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HCPCS C1789

Prosthesis, breast (implantable)

Current code38 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Unknown: The source file doesn't say which population this rate applies to.

HospitalUnknown rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$611 – $5,242$1,527 – $13,105
Cascade Valley HospitalArlington—$872 – $5,100$1,090 – $6,375
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$611 – $5,242$1,527 – $13,105
Harborview Medical CenterSeattleFile dated 2026-04-01—$139 – $6,409$198 – $9,155
Highline Medical CenterBurienFile dated 2026-02-28—$447 – $4,433$1,462 – $14,516
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$729 – $3,612$1,041 – $5,160
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$611 – $5,242$1,527 – $13,105
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$611 – $5,242$1,527 – $13,105
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$611 – $5,242$1,527 – $13,105
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$611 – $5,242$1,527 – $13,105
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$611 – $5,242$1,527 – $13,105
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$1,925 – $2,434$3,850 – $4,869
PeaceHealth Southwest Medical CenteVancouver—$3,028$4,659
PeaceHealth St Joseph Medical CenterBellingham—$3,843$5,913
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$898 – $4,239$1,282 – $6,056
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$1,104 – $6,958$2,123 – $13,381
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$898 – $4,239$1,282 – $6,056
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$852 – $4,048$1,217 – $5,783
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$1,214 – $6,968$2,335 – $13,400
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$852 – $4,048$1,217 – $5,783
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$487 – $3,863$696 – $5,519
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$1,104 – $14,506$2,123 – $27,896
Seattle Children's HospitalSeattle$988 – $4,1345 plans$3,919 – $4,594$3,919 – $4,594
Skagit Valley HospitalMount Vernon—$872 – $5,100$1,090 – $6,375
St Anthony HospitalGig HarborFile dated 2026-02-28—$445 – $4,415$1,462 – $14,516
St Clare HospitalLakewoodFile dated 2026-02-28—$422 – $4,184$1,462 – $14,516
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$517 – $5,130$1,462 – $14,516
St Francis Community HospitalFederal WayFile dated 2026-02-28—$459 – $4,556$1,462 – $14,516
St Joseph Medical CenterTacomaFile dated 2026-02-28—$484 – $4,808$1,462 – $14,516
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$645 – $6,407$1,462 – $14,516
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$1.20 – $4,137$2.50 – $8,618
Swedish IssaquahIssaquahFile dated 2026-04-01—$1.20 – $4,137$2.50 – $8,618
Swedish Medical CenterSeattleFile dated 2026-04-01—$1.20 – $4,137$2.50 – $8,618
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$1.20 – $4,137$2.50 – $8,618
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$611 – $5,242$1,527 – $13,105
University of Washington Medical CtrSeattleFile dated 2026-04-01—$159 – $9,111$227 – $13,015
Virginia Mason Medical CenterSeattle—$96.39 – $2,754$189 – $5,400
Yakima Valley MemorialYakimaFile dated 2026-08-27—$405 – $2,835$1,012 – $7,088

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.