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 |
|---|---|---|---|---|
| Xray place dist ext thor ao CPT 75959 | not published | not published | not published | 0 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | not published | 0 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,015.20 | $2,538.00 | $85.30 – $2,897.70 | 12 |
| X-ray ribs 2 views left CPT 71100 | $244.00 | $610.00 | $40.46 – $683.31 | 12 |
| X-ray ribs 3 views bilateral CPT 71110 | $287.20 | $718.00 | $40.46 – $840.61 | 12 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $287.20 | $718.00 | $40.46 – $840.61 | 12 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $364.40 | $911.00 | $40.46 – $840.61 | 12 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $282.00 | $705.00 | $40.46 – $840.61 | 12 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $244.00 | $610.00 | $40.46 – $683.31 | 12 |
| X-ray scapula complete (both sides) CPT 73010 | $248.00 | $620.00 | $40.46 – $840.61 | 12 |
| X-ray sella turcica CPT 70240 | $200.00 | $500.00 | $40.46 – $683.31 | 12 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $244.00 | $610.00 | $40.46 – $683.31 | 12 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $250.40 | $626.00 | $40.46 – $683.31 | 12 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $960.40 | $2,401.00 | $85.30 – $3,957.12 | 12 |
| X-ray skull < 4 views CPT 70250 | $282.00 | $705.00 | $40.46 – $840.61 | 12 |
| X-ray skull > 4 views complete CPT 70260 | $364.40 | $911.00 | $40.46 – $840.61 | 12 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $398.40 | $996.00 | $40.46 – $840.61 | 12 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $581.20 | $1,453.00 | $85.30 – $1,418.37 | 12 |
| X-ray small intestine follow-through study CPT 74248 | $315.20 | $788.00 | $85.30 – $302.83 | 6 |
| X-ray spine single view CPT 72020 | $244.00 | $610.00 | $40.46 – $683.31 | 12 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $244.00 | $610.00 | $40.46 – $683.31 | 12 |
| X-ray sternum > 2 views CPT 71120 | $244.00 | $610.00 | $40.46 – $683.31 | 12 |
| X-ray surgical specimen CPT 76098 | $581.60 | $1,454.00 | $85.30 – $3,957.12 | 12 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $566.00 | $1,415.00 | $85.30 – $1,418.37 | 12 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $247.20 | $618.00 | $40.46 – $683.31 | 12 |
| X-ray thoracic spine 2 views CPT 72070 | $282.00 | $705.00 | $40.46 – $840.61 | 12 |
| X-ray thoracic spine 3 views CPT 72072 | $287.20 | $718.00 | $40.46 – $840.61 | 12 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $244.00 | $610.00 | $40.46 – $683.31 | 12 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $226.00 | $565.00 | $40.46 – $683.31 | 12 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $346.40 | $866.00 | $40.46 – $840.61 | 12 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $244.00 | $610.00 | $40.46 – $683.31 | 12 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $222.40 | $556.00 | $40.46 – $683.31 | 12 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $628.40 | $1,571.00 | $85.30 – $1,418.37 | 12 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $593.20 | $1,483.00 | $85.30 – $1,418.37 | 12 |
| X-ray wrist 2 views (both sides) CPT 73100 | $244.00 | $610.00 | $40.46 – $683.31 | 12 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $40.46 – $1,418.37 | 11 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $48.26 – $171.31 | 6 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | not published | 0 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $146.60 – $999.96 | 7 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $8.59 – $30.49 | 10 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.51 – $6,605.79 | 11 |
| Yersinia antibody CPT 86793 | $32.40 | $81.00 | $7.37 – $26.16 | 11 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $28,137.58 – $514,973.30 | 11 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $146.60 – $999.96 | 7 |
| Ziconotide injection HCPCS J2278 | not published | not published | $10.56 – $4,164.41 | 11 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.53 – $11.88 | 7 |
| Zika virus dna/rna amp probe CPT 87662 | $90.00 | $225.00 | $19.42 – $68.93 | 11 |
| Zika virus igm antibody CPT 86794 | $57.60 | $144.00 | $7.37 – $26.16 | 11 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $30.70 | $76.73 | not published | 0 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $8.69 – $2,816.24 | 11 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | not published | not published | $33.97 – $263.95 | 7 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $46.00 | $115.00 | not published | 0 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $77.55 – $275.29 | 6 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $83.94 – $297.99 | 10 |
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.