MultiCare Mary Bridge Children's Hospital
317 Martin Luther King Jr Way, Tacoma, WA · Multicare · · NPI 1306952726
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 |
|---|---|---|---|---|
| Sinus CT scan (with and without contrast) CPT 70488 | $1,406.40 | $3,516.00 | $206.63 – $1,418.37 | 12 |
| Sinus CT scan (with contrast) CPT 70487 | $1,163.20 | $2,908.00 | $206.63 – $1,418.37 | 12 |
| Sinus CT scan (without contrast) CPT 70486 | $911.60 | $2,279.00 | $82.42 – $840.61 | 12 |
| Sinus/juglr venogram s&i CPT 75860 | $3,522.40 | $8,806.00 | $1,290.40 – $23,429.60 | 12 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $649.17 – $22,376.16 | 11 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $2,465.06 – $41,996.50 | 11 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $2,465.06 – $41,996.50 | 11 |
| Sio flex pelvisacral custom HCPCS L0622 | not published | not published | $317.57 – $2,704.85 | 8 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | $30.40 | $76.00 | $49.96 – $726.25 | 9 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $20,166.02 – $421,802.86 | 11 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $87.93 – $22,907.53 | 11 |
| Six volt bat otto bock/eq ea HCPCS L7360 | not published | not published | $279.96 – $2,384.59 | 8 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $122.00 | $305.00 | not published | 0 |
| Skel musc relaxant 3 or more CPT 80370 | $122.00 | $305.00 | not published | 0 |
| Skin and muscle repair face CPT 15845 | not published | not published | $1,383.82 – $25,585.16 | 11 |
| Skin Biopsy CPT 11102 | $288.80 | $722.00 | $314.86 – $1,420.26 | 12 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $1,383.82 – $13,573.89 | 11 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $1,383.82 – $4,912.56 | 6 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $1,383.82 – $25,585.16 | 11 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $1,383.82 – $13,573.89 | 11 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $1,383.82 – $4,912.56 | 6 |
| Skin test unlisted antigen ea CPT 86486 | $68.00 | $170.00 | $7.37 – $196.31 | 12 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | not published | 0 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | not published | 0 |
| Skyla, 13.5 mg HCPCS J7301 | not published | not published | $372.80 – $7,807.85 | 9 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $174.81 – $188.45 | 7 |
| Sleep study attended CPT 95807 | $572.00 | $1,430.00 | $439.59 – $3,802.18 | 12 |
| Sleep Study (Polysomnography) CPT 95810 | $2,611.20 | $6,528.00 | $538.44 – $7,348.90 | 12 |
| Sleep study unattended CPT 95806 | $428.00 | $1,070.00 | $99.87 – $1,143.81 | 12 |
| Sleeve fing rolyan med HCPCS L3933 | not published | not published | $200.67 – $1,709.22 | 8 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | not published | 0 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $241.20 | $603.00 | $13.18 – $13.18 | 1 |
| Sling pelv split sam med HCPCS L0621 | $241.20 | $603.00 | $27.87 – $442.72 | 9 |
| Sling suprapubic suburetheral HCPCS C1771 | $16,991.60 | $42,479.00 | not published | 0 |
| Slitting of prepuce CPT 54000 | not published | not published | $268.52 – $25,208.27 | 11 |
| Slitting of prepuce CPT 54001 | not published | not published | $1,387.39 – $14,588.63 | 11 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | $129.20 | $323.00 | $91.30 – $579.52 | 9 |
| Slp eval non-spch gen comm dev CPT 92605 | $315.20 | $788.00 | $163.25 – $677.02 | 9 |
| Slp pure tone screening CPT 92551 | $17.60 | $44.00 | $24.45 – $86.81 | 8 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $69.49 – $913.21 | 11 |
| Slp ther svc non-spch gen CPT 92606 | $165.20 | $413.00 | $225.89 – $538.44 | 3 |
| Sm-153 lexidron ther HCPCS A9604 | $25,860.40 | $64,651.00 | $3,159.80 – $135,748.72 | 12 |
| Small animal inoculation CPT 87003 | not published | not published | $5.09 – $18.08 | 10 |
| Small bowel endoscopy CPT 44360 | not published | not published | $675.91 – $13,697.61 | 11 |
| Small bowel endoscopy CPT 44364 | not published | not published | $1,464.80 – $13,697.61 | 11 |
| Small bowel endoscopy CPT 44366 | not published | not published | $1,464.80 – $13,697.61 | 11 |
| Small bowel endoscopy CPT 44369 | not published | not published | $675.91 – $13,697.61 | 11 |
| Small bowel endoscopy CPT 44376 | not published | not published | $675.91 – $13,697.61 | 11 |
| Small bowel endoscopy CPT 44378 | not published | not published | $1,464.80 – $13,697.61 | 11 |
| Small bowel endoscopy CPT 44382 | not published | not published | $686.01 – $6,492.64 | 11 |
| Small bowel endoscopy CPT 44384 | not published | not published | $1,446.19 – $25,645.33 | 11 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $1,464.80 – $13,697.61 | 11 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $1,464.80 – $13,697.61 | 11 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $675.91 – $13,697.61 | 11 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $675.91 – $13,697.61 | 11 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $686.01 – $6,492.64 | 11 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $686.01 – $13,697.61 | 11 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $1,464.80 – $41,218.26 | 11 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $67.89 | 11 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $13.20 | $33.00 | $5.09 – $18.08 | 11 |
| Smear gram stain CPT 87205 | $11.20 | $28.00 | $4.27 – $18.08 | 11 |
| Smear nasal eosinophil CPT 89190 | $12.00 | $30.00 | $5.79 – $24.09 | 11 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $15.20 | $38.00 | $5.09 – $18.08 | 11 |
| Smear wet mount CPT 87210 | $21.60 | $54.00 | $5.09 – $18.08 | 11 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $83.94 – $310.09 | 10 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $83.94 – $297.99 | 10 |
| Smpd1 gene common variants CPT 81330 | $91.20 | $228.00 | $47.00 – $54.05 | 8 |
| Snrpn/ube3a gene CPT 81331 | $96.40 | $241.00 | $51.07 – $58.73 | 8 |
| So airplane w/wo joint cf HCPCS L3674 | $658.00 | $1,645.00 | $1,080.99 – $9,470.33 | 9 |
| So cap design without jnts cf HCPCS L3671 | $489.60 | $1,224.00 | $824.07 – $7,219.44 | 9 |
| Socket insert above knee HCPCS L5658 | not published | not published | $511.41 – $4,355.87 | 8 |
| Socket insert below knee HCPCS L5655 | $216.80 | $542.00 | $356.03 – $3,119.10 | 9 |
| Socket insert knee articulat HCPCS L5656 | not published | not published | $521.75 – $4,443.96 | 8 |
| Socket insert symes HCPCS L5654 | not published | not published | $408.70 – $3,481.05 | 8 |
| Socket insert without lock mech HCPCS L5679 | $372.40 | $931.00 | $612.19 – $5,363.30 | 9 |
| Socket insert w lock mech HCPCS L5673 | $447.20 | $1,118.00 | $734.66 – $6,436.17 | 9 |
| Sock fracture or equal each HCPCS L3995 | $20.40 | $51.00 | $34.20 – $299.58 | 9 |
| Sock wool above knee HCPCS L8430 | not published | not published | $24.17 – $205.83 | 8 |
| Sodium 24 hour urine CPT 84300 | $12.00 | $30.00 | $3.45 – $12.25 | 11 |
| Sodium serum/plasma/whole blood CPT 84295 | $12.00 | $30.00 | $3.45 – $12.25 | 11 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | not published | not published | $0.89 – $6.92 | 7 |
| Soft interface below knee se HCPCS L2820 | $50.80 | $127.00 | $83.60 – $732.39 | 9 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $102.52 – $692.51 | 7 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $285.49 – $1,384.32 | 9 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $285.49 – $1,230.51 | 9 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $285.49 – $3,383.88 | 9 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $285.49 – $1,076.69 | 9 |
| Somatosensory testing CPT 95927 | not published | not published | $96.39 – $2,202.67 | 11 |
| Somatropin injection HCPCS J2941 | not published | not published | $271.31 – $1,333.67 | 3 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $285.49 – $3,076.25 | 9 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $285.49 – $1,013.50 | 9 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $30.26 – $209.97 | 9 |
| So vest canvas/web pre ots HCPCS L3675 | $97.60 | $244.00 | $160.49 – $1,406.03 | 9 |
| Spacer bag/reservoir HCPCS A4627 | not published | not published | $33.62 – $74.34 | 3 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $7,244.23 – $25,717.03 | 6 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $7,244.23 – $25,717.03 | 6 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $7,244.23 – $25,717.03 | 6 |
| Special casting material HCPCS A4590 | not published | not published | $77.10 – $170.61 | 2 |
| Special physics consult CPT 77370 | $466.00 | $1,165.00 | $83.04 – $1,049.03 | 12 |
| Special pump services CPT 99190 | not published | not published | not published | 0 |
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.