospital

What you may pay

Bills to expect

What you’d pay for these bills

How each bill comes to you

1 Hospital's feeSent by the hospital

2 RadiologistSent by the radiology group

Get it confirmed before your care

MultiCare Good Samaritan Hospital

Cash price 6 prices

List price (before discounts) 6 prices

Commercial insurance 66 prices

Medicare Advantage 21 prices

Medicaid managed care 15 prices

Doctors here who do this procedure

Reading the doctor list

Hospital's feeSent by the hospital

RadiologistSent by the radiology group