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 |
|---|---|---|---|---|
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $50.90 – $5,104.15 | 11 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $635.35 – $3,592.89 | 11 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $1,605.49 – $22,237.82 | 11 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $935.89 – $23,411.43 | 11 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $935.89 – $23,411.43 | 11 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $1,409.68 – $8,517.09 | 11 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $2,055.31 – $22,376.16 | 11 |
| Drng of scrotum abscess 55100 CPT 55100 | not published | not published | $1,454.89 – $11,793.96 | 11 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | not published | 0 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | not published | 0 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | not published | 0 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | not published | 0 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $649.17 – $10,917.72 | 11 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $635.35 – $3,592.89 | 11 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $41.74 | $104.35 | not published | 0 |
| Drop lock knee HCPCS L2182 | $63.20 | $158.00 | $103.73 – $908.80 | 9 |
| Drop lock retainer each HCPCS L2785 | $20.40 | $51.00 | $33.68 – $295.02 | 9 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $1,375.20 | $3,438.00 | not published | 0 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $146.60 – $999.96 | 7 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | not published | not published | $146.60 – $999.96 | 7 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | not published | not published | $146.60 – $999.96 | 7 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | $46.40 | $116.00 | not published | 0 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | not published | not published | $146.60 – $999.96 | 7 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | $6,943.60 | $17,359.00 | $146.60 – $999.96 | 7 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $19,913.20 | $49,783.00 | $146.60 – $999.96 | 7 |
| Drsg wound/burn 18x10cm suprathel resorb cost per sq cm HCPCS A2012 | not published | not published | $146.60 – $999.96 | 7 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $16,360.80 | $40,902.00 | $146.60 – $999.96 | 7 |
| Drug admin & hemodynmic meas CPT 93463 | $3,292.40 | $8,231.00 | $31.22 – $110.83 | 6 |
| Drug assay caffeine CPT 80155 | $44.40 | $111.00 | $7.41 – $44.36 | 11 |
| Drug assay posaconazole CPT 80187 | $37.60 | $94.00 | $7.41 – $31.18 | 11 |
| Drug assay rufinamide CPT 80210 | $20.00 | $50.00 | $7.41 – $31.18 | 11 |
| Drug assay vedolizumab CPT 80280 | $53.60 | $134.00 | $7.41 – $44.36 | 11 |
| Drug assay voriconazole CPT 80285 | $21.60 | $54.00 | $7.41 – $31.18 | 11 |
| Drug asy hydroxychloroquine CPT 80220 | $54.40 | $136.00 | $7.41 – $26.32 | 11 |
| Drug of abuse screen urine CPT 80305 | $44.40 | $111.00 | $8.59 – $30.49 | 11 |
| Drug screening tapentadol CPT 80372 | $122.00 | $305.00 | not published | 0 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $7.41 – $27.90 | 10 |
| Drug/substance nos 4-6 CPT 80376 | $124.00 | $310.00 | not published | 0 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $77.53 – $275.23 | 10 |
| Drug test def 1-7 classes HCPCS G0480 | $124.00 | $310.00 | $22.59 – $131.59 | 11 |
| Drug test def 22+ classes HCPCS G0483 | $687.60 | $1,719.00 | $77.53 – $283.96 | 11 |
| Drug test def 8-14 classes HCPCS G0481 | $313.20 | $783.00 | $77.53 – $275.23 | 11 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $62.14 – $66.99 | 7 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $8.59 – $30.49 | 10 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $71.20 | $178.00 | $62.14 – $275.23 | 11 |
| Drvvt confirm - quest CPT 85597 | $45.20 | $113.00 | $2.63 – $20.68 | 11 |
| Dry needling (97799) CPT 97799 | not published | not published | $22.82 – $81.03 | 6 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $2,277.58 – $27,492.11 | 11 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $4,592.80 | $11,482.00 | $2,300.37 – $14,137.49 | 9 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $115.55 – $2,934.20 | 11 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $115.55 – $2,934.20 | 11 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $115.55 – $4,569.17 | 11 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $115.55 – $4,569.17 | 11 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $647.91 – $4,174.51 | 11 |
| Ductogram sgl duct CPT 77053 | $661.20 | $1,653.00 | $85.30 – $1,836.63 | 12 |
| Duodenal exclusion CPT 48547 | not published | not published | not published | 0 |
| Duodenal motility study CPT 91022 | not published | not published | $439.59 – $3,802.18 | 11 |
| Duplex scan bilateral study 93985 CPT 93985 | $767.60 | $1,919.00 | $281.08 – $1,836.63 | 9 |
| Duplex scan unilateral study 93986 CPT 93986 | $369.20 | $923.00 | $123.16 – $840.61 | 9 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $369.20 | $923.00 | $78.16 – $840.61 | 12 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $544.00 | $1,360.00 | $78.16 – $2,202.67 | 12 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $743.60 | $1,859.00 | $78.16 – $1,836.63 | 12 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $3,769.20 | $9,423.00 | not published | 0 |
| Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm HCPCS Q4432 | $3,873.20 | $9,683.00 | $146.60 – $999.96 | 7 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $86.96 – $6,605.79 | 11 |
| Dxa bone density axl vrt fx CPT 77085 | $363.60 | $909.00 | $56.08 – $840.61 | 12 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $27.22 – $1,171.73 | 11 |
| Dx aly aud oi snd prcsr each CPT 92623 | not published | not published | $27.22 – $96.63 | 6 |
| Dx bronchoscope/brush 31623 CPT 31623 | $2,912.00 | $7,280.00 | $1,160.21 – $12,572.67 | 12 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $2,912.00 | $7,280.00 | $1,160.21 – $12,572.67 | 12 |
| Dx bronchoscope/wash 31622 CPT 31622 | $2,912.00 | $7,280.00 | $1,160.21 – $12,572.67 | 12 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $51.41 – $2,969.59 | 11 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $475.15 – $6,492.64 | 11 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $475.15 – $6,492.64 | 11 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $254.36 – $2,202.67 | 11 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $151.58 – $1,686.79 | 11 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | not published | not published | not published | 0 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | not published | not published | not published | 0 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | not published | not published | not published | 0 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $460.75 – $2,966.21 | 11 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $537.16 – $12,572.67 | 11 |
| Dx ntrop epcr Ultrasound chd img acq CPT 76988 | not published | not published | not published | 0 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $294.33 – $4,925.22 | 11 |
| Dynamic fine wire emg CPT 96003 | not published | not published | $524.65 – $2,202.67 | 3 |
| Dynamic surface emg CPT 96002 | $447.20 | $1,118.00 | $254.36 – $1,843.70 | 9 |
| Ear and throat examination CPT 92502 | not published | not published | $78.51 – $3,592.89 | 11 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $1,827.82 – $10,917.72 | 11 |
| Ear cartilage graft CPT 21235 | not published | not published | $2,465.06 – $41,996.50 | 11 |
| Ear irrigation 69209 CPT 69209 | $163.20 | $408.00 | $69.49 – $452.08 | 12 |
| Ear protector evaluation CPT 92596 | $105.20 | $263.00 | $44.00 – $267.10 | 9 |
| Ecallantide injection HCPCS J1290 | not published | not published | $584.19 – $4,093.73 | 8 |
| Ecg 12 lead tracing only CPT 93005 | $142.00 | $355.00 | $18.64 – $452.08 | 12 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $85.20 | $213.00 | $18.64 – $452.08 | 12 |
| Ecg < 30 days transmission & analysis CPT 93271 | $340.00 | $850.00 | $48.26 – $785.01 | 12 |
| Ecg external < 48 hours recording CPT 93225 | $289.60 | $724.00 | $48.26 – $913.21 | 12 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $410.40 | $1,026.00 | $48.26 – $913.21 | 12 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | not published | not published | $44.00 – $267.10 | 11 |
| Ecg external >7 days up to 15 days recording CPT 93246 | not published | not published | $44.00 – $452.08 | 11 |
| Ecg record/review CPT 93268 | not published | not published | not published | 0 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,708.40 | $4,271.00 | $327.91 – $3,957.12 | 12 |
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.