HCPCS C1767

Generator, neurostimulator (implantable), non-rechargeable

Current codeImplantable Neurostimulator39 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for HCPCS C1767 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$422 – $59,900$1,055 – $149,750
Cascade Valley HospitalArlington$30,486 – $73,9681 plan$23,312 – $59,174$29,140 – $73,968
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$422 – $59,900$1,055 – $149,750
Harborview Medical CenterSeattleFile dated 2026-04-01—$986 – $108,627$1,409 – $155,182
Highline Medical CenterBurienFile dated 2026-02-28—$19,573 – $75,416$64,099 – $246,978
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$330 – $52,802$472 – $75,431
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$422 – $59,900$1,055 – $149,750
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$422 – $59,900$1,055 – $149,750
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$422 – $59,900$1,055 – $149,750
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$422 – $59,900$1,055 – $149,750
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$422 – $59,900$1,055 – $149,750
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$14,349 – $16,445$17,936 – $20,557
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$23,412 – $31,894$46,824 – $63,788
PeaceHealth Southwest Medical CenteVancouver—$38,820$59,723
PeaceHealth St Joseph Medical CenterBellingham—$60,176$92,578
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$464 – $54,650$663 – $78,071
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$491 – $57,267$945 – $110,130
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$464 – $54,650$663 – $78,071
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$439 – $52,802$628 – $75,431
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$544 – $70,211$1,045 – $135,022
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$439 – $52,802$628 – $75,431
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$382 – $60,458$546 – $86,369
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$491 – $57,267$945 – $110,130
Seattle Children's HospitalSeattle$4,064 – $18,13712 plans$15,810 – $55,791$15,810 – $55,791
Skagit Valley HospitalMount Vernon—$23,312 – $59,174$29,140 – $73,968
St Anthony HospitalGig HarborFile dated 2026-02-28—$19,496 – $75,118$64,099 – $246,978
St Clare HospitalLakewoodFile dated 2026-02-28—$18,476 – $71,189$64,099 – $246,978
St Elizabeth HospitalEnumclawFile dated 2026-02-28$10,897 – $51,1245 plans$22,650 – $87,273$64,099 – $246,978
St Francis Community HospitalFederal WayFile dated 2026-02-28—$20,116 – $77,507$64,099 – $246,978
St Joseph Medical CenterTacomaFile dated 2026-02-28—$21,230 – $81,799$64,099 – $246,978
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$28,290 – $109,003$64,099 – $246,978
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$337 – $70,966$702 – $147,845
Swedish IssaquahIssaquahFile dated 2026-04-01—$337 – $70,966$702 – $147,845
Swedish Medical CenterSeattleFile dated 2026-04-01—$337 – $70,966$702 – $147,845
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$337 – $70,966$702 – $147,845
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$422 – $59,900$1,055 – $149,750
University of Washington Medical CtrSeattleFile dated 2026-04-01—$861 – $97,334$1,230 – $139,049
Virginia Mason Medical CenterSeattle—$17,544 – $67,171$34,400 – $131,708
Yakima Valley MemorialYakimaFile dated 2026-08-27—$284 – $54,614$710 – $136,535

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.