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HCPCS C1875

Stent, coated/covered, without delivery system

Current codeCardiac Stent25 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.

HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Cascade Valley HospitalArlington$2,625 – $8,7811 plan$2,100 – $6,916$2,625 – $8,645
Harborview Medical CenterSeattleFile dated 2026-04-01—$539 – $23,335$769 – $33,336
Highline Medical CenterBurienFile dated 2026-02-28—$121 – $10,450$398 – $34,222
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$3,961 – $4,095$5,658 – $5,850
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$5,090 – $7,385$7,271 – $10,549
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$8,300 – $12,347$15,962 – $23,743
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$5,090 – $7,385$7,271 – $10,549
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$4,862 – $7,063$6,946 – $10,090
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$7,272 – $10,053$13,984 – $19,333
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$4,862 – $7,063$6,946 – $10,090
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$4,411 – $6,372$6,302 – $9,102
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$8,300 – $12,347$15,962 – $23,743
Skagit Valley HospitalMount Vernon—$2,100 – $6,916$2,625 – $8,645
St Anthony HospitalGig HarborFile dated 2026-02-28—$121 – $10,409$398 – $34,222
St Clare HospitalLakewoodFile dated 2026-02-28—$115 – $9,864$398 – $34,222
St Elizabeth HospitalEnumclawFile dated 2026-02-28$67.58 – $7,0845 plans$140 – $12,093$398 – $34,222
St Francis Community HospitalFederal WayFile dated 2026-02-28—$125 – $10,740$398 – $34,222
St Joseph Medical CenterTacomaFile dated 2026-02-28—$132 – $11,334$398 – $34,222
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$175 – $15,104$398 – $34,222
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$4,935 – $7,129$10,281 – $14,853
Swedish IssaquahIssaquahFile dated 2026-04-01—$4,935 – $7,129$10,281 – $14,853
Swedish Medical CenterSeattleFile dated 2026-04-01—$4,935 – $7,129$10,281 – $14,853
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$4,935 – $7,129$10,281 – $14,853
University of Washington Medical CtrSeattleFile dated 2026-04-01—$470 – $20,909$672 – $29,870
Virginia Mason Medical CenterSeattle—$5,100$10,000

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.