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MARY BRIDGE CHILDREN'S HOSPITAL

Hospital

317 MARTIN LUTHER KING JR W BOX 5299

TACOMA, WA, 98415

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Procedure Prices at MARY BRIDGE CHILDREN'S HOSPITAL

Blood Draw From Vein Using Needle

CPT 36415

$3

Lab Test - Complete Blood Cell Count With White Blood Cell Percentage

CPT 85025

$6.84

Lab Test - Comprehensive Metabolic Panel

CPT 80053

$9.49

Therapeutic Exercises

CPT 97110

$10.23

EKG

CPT 93000

$19.09

Therapeutic Activities

CPT 97530

$21.79

EKG Tracing

CPT 93005

$24.62

Outpatient Clinic Visit Established Patient Level III

CPT 99213

$50

Chest X-Ray (2 views)

CPT 71046

$52.5

Chest X-Ray (1 view)

CPT 71045

$58.02

Thoracic Spine X-Ray

CPT 72072

$58.02

OB Ultrasound

CPT 76805

$75.95

CT Chest

CPT 71250

$86.85

Individual Psychotherapy Session 60 Minutes

CPT 90837

$123.19

Retroperitoneal Ultrasound

CPT 76770

$141.68

Screening Mammogram (bilateral)

CPT 77067

$144.8

Abdominal Ultrasound — Limited

CPT 76705

$147.78

Abdominal Ultrasound

CPT 76700

$153.29

ER Visit — Low-Moderate Complexity

CPT 99283

$153.72

Diagnostic Mammogram (unilateral)

CPT 77065

$235.46

ER Visit — Moderate Complexity

CPT 99284

$272.31

MRI Joint of Lower Extremity

CPT 73721

$281.33

Diagnostic Mammogram (bilateral)

CPT 77066

$301.35

ER Visit — High Complexity

CPT 99285

$303.62

CT Abdomen & Pelvis

CPT 74177

$318.54

MRI Brain w/ Contrast

CPT 70553

$405.05

MRI Brain w/o Contrast

CPT 70551

$415.25

Echocardiogram w/ Doppler

CPT 93306

$493.01

Colonoscopy w/ Biopsy

CPT 45380

$636.97

Upper GI Endoscopy w/ Biopsy

CPT 43239

$658.91

Vaginal Delivery

CPT 59400

$956.6

Inguinal Hernia Repair

CPT 49505

$1,140.79

Cataract Surgery

CPT 66984

$1,210.4

Colonoscopy

CPT 45378

$1,377.04

Laparoscopic Cholecystectomy

CPT 47562

$1,600.38

Cataract Surgery — Complex

CPT 66982

$1,644.08

Tonsillectomy & Adenoidectomy (under 12)

CPT 42820

$1,709.81

Tonsillectomy & Adenoidectomy (12+)

CPT 42821

$1,714.49

Knee Arthroscopy

CPT 29881

$2,351.28

Injection of Drug Into Lower Spinal Nerve Root With Imaging Guidance

CPT 64483

$3,334.53

Laparoscopic Hernia Repair

CPT 49650

$3,490.79

Appendectomy

CPT 44950

$4,206.82

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Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.