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 |
|---|---|---|---|---|
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $35.48 | $88.70 | not published | 0 |
| Acetaminophen 120 mg rectal suppository HCPCS A9270 | not published | not published | $0.08 – $0.08 | 1 |
| Acetaminophen level CPT 80143 | $13.20 | $33.00 | $7.41 – $26.32 | 11 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $49.46 | $123.65 | not published | 0 |
| Acetone qualitative CPT 82009 | $11.60 | $29.00 | $3.45 – $12.25 | 11 |
| Acetylcholine receptor modulating antibody CPT 86043 | $23.20 | $58.00 | $7.37 – $26.16 | 11 |
| Acetylcholinesterase assay CPT 82013 | $28.00 | $70.00 | $8.59 – $30.49 | 11 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $1.77 | $4.42 | not published | 0 |
| Acetylcysteine non-comp unit HCPCS J7608 | not published | not published | $33.40 – $33.40 | 1 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $439.59 – $3,802.18 | 11 |
| Acne surgery 10040 CPT 10040 | $442.40 | $1,106.00 | $115.55 – $1,420.26 | 12 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | not published | not published | $180.14 – $1,308.74 | 8 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | not published | not published | $142.75 – $1,023.55 | 8 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | not published | not published | $119.68 – $596.56 | 8 |
| Aco ccm; ea addl 20 min 99439aco CPT 99439 | not published | not published | $73.22 – $259.94 | 6 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | not published | not published | $209.10 – $1,145.93 | 8 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $419.60 | $1,049.00 | $48.26 – $950.56 | 12 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | not published | not published | $44.14 – $233.43 | 8 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $32.00 | $80.00 | $9.70 – $122.62 | 12 |
| Acoustic immitance testing CPT 92570 | $153.20 | $383.00 | $57.74 – $1,143.81 | 12 |
| Acoustic refl threshold tst CPT 92568 | $104.40 | $261.00 | $24.45 – $267.10 | 12 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $3,152.97 – $23,411.43 | 11 |
| Acth stimulation panel CPT 80402 | not published | not published | $22.87 – $89.48 | 10 |
| Acth stimulation panel CPT 80406 | not published | not published | $22.87 – $81.20 | 10 |
| Actigraphy testing CPT 95803 | $254.40 | $636.00 | $48.26 – $452.08 | 12 |
| Actinotherapy uv light CPT 96900 | $105.60 | $264.00 | $22.82 – $267.10 | 12 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | $66.00 | $165.00 | $34.07 – $196.31 | 9 |
| Acup 1/> w/estim ea addl 15 CPT 97814 | $55.60 | $139.00 | not published | 0 |
| Acup 1/> without estim ea add 15 CPT 97811 | $50.00 | $125.00 | not published | 0 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | $66.00 | $165.00 | $34.07 – $196.31 | 9 |
| Acute hepatitis panel CPT 80074 | $103.20 | $258.00 | $5.85 – $54.77 | 11 |
| Acute venous thrombus image CPT 78456 | not published | not published | $271.16 – $10,438.98 | 11 |
| Acyclovir 400 mg tablet HCPCS J8499 | $3,655.78 | $9,139.45 | $3.86 – $4.41 | 2 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $12.16 | $30.38 | not published | 0 |
| #acylcarnitineprfl CPT 82017 | $19.60 | $49.00 | $8.59 – $30.49 | 11 |
| Acylcarnitines qual CPT 82016 | not published | not published | $8.59 – $30.49 | 10 |
| Adalimumab injection HCPCS J0135 | not published | not published | $2,717.77 – $14,428.26 | 3 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $34.17 – $596.56 | 11 |
| Adapter b 8 channel 10cm HCPCS C1883 | $33,014.00 | $82,535.00 | not published | 0 |
| Adaptive behavior tx by tech CPT 97153 | not published | not published | $34.17 – $596.56 | 11 |
| Adding walker to prev cast CPT 29440 | not published | not published | $133.07 – $1,146.40 | 11 |
| Additional switch, ext power HCPCS L6611 | not published | not published | $426.40 – $3,631.82 | 8 |
| Add le poly knee custom kafo HCPCS L2387 | $116.00 | $290.00 | $195.50 – $1,712.76 | 9 |
| Add ue prost a/e acrylic HCPCS L7404 | not published | not published | $575.61 – $4,902.73 | 8 |
| Add ue prost a/e ultlite mat HCPCS L7401 | not published | not published | $355.34 – $3,026.53 | 8 |
| Add ue prost b/e acrylic HCPCS L7403 | not published | not published | $381.36 – $3,248.17 | 8 |
| Add ue prost be/wd, ultlite HCPCS L7400 | not published | not published | $317.40 – $2,703.44 | 8 |
| Add ue prost s/d acrylic HCPCS L7405 | not published | not published | $752.81 – $6,411.94 | 8 |
| Add ue prost s/d ultlite mat HCPCS L7402 | not published | not published | $383.73 – $3,268.46 | 8 |
| Add up-ex prosthes lock mech HCPCS L6698 | not published | not published | $699.63 – $5,959.07 | 8 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $35.60 | $89.00 | not published | 0 |
| Adenovirus ag ia CPT 87301 | $30.40 | $76.00 | $5.09 – $18.08 | 11 |
| Adenovirus antibody,serum - quest CPT 86603 | $32.40 | $81.00 | $7.37 – $26.16 | 11 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $5.09 – $22.39 | 10 |
| Adenovirus vaccine type 4 CPT 90476 | not published | not published | $132.48 – $2,815.51 | 3 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $4,965.71 – $4,965.71 | 1 |
| Adh-sendout CPT 84588 | $78.40 | $196.00 | $8.89 – $39.03 | 11 |
| Adj gastric band via subq port CPT 43999 | $2,156.40 | $5,391.00 | $1,068.46 – $8,066.56 | 12 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $1,700.97 – $52,024.06 | 11 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $1,383.82 – $13,573.89 | 11 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $36.06 | $90.15 | not published | 0 |
| Admin ecg contrast agent CPT 93352 | not published | not published | $327.91 – $1,164.10 | 6 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $162.40 | $406.00 | $84.82 – $1,286.44 | 12 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $692.00 | $1,730.00 | $84.82 – $760.07 | 12 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $816.40 | $2,041.00 | $214.10 – $2,616.06 | 12 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $594.00 | $1,485.00 | $31.22 – $1,989.32 | 12 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $162.40 | $406.00 | $31.22 – $530.65 | 12 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $162.40 | $406.00 | $31.22 – $530.65 | 12 |
| Administration immunization 1 vaccine CPT 90471 | $55.60 | $139.00 | $27.17 – $530.65 | 12 |
| Administration immunization each additional component CPT 90461 | not published | not published | $27.17 – $96.45 | 6 |
| Administration immunization each additional vaccine CPT 90472 | $35.60 | $89.00 | $27.17 – $96.45 | 6 |
| Administration immunization first component each vaccine CPT 90460 | not published | not published | $27.17 – $96.45 | 6 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $46.00 | $115.00 | $27.17 – $530.65 | 12 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $46.00 | $115.00 | $27.17 – $96.45 | 6 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | $283.20 | $708.00 | $27.17 – $96.45 | 6 |
| Administration vaccine hepatitis b HCPCS G0010 | $38.80 | $97.00 | $55.16 – $333.24 | 9 |
| Administration vaccine influenza virus HCPCS G0008 | $24.80 | $62.00 | $27.17 – $333.24 | 12 |
| Administration vaccine pneumococcal HCPCS G0009 | $38.80 | $97.00 | $27.17 – $333.24 | 12 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | $283.20 | $708.00 | $27.17 – $96.45 | 6 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | not published | not published | $42.59 – $11,219.50 | 11 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $681.37 – $10,438.98 | 11 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | not published | 0 |
| Advance care planning each additional 30 min 99498 CPT 99498 | not published | not published | $73.22 – $259.94 | 6 |
| Adv prim care mgmt lvl 1 HCPCS G0556 | not published | not published | $44.14 – $234.30 | 8 |
| Adv prim care mgmt lvl 2 HCPCS G0557 | not published | not published | $44.14 – $234.30 | 8 |
| Adv prim care mgmt lvl 3 HCPCS G0558 | not published | not published | $119.68 – $727.51 | 8 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $57.74 – $1,143.81 | 11 |
| Aep neurodiagnostic i&r CPT 92653 | not published | not published | $57.74 – $2,202.67 | 11 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $57.74 – $2,202.67 | 11 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $2,971.09 – $22,598.74 | 8 |
| Afamitresgene autoleucel HCPCS Q2057 | not published | not published | $777,863.83 – $830,728.36 | 6 |
| _afb id by dna probe rflx ast CPT 87149 | $50.40 | $126.00 | $5.09 – $23.06 | 11 |
| #afb mycobacteria suscep. #1 CPT 87190 | $14.40 | $36.00 | $5.09 – $18.08 | 11 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $292.00 | $730.00 | $115.36 – $132.66 | 8 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $30.61 – $140.97 | 10 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $83.94 – $297.99 | 10 |
| Aflibercept injection HCPCS J0178 | not published | not published | $738.76 – $7,027.77 | 11 |
| Afluria vacc, 3 yrs & >, im HCPCS Q2035 | not published | not published | $19.12 – $67.89 | 7 |
| Afo molded ankle gauntlet HCPCS L1904 | $275.60 | $689.00 | $452.68 – $3,965.85 | 9 |
| Afo molded plas rig ant tib HCPCS L1945 | $612.00 | $1,530.00 | $1,005.57 – $8,809.59 | 9 |
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.