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 |
|---|---|---|---|---|
| Cryopreservation sperm CPT 89259 | not published | not published | $200.70 – $1,236.77 | 8 |
| Cryopreserve stem cells CPT 38207 | $1,133.60 | $2,834.00 | $519.72 – $4,292.77 | 12 |
| Cryopreserve testicular tiss CPT 89335 | not published | not published | $61.39 – $394.35 | 8 |
| Cryosurg ablate fa each CPT 19105 | not published | not published | $4,612.51 – $27,038.30 | 8 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | not published | not published | $236.35 – $1,420.26 | 11 |
| Cryotherapy of acne 17340 CPT 17340 | not published | not published | $69.49 – $410.20 | 11 |
| Cryptococcus abs qn - sendout CPT 86641 | $36.00 | $90.00 | $7.37 – $26.16 | 11 |
| Cryptosporidium antigen CPT 87272 | not published | not published | $5.09 – $18.08 | 10 |
| Crystal identification light microscopy CPT 89060 | $17.60 | $44.00 | $6.79 – $24.09 | 11 |
| C-Section Delivery (full care) CPT 59510 | not published | not published | not published | 0 |
| Csf leakage imaging CPT 78650 | $2,065.60 | $5,164.00 | $681.37 – $10,438.98 | 12 |
| Csf shunt reprogram 62252 CPT 62252 | $1,516.80 | $3,792.00 | $27.22 – $2,175.85 | 12 |
| Csf ventriculography CPT 78635 | not published | not published | $271.16 – $3,967.89 | 11 |
| Cstb gene detc abnor allele CPT 81188 | not published | not published | $30.61 – $140.97 | 10 |
| Cstb gene full gene sequence CPT 81189 | not published | not published | $83.94 – $297.99 | 10 |
| Cstb gene known famil vrnt CPT 81190 | not published | not published | $83.94 – $297.99 | 10 |
| CT 3d report other modality w/workstation CPT 76377 | $297.20 | $743.00 | not published | 0 |
| Cta abdomen without & /or w/contrast CPT 74175 | $1,608.40 | $4,021.00 | $206.63 – $1,418.37 | 12 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $1,608.00 | $4,020.00 | $206.63 – $1,418.37 | 12 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $1,607.60 | $4,019.00 | $206.63 – $1,418.37 | 12 |
| Cta neck without &/or w/contrast CPT 70498 | $1,502.40 | $3,756.00 | $206.63 – $1,418.37 | 12 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $2,226.40 | $5,566.00 | $273.39 – $2,897.70 | 12 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,401.60 | $3,504.00 | $206.63 – $1,418.37 | 12 |
| CT Angiogram of the Head CPT 70496 | $1,518.00 | $3,795.00 | $206.63 – $1,418.37 | 12 |
| CT angio hrt w/3d image CPT 75574 | $1,258.00 | $3,145.00 | $273.39 – $1,418.37 | 12 |
| CT angio pelvis CPT 72191 | $1,607.60 | $4,019.00 | $206.63 – $1,418.37 | 12 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,516.00 | $3,790.00 | $206.63 – $1,418.37 | 12 |
| CT bone density axial CPT 77078 | not published | not published | $56.08 – $683.31 | 11 |
| CT cerebral perf w cont & prcssng CPT 70473 | $1,813.20 | $4,533.00 | $206.63 – $1,409.41 | 7 |
| CT colonography dx CPT 74261 | $910.40 | $2,276.00 | $123.16 – $840.61 | 9 |
| CT colonography dx w/dye CPT 74262 | $1,472.00 | $3,680.00 | $206.63 – $1,418.37 | 9 |
| CT colonography screening CPT 74263 | $1,101.60 | $2,754.00 | $281.08 – $1,840.22 | 8 |
| CT guidance for needle placement CPT 77012 | $556.00 | $1,390.00 | $65.76 – $233.45 | 6 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $442.40 | $1,106.00 | $127.04 – $450.99 | 6 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $290.58 – $3,322.39 | 11 |
| CT guid parench tis ablat CPT 77013 | $1,693.60 | $4,234.00 | $65.76 – $233.45 | 6 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $59.60 | $149.00 | $102.52 – $683.31 | 9 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $1,139.20 | $2,848.00 | $223.31 – $1,418.37 | 12 |
| CT hrt w/3d image CPT 75572 | $1,096.00 | $2,740.00 | $223.31 – $1,418.37 | 12 |
| CT limited or localized follow-up study CPT 76380 | $507.60 | $1,269.00 | $82.42 – $683.31 | 12 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $1,125.20 | $2,813.00 | $206.63 – $1,418.37 | 12 |
| CT lower extremity without contrast (both sides) CPT 73700 | $870.00 | $2,175.00 | $82.42 – $840.61 | 12 |
| Ctlso a-p-l control molded HCPCS L0700 | $1,184.40 | $2,961.00 | $1,946.22 – $17,050.38 | 9 |
| Ctlso a-p-l control with inter HCPCS L0710 | $1,337.60 | $3,344.00 | $2,198.23 – $19,258.24 | 9 |
| Ctlso axilla sling HCPCS L1010 | $40.80 | $102.00 | $67.00 – $586.96 | 9 |
| Ctlso milwauke initial model HCPCS L1000 | not published | not published | $2,407.70 – $20,507.44 | 8 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,452.00 | $3,630.00 | $206.63 – $1,418.37 | 12 |
| CT neck soft tissue w/contrast CPT 70491 | $1,110.00 | $2,775.00 | $206.63 – $1,418.37 | 12 |
| CT neck soft tissue without contrast CPT 70490 | $864.40 | $2,161.00 | $82.42 – $840.61 | 12 |
| CT neck soft tissue without & w/contrast CPT 70492 | $1,370.00 | $3,425.00 | $206.63 – $1,418.37 | 12 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,533.60 | $3,834.00 | $206.63 – $1,418.37 | 12 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,349.20 | $3,373.00 | $206.63 – $1,418.37 | 12 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $911.60 | $2,279.00 | $82.42 – $840.61 | 12 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | not published | not published | $78.51 – $1,634.58 | 11 |
| CT scan for localization CPT 77011 | $1,634.00 | $4,085.00 | $65.76 – $233.45 | 6 |
| CT scan for therapy guide CPT 77014 | not published | not published | $65.76 – $233.45 | 6 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $2,091.60 | $5,229.00 | $223.31 – $2,897.70 | 12 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $2,021.60 | $5,054.00 | $223.31 – $2,897.70 | 12 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,435.60 | $3,589.00 | $223.31 – $1,836.63 | 12 |
| CT thoracic spine w/contrast CPT 72129 | $1,137.60 | $2,844.00 | $206.63 – $1,418.37 | 12 |
| CT thoracic spine without contrast CPT 72128 | $888.00 | $2,220.00 | $82.42 – $840.61 | 12 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $332.00 | $830.00 | $82.42 – $840.61 | 12 |
| CT t-spine w /wo contrast CPT 72130 | $1,432.40 | $3,581.00 | $206.63 – $1,418.37 | 12 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,316.00 | $3,290.00 | $223.31 – $2,897.70 | 12 |
| CT upper extremity without contrast (both sides) CPT 73200 | $866.00 | $2,165.00 | $82.42 – $840.61 | 12 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,452.00 | $3,630.00 | $206.63 – $1,418.37 | 12 |
| Cuffs adj lock with active con HCPCS L3740 | $615.20 | $1,538.00 | $1,010.76 – $8,855.05 | 9 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $200.70 – $1,236.77 | 8 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $200.70 – $1,236.77 | 8 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $1,383.82 – $25,585.16 | 11 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $1,383.82 – $13,573.89 | 11 |
| Culture aerobic additional method definitive id each CPT 87077 | $20.40 | $51.00 | $5.09 – $18.08 | 11 |
| Culture afb any source CPT 87116 | $27.60 | $69.00 | $5.09 – $18.08 | 11 |
| Culture anaerobic additional method definitive id each CPT 87076 | not published | not published | $5.09 – $18.08 | 10 |
| Culture anaerobic except blood CPT 87075 | $23.60 | $59.00 | $5.09 – $18.08 | 11 |
| Culture bacteria anaerobic CPT 87073 | not published | not published | $5.09 – $18.08 | 10 |
| Culture bacterial urine HCPCS P7001 | not published | not published | $53.40 – $163.28 | 2 |
| Culture bact stool aero addl path ea CPT 87046 | $23.60 | $59.00 | $5.09 – $18.08 | 11 |
| Culture body fluid CPT 87070 | $21.60 | $54.00 | $5.09 – $18.08 | 11 |
| Culture fungi definitive id mold CPT 87107 | $28.40 | $71.00 | $5.09 – $18.08 | 11 |
| Culture fungi definitive id yeast CPT 87106 | $26.00 | $65.00 | $5.09 – $18.08 | 11 |
| Culture fungi other (except blood) CPT 87102 | $21.20 | $53.00 | $5.09 – $18.08 | 11 |
| Culture fungi skin/hair/nail CPT 87101 | $19.60 | $49.00 | $5.09 – $18.08 | 11 |
| Culture mycobacteria definitive id each isolate CPT 87118 | not published | not published | $5.09 – $18.08 | 10 |
| Culture mycoplasma any source CPT 87109 | $29.20 | $73.00 | $5.09 – $18.08 | 11 |
| Culture of specimen by kit CPT 87084 | not published | not published | $5.09 – $27.86 | 10 |
| Culture quantitative aerobic other source CPT 87071 | not published | not published | $5.09 – $18.08 | 10 |
| Culture screening strep group a CPT 87081 | $16.40 | $41.00 | $5.09 – $18.08 | 11 |
| Culture type pulse field gel CPT 87152 | not published | not published | $5.09 – $18.08 | 10 |
| Culture typing added method CPT 87158 | $14.00 | $35.00 | $5.09 – $18.08 | 11 |
| Culture typing glc/hplc CPT 87143 | not published | not published | $5.09 – $18.08 | 10 |
| Culture typing immunologic CPT 87147 | $13.20 | $33.00 | $5.09 – $18.08 | 11 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | not published | not published | $218.06 – $235.07 | 7 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $88.40 | $221.00 | $35.09 – $40.35 | 8 |
| Culture urine each isolate CPT 87088 | $17.60 | $44.00 | $5.09 – $18.08 | 11 |
| Culture virus isolation CPT 87250 | not published | not published | $5.09 – $20.13 | 10 |
| Curette/treat cornea CPT 65435 | not published | not published | $374.99 – $6,863.31 | 11 |
| Curette/treat cornea CPT 65436 | not published | not published | $374.99 – $16,628.34 | 11 |
| Cus elbo skt in for con/atyp HCPCS L6696 | not published | not published | $1,362.21 – $11,602.53 | 8 |
| Cus elbo skt in not con/atyp HCPCS L6697 | not published | not published | $1,362.21 – $11,602.53 | 8 |
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.