CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Mary Bridge Children's Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$147
about 1.5× the $95 Medicare rate · typically $55–$240
modeled estimate · not a bill or quote
What this hospital charges insurers
$50
Below the fair price — a good deal
about $97 under the fair price · 0.5× Medicare
Medicare pays $95 Fair price $147 This hospital $50 Cash price $79 Hospital's list price $198

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

One of the lower prices — 7 of 8 other WA hospitals charge more for the same procedure.

Cheapest $48 Priciest $69

Black dot = this hospital, among the 9 WA hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (20-29 min) is about $147 (about 1.5× the $95 Medicare rate). Mary Bridge Children's Hospital charges insurers about $50, or about $79 in cash — below the fair price — a good deal. Located in Tacoma, WA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Blue Cross Blue Shieldmajor $50 53%
Aetnamajor $146 153%
Cignamajor $165 173%
PacificSource $83 - $84 87%
+ 2 smaller / regional plans $50 - $153
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 317 Martin Luther King Jr W Box 5299, Tacoma, WA 98415
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens