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 |
|---|---|---|---|---|
| Ghs quinidine CPT 80194 | $36.40 | $91.00 | $7.41 – $26.32 | 11 |
| Ghs refill of implantable pump CPT 95990 | $578.00 | $1,445.00 | $31.22 – $2,616.06 | 12 |
| Ghs removal intranasal foreign body CPT 30300 | $216.40 | $541.00 | $78.51 – $913.21 | 12 |
| Ghs removal pharyngeal foreign body CPT 42809 | $268.00 | $670.00 | $78.51 – $2,969.59 | 12 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $935.89 – $11,282.50 | 11 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $1,222.29 – $23,411.43 | 11 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $33.20 | $83.00 | $7.37 – $26.16 | 11 |
| Ghs reticulocyte count CPT 85044 | $11.20 | $28.00 | $3.99 – $14.16 | 11 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $31.20 | $78.00 | $5.09 – $18.08 | 11 |
| Ghs sedimentation rate CPT 85651 | $11.60 | $29.00 | $3.99 – $14.16 | 11 |
| Ghs semen analysis fert CPT 89320 | $31.20 | $78.00 | $12.31 – $14.16 | 8 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $9.84 – $10.61 | 7 |
| Ghs sensitivity (per antimicro) CPT 87184 | $17.20 | $43.00 | $5.09 – $18.08 | 11 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | not published | not published | $132.08 – $2,934.20 | 11 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $132.08 – $2,934.20 | 11 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | not published | not published | $132.08 – $2,934.20 | 11 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $132.08 – $2,934.20 | 11 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | not published | not published | $132.08 – $1,420.26 | 11 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | not published | not published | $132.08 – $1,420.26 | 11 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | not published | not published | $132.08 – $1,420.26 | 11 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $132.08 – $1,420.26 | 11 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $132.08 – $1,420.26 | 11 |
| Ghs sleep study unattended CPT 95800 | $358.40 | $896.00 | $99.87 – $1,143.81 | 12 |
| Ghs somatosensory testing lower extremit CPT 95926 | $721.20 | $1,803.00 | $96.39 – $2,202.67 | 12 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $1,405.20 | $3,513.00 | $96.39 – $3,802.18 | 12 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $100.40 | $251.00 | $28.35 – $386.49 | 12 |
| Ghs sphenopalatine ganglion block CPT 64505 | $678.40 | $1,696.00 | $307.61 – $2,138.41 | 12 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $24.45 – $913.21 | 11 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $188.00 | $470.00 | $60.24 – $820.95 | 12 |
| Ghs st - eval for alt comm CPT 92567 | $96.40 | $241.00 | $24.45 – $267.10 | 12 |
| Ghs strapping shoulder - 29240 CPT 29240 | $181.60 | $454.00 | $30.72 – $913.21 | 12 |
| Ghs st - re-eval for alt comm CPT 92597 | $194.80 | $487.00 | $41.96 – $570.37 | 12 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $109.60 | $274.00 | $55.16 – $1,286.44 | 12 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $527.60 | $1,319.00 | $214.10 – $1,624.67 | 12 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | not published | not published | $265.66 – $4,569.17 | 11 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $265.66 – $2,934.20 | 11 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $1,455.89 – $10,917.72 | 11 |
| Ghs trypsin (fecal) CPT 84488 | $18.00 | $45.00 | $3.45 – $12.25 | 11 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $290.58 – $1,628.13 | 11 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $290.58 – $1,628.13 | 11 |
| Ghs urine, hydroxproline total CPT 83505 | $56.00 | $140.00 | $8.89 – $31.56 | 11 |
| Ghs urine, porphyrins quant CPT 84120 | $36.40 | $91.00 | $8.59 – $30.49 | 11 |
| Ghs vaginal delivery only CPT 59409 | $3,966.80 | $9,917.00 | $1,533.95 – $22,237.82 | 12 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $2,371.20 | $5,928.00 | $357.95 – $3,802.18 | 12 |
| Ghs windowing of cast CPT 29730 | $320.80 | $802.00 | $133.07 – $1,146.40 | 12 |
| Giardia ag if CPT 87269 | not published | not published | $5.09 – $18.08 | 10 |
| Giardia lamblia antibody CPT 86674 | $37.20 | $93.00 | $7.37 – $26.16 | 11 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $79.97 – $1,836.63 | 11 |
| Gi inhouse confirmation CPT 87045 | $23.60 | $59.00 | $5.09 – $18.08 | 11 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $1,996.66 – $22,376.16 | 11 |
| Gi protein loss CPT 78282 | not published | not published | $271.16 – $3,056.97 | 11 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $475.15 – $6,492.64 | 11 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $475.15 – $6,536.13 | 11 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $475.15 – $6,492.64 | 11 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $1,068.46 – $6,492.64 | 8 |
| Gjb2 gene full sequence CPT 81252 | $202.40 | $506.00 | $30.61 – $116.29 | 11 |
| Gjb2 gene known fam variants CPT 81253 | $116.00 | $290.00 | $30.61 – $108.67 | 11 |
| Gjb6 gene com variants CPT 81254 | $51.60 | $129.00 | $30.61 – $108.67 | 11 |
| Glassia injection HCPCS J0257 | not published | not published | $5.34 – $4,164.41 | 11 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $34.07 – $196.31 | 8 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $44.00 – $267.10 | 8 |
| Glaucoma surgery CPT 66150 | not published | not published | $2,381.31 – $31,425.24 | 11 |
| Glaucoma surgery CPT 66155 | not published | not published | $2,381.31 – $31,425.24 | 11 |
| Glaucoma surgery CPT 66160 | not published | not published | $2,381.31 – $16,984.00 | 11 |
| Glaucoma surgery CPT 66170 | not published | not published | $2,381.31 – $16,984.00 | 11 |
| Glove finger flexion right lg xl HCPCS L3912 | $74.80 | $187.00 | $119.11 – $1,043.53 | 9 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $112.74 – $1,496.39 | 11 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $258.82 | $647.03 | $112.74 – $1,172.20 | 12 |
| Glucagon plasma - sendout CPT 82943 | $39.60 | $99.00 | $8.89 – $31.56 | 11 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $22.87 – $81.20 | 10 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $22.87 – $81.20 | 10 |
| Glucagon tolerance test CPT 82946 | not published | not published | $8.59 – $30.49 | 10 |
| Glucose 1 hr post dose CPT 82950 | $12.00 | $30.00 | $3.45 – $12.25 | 11 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $3.45 – $12.25 | 10 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $4.40 | $11.00 | $3.28 – $12.25 | 11 |
| Glucose blood quantitative CPT 82947 | $11.20 | $28.00 | $3.45 – $12.25 | 11 |
| Glucose body fluid CPT 82945 | $11.20 | $28.00 | $3.45 – $12.25 | 11 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $158.00 | $395.00 | $48.26 – $452.08 | 12 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $32.40 | $81.00 | $8.59 – $30.49 | 11 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $11.20 | $28.00 | $3.45 – $12.25 | 11 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $35.99 | $89.96 | $1.17 – $5.53 | 2 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $40.54 – $144.52 | 2 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $78.66 | $196.64 | $10.94 – $6,605.79 | 12 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $43.60 | $109.00 | $8.89 – $31.56 | 11 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $22.87 – $152.71 | 10 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $43.20 | $108.00 | $8.89 – $31.56 | 11 |
| Gonioscopy CPT 92020 | not published | not published | $51.41 – $913.21 | 11 |
| Goniotomy CPT 65820 | not published | not published | $649.62 – $31,425.24 | 11 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $908.69 – $6,749.38 | 4 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $3,418.00 | $8,545.00 | $146.60 – $999.96 | 7 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $146.60 – $999.96 | 7 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $3,665.60 | $9,164.00 | $146.60 – $999.96 | 7 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $1,551.97 – $23,411.43 | 11 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $33,004.80 | $82,512.00 | $146.60 – $999.96 | 7 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $36,248.00 | $90,620.00 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $31,633.60 | $79,084.00 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $14,047.20 | $35,118.00 | $146.60 – $999.96 | 7 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $10,508.80 | $26,272.00 | $146.60 – $999.96 | 7 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | not published | 0 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $6,215.60 | $15,539.00 | $146.60 – $999.96 | 7 |
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.