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 |
|---|---|---|---|---|
| Rechanneling of artery 35341 CPT 35341 | not published | not published | not published | 0 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | not published | 0 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | not published | 0 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | $11,538.00 | $28,845.00 | $6,555.15 – $44,712.60 | 9 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | not published | 0 |
| Recipient nephrectomy CPT 50340 | not published | not published | not published | 0 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $5,062.04 – $41,996.50 | 11 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $6,973.75 – $41,996.50 | 8 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $5,062.04 – $41,996.50 | 11 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $5,062.04 – $41,996.50 | 11 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | not published | 0 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $8,548.06 – $58,306.23 | 8 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $2,790.49 – $41,996.50 | 11 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $5,062.04 – $41,996.50 | 11 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $6,587.81 – $172,224.86 | 11 |
| Reconstruct bronchus CPT 31775 | not published | not published | not published | 0 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $3,695.64 – $52,024.06 | 11 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $1,854.87 – $41,996.50 | 11 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $1,854.87 – $22,376.16 | 11 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $1,854.87 – $41,996.50 | 11 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $1,854.87 – $41,996.50 | 11 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $1,854.87 – $41,996.50 | 11 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $1,854.87 – $41,996.50 | 11 |
| Reconstruct cranial bone CPT 21182 | not published | not published | $6,973.75 – $47,567.91 | 8 |
| Reconstruct cranial bone CPT 21183 | not published | not published | $6,973.75 – $47,567.91 | 8 |
| Reconstruct cranial bone CPT 21184 | not published | not published | $6,973.75 – $47,567.91 | 8 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $2,453.91 – $52,024.06 | 11 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $6,587.81 – $172,224.86 | 11 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $6,587.81 – $102,623.15 | 11 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $4,010.96 – $52,024.06 | 11 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $4,010.96 – $102,623.15 | 11 |
| Reconstruct extra finger CPT 26587 | not published | not published | $1,551.97 – $23,411.43 | 11 |
| Reconstruct finger joint CPT 26545 | not published | not published | $1,551.97 – $23,411.43 | 11 |
| Reconstruct finger joint CPT 26548 | not published | not published | $1,551.97 – $23,411.43 | 11 |
| Reconstruct head of radius CPT 24365 | not published | not published | $6,587.81 – $102,623.15 | 11 |
| Reconstruct head of radius CPT 24366 | not published | not published | $6,587.81 – $102,623.15 | 11 |
| Reconstruction ankle joint CPT 27703 | not published | not published | $20,655.40 – $140,890.39 | 8 |
| Reconstruction knee CPT 27427 | not published | not published | $4,933.72 – $52,024.06 | 11 |
| Reconstruction knee CPT 27428 | not published | not published | $4,933.72 – $102,623.15 | 11 |
| Reconstruction knee CPT 27429 | not published | not published | $4,933.72 – $102,623.15 | 11 |
| Reconstruction of anus CPT 46753 | not published | not published | $1,587.67 – $20,208.88 | 11 |
| Reconstruction of bile ducts 47800 CPT 47800 | not published | not published | not published | 0 |
| Reconstruction of eyelid CPT 67971 | not published | not published | $1,169.80 – $16,628.34 | 11 |
| Reconstruction of eyelid CPT 67973 | not published | not published | $1,169.80 – $16,628.34 | 11 |
| Reconstruction of eyelid CPT 67974 | not published | not published | $1,169.80 – $27,492.11 | 11 |
| Reconstruction of eyelid CPT 67975 | not published | not published | $1,169.80 – $16,628.34 | 11 |
| Reconstruction of hip socket CPT 27120 | not published | not published | $15,124.38 – $103,163.32 | 8 |
| Reconstruction of hip socket CPT 27122 | not published | not published | $8,548.06 – $58,306.23 | 8 |
| Reconstruction of jaw CPT 21245 | not published | not published | $2,790.49 – $41,996.50 | 11 |
| Reconstruction of jaw CPT 21246 | not published | not published | $2,790.49 – $41,996.50 | 11 |
| Reconstruction of jaw CPT 21248 | not published | not published | $5,062.04 – $41,996.50 | 11 |
| Reconstruction of jaw CPT 21249 | not published | not published | $5,062.04 – $41,996.50 | 11 |
| Reconstruction of jaw joint CPT 21240 | not published | not published | $3,228.82 – $41,996.50 | 11 |
| Reconstruction of jaw joint CPT 21242 | not published | not published | $3,228.82 – $41,996.50 | 11 |
| Reconstruction of jaw joint CPT 21243 | not published | not published | $6,587.81 – $172,224.86 | 11 |
| Reconstruction of lower jaw CPT 21244 | not published | not published | $5,062.04 – $41,996.50 | 11 |
| Reconstruction of midface CPT 21188 | not published | not published | $6,973.75 – $47,567.91 | 8 |
| Reconstruction of mouth CPT 40840 | not published | not published | $3,228.82 – $41,996.50 | 11 |
| Reconstruction of mouth CPT 40842 | not published | not published | $2,465.06 – $41,996.50 | 11 |
| Reconstruction of mouth CPT 40843 | not published | not published | $2,465.06 – $41,996.50 | 11 |
| Reconstruction of mouth CPT 40844 | not published | not published | $2,465.06 – $41,996.50 | 11 |
| Reconstruction of mouth CPT 40845 | not published | not published | $2,465.06 – $41,996.50 | 11 |
| Reconstruction of nail bed CPT 11762 | not published | not published | $811.89 – $13,573.89 | 11 |
| Reconstruction of nose CPT 30410 | not published | not published | $2,465.06 – $41,996.50 | 11 |
| Reconstruction of nose CPT 30420 | not published | not published | $3,228.82 – $41,996.50 | 11 |
| Reconstruction of orbit CPT 21256 | not published | not published | $3,148.00 – $41,996.50 | 11 |
| Reconstruction of throat CPT 42950 | not published | not published | $2,465.06 – $41,996.50 | 11 |
| Reconstruction of urethra CPT 53410 | not published | not published | $3,778.65 – $36,982.65 | 11 |
| Reconstruction of urethra CPT 53415 | not published | not published | not published | 0 |
| Reconstruction of urethra CPT 53430 | not published | not published | $3,778.65 – $36,982.65 | 11 |
| Reconstruction of urethra CPT 54308 | not published | not published | $2,255.60 – $36,982.65 | 11 |
| Reconstruction of urethra CPT 54312 | not published | not published | $2,255.60 – $25,208.27 | 11 |
| Reconstruction of urethra CPT 54316 | not published | not published | $2,255.60 – $67,304.97 | 11 |
| Reconstruction of urethra CPT 54318 | not published | not published | $2,255.60 – $25,208.27 | 11 |
| Reconstruction of urethra CPT 54322 | not published | not published | $2,255.60 – $25,208.27 | 11 |
| Reconstruction of urethra CPT 54324 | not published | not published | $2,255.60 – $25,208.27 | 11 |
| Reconstruction of urethra CPT 54326 | not published | not published | $2,255.60 – $25,208.27 | 11 |
| Reconstruction tongue fold CPT 41520 | not published | not published | $2,055.31 – $22,376.16 | 11 |
| Reconstruct larynx & pharynx CPT 31395 | not published | not published | not published | 0 |
| Reconstruct lip with flap CPT 40527 | not published | not published | $2,465.06 – $41,996.50 | 11 |
| Reconstruct lip w/local flap 40525 CPT 40525 | not published | not published | $2,465.06 – $22,376.16 | 11 |
| Reconstruct lower jaw bone CPT 21255 | not published | not published | $3,148.00 – $41,996.50 | 11 |
| Reconstruct lower jaw bone CPT 21247 | not published | not published | $6,973.75 – $47,567.91 | 8 |
| Reconstruct orbit/forehead CPT 21172 | not published | not published | $3,228.82 – $41,996.50 | 11 |
| Reconstruct shoulder joint CPT 23470 | not published | not published | $6,587.81 – $102,623.15 | 11 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $6,587.81 – $102,623.15 | 11 |
| Reconstruct ulna/radioulnar CPT 25337 | not published | not published | $4,010.96 – $52,024.06 | 11 |
| Reconstruct upper jaw bone CPT 21206 | not published | not published | $1,358.67 – $41,996.50 | 11 |
| Reconstruct urethra/bladder CPT 53431 | not published | not published | $3,778.65 – $36,982.65 | 11 |
| Reconstruct urethra stage 1 CPT 53420 | not published | not published | $3,778.65 – $36,982.65 | 11 |
| Reconstruct urethra stage 2 CPT 53425 | not published | not published | $3,778.65 – $36,982.65 | 11 |
| Reconstruct vena cava 34502 CPT 34502 | not published | not published | not published | 0 |
| Reconstruct windpipe CPT 31780 | not published | not published | not published | 0 |
| Reconstruct windpipe CPT 31781 | not published | not published | not published | 0 |
| Rectal sensation test CPT 91120 | not published | not published | $96.39 – $2,202.67 | 10 |
| Red blood cells each unit HCPCS P9021 | $367.60 | $919.00 | $105.11 – $1,065.86 | 12 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | not published | not published | $105.11 – $3,097.55 | 11 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | not published | not published | $105.11 – $1,974.04 | 11 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $494.40 | $1,236.00 | $105.11 – $1,488.14 | 12 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $703.20 | $1,758.00 | $105.11 – $2,037.98 | 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.