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 |
|---|---|---|---|---|
| Lith ion batt cid,non-earlvl HCPCS L8623 | not published | not published | $67.00 – $570.61 | 8 |
| Lithium ion battery charger HCPCS L7368 | not published | not published | $522.66 – $4,451.67 | 8 |
| Lithium therapeutic drug level CPT 80178 | $16.40 | $41.00 | $6.61 – $26.32 | 11 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $3,222.80 | $8,057.00 | $6,077.00 – $21,573.35 | 6 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | not published | 0 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | not published | 0 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | not published | 0 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $867.60 | $2,169.00 | $176.19 – $202.62 | 8 |
| Liver elastography 91200 CPT 91200 | not published | not published | $78.16 – $1,143.81 | 11 |
| Liver Function Test CPT 80076 | $17.60 | $44.00 | $5.85 – $20.77 | 11 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | not published | 0 |
| Liver imaging CPT 78201 | $1,229.20 | $3,073.00 | $639.64 – $3,967.89 | 12 |
| Liver imag w/vasclr flow CPT 78202 | $1,404.40 | $3,511.00 | $639.64 – $3,967.89 | 12 |
| Liver/spleen imag static only CPT 78215 | $1,200.00 | $3,000.00 | $470.94 – $3,056.97 | 12 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $470.94 – $3,056.97 | 11 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $222.70 – $16,628.34 | 11 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $2,203.48 – $23,411.43 | 11 |
| Lockingelbow forearm cntrbal HCPCS L6693 | not published | not published | $2,940.06 – $25,041.77 | 8 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $1.60 | $4.00 | not published | 0 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $223.58 – $46,369.48 | 11 |
| Long tongue stirrup HCPCS L2265 | not published | not published | $116.61 – $993.19 | 8 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $59.00 | $147.50 | not published | 0 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | not published | not published | $22.69 – $320.26 | 8 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | $47.60 | $119.00 | $78.31 – $686.06 | 9 |
| Loudness balance test CPT 92562 | not published | not published | $254.36 – $1,143.81 | 8 |
| Low back disk surgery CPT 63030 | not published | not published | $3,288.46 – $52,024.06 | 11 |
| Low cost skin substitute app HCPCS C5271 | not published | not published | $1,088.32 – $4,569.17 | 4 |
| Low cost skin substitute app HCPCS C5273 | not published | not published | $3,233.13 – $13,573.89 | 4 |
| Low cost skin substitute app HCPCS C5275 | not published | not published | $1,088.32 – $4,569.17 | 4 |
| Low cost skin substitute app HCPCS C5277 | not published | not published | $1,088.32 – $4,569.17 | 4 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,429.20 | $3,573.00 | $206.63 – $1,418.37 | 12 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,316.00 | $3,290.00 | $223.31 – $2,897.70 | 12 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $884.00 | $2,210.00 | $82.42 – $840.61 | 12 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $1,928.40 | $4,821.00 | $315.30 – $2,897.70 | 12 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,895.60 | $4,739.00 | $315.30 – $2,897.70 | 12 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,703.20 | $4,258.00 | $179.94 – $1,836.63 | 12 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $359.20 | $898.00 | $40.46 – $840.61 | 12 |
| Lower jaw bone graft CPT 21215 | not published | not published | $2,790.49 – $41,996.50 | 11 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $236.35 – $1,420.26 | 8 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $28.80 – $209.97 | 9 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $4,220.18 – $40,993.56 | 11 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $4,220.18 – $71,471.61 | 11 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $4,220.18 – $71,471.61 | 11 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $4,220.18 – $71,471.61 | 11 |
| Lso corset front HCPCS L0972 | not published | not published | $101.91 – $867.98 | 8 |
| Lso flex no ri stays pre ots HCPCS L0628 | $14.40 | $36.00 | $23.74 – $344.72 | 9 |
| Lso full corset HCPCS L0976 | not published | not published | $193.84 – $1,651.02 | 8 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | $99.20 | $248.00 | $162.74 – $1,425.77 | 9 |
| Lso sag-coronal panel custom HCPCS L0638 | not published | not published | $1,363.19 – $11,610.86 | 8 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $345.82 – $4,740.16 | 8 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $47.15 – $665.46 | 8 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $1,092.18 – $9,302.56 | 8 |
| Lso sagittal rigid panel cus HCPCS L0636 | not published | not published | $1,424.02 – $12,129.01 | 8 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | $175.20 | $438.00 | $288.16 – $2,524.51 | 9 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $83.48 – $1,178.33 | 8 |
| Lso s/c shell/panel custom HCPCS L0640 | $640.00 | $1,600.00 | $1,051.52 – $9,212.20 | 9 |
| Lso s/c shell/panel prefab HCPCS L0639 | not published | not published | $1,161.70 – $9,894.72 | 8 |
| L/s ratio fetal lung CPT 83661 | $47.60 | $119.00 | $8.59 – $30.49 | 11 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $64.72 – $551.26 | 8 |
| Lumbar derotation pad HCPCS L1240 | $48.80 | $122.00 | $79.89 – $699.91 | 9 |
| Lumbar diskogram s&i CPT 72295 | $2,689.20 | $6,723.00 | $414.30 – $14,137.49 | 12 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $95.54 – $813.79 | 8 |
| Lumbar sling HCPCS L1090 | not published | not published | $98.41 – $838.25 | 8 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $7,244.23 – $172,224.86 | 11 |
| Lumizyme injection HCPCS J0221 | not published | not published | $199.65 – $71,589.38 | 11 |
| Lung function test (mbc/mvv) CPT 94200 | $73.20 | $183.00 | $36.78 – $452.08 | 12 |
| Lung Function Test (Spirometry) CPT 94010 | $240.40 | $601.00 | $36.78 – $1,143.81 | 12 |
| Lung perfusion imaging CPT 78580 | $802.00 | $2,005.00 | $470.94 – $3,056.97 | 12 |
| Lung transplant double CPT 32853 | not published | not published | not published | 0 |
| Lung transplant single CPT 32851 | not published | not published | not published | 0 |
| Lung transplant with bypass CPT 32852 | not published | not published | not published | 0 |
| Lung transplant with bypass CPT 32854 | not published | not published | not published | 0 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | not published | 0 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $214.09 – $11,219.50 | 11 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $40.27 – $302.49 | 8 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | $636.80 | $1,592.00 | $319.94 – $2,220.13 | 9 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $262.04 – $99,888.43 | 11 |
| Lvad shower bag heartmate HCPCS Q0501 | $1,285.20 | $3,213.00 | $514.17 – $4,504.52 | 9 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $33.38 – $196.31 | 11 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | $173.20 | $433.00 | $284.32 – $2,490.92 | 9 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $5.09 – $20.63 | 10 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $9,628.52 – $65,676.05 | 8 |
| Lymphatics/lymph node imaging CPT 78195 | $1,140.40 | $2,851.00 | $639.64 – $3,967.89 | 12 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $3.03 – $37.62 | 10 |
| Lymphocyte transformation mitogen CPT 86353 | $124.40 | $311.00 | $21.40 – $75.98 | 11 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $18.51 – $195.01 | 10 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $3.03 – $48.97 | 10 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $595.33 – $4,549.90 | 11 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $595.33 – $11,701.94 | 11 |
| Lymph vessel x-ray trunk CPT 75805 | $6,492.00 | $16,230.00 | $595.33 – $23,429.60 | 12 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $1,290.40 – $23,429.60 | 11 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $635.35 – $3,592.89 | 11 |
| Lysis of labial adhesions CPT 56441 | $5,492.00 | $13,730.00 | $1,720.14 – $22,237.82 | 12 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $1,387.39 – $14,588.63 | 11 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $24.92 – $123.32 | 3 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $15.63 – $55.48 | 6 |
| Macroscopic exam arthropod CPT 87168 | $11.20 | $28.00 | $4.27 – $18.08 | 11 |
| Macroscopic exam parasite CPT 87169 | $11.60 | $29.00 | $4.31 – $18.08 | 11 |
| Magnesium CPT 83735 | $22.40 | $56.00 | $3.45 – $12.25 | 11 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $37.10 | $92.75 | not published | 0 |
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.